What is MyHealthMath?

MyHealthMath (MHM) is a decision support company whose mission is to simplify health insurance purchasing, so employers and employees across the country get the best value from their healthcare dollar. MyHealthMath uses a highly accurate algorithm, paired with personalized employee engagement, to identify the optimal health plan for individuals.

What is Decision Doc?
Decision Doc is MyHealthMath’s interactive online platform that helps employees choose an optimal health plan. Employees go through a series of questions, either online or on the phone, and then receive an interactive report showing which health plan will save them the most money in the coming year. Decision Doc integrates phone and online support, reporting, education, and resources.
How does this work?

You’ll receive emails and other communications (e.g., posters, flyers) with your company’s unique link. Click on the link (or scan the QR code) to navigate to Decision Doc. There, you will have the option to answer some questions about your health needs, either online through the web app or by scheduling a phone appointment.

If you continue with the web app, you can begin answering the questions immediately. If you schedule a phone appointment, an MHM Decision Support Agent will call you at your selected date and time.

You’ll answer questions about what types of medical services and/or prescriptions you and anyone else on the plan will utilize in the coming year. Then, we’ll use our proprietary software to process this information through each plan, performing tens of thousands of calculations to find the lowest combination of premiums and out-of-pocket expenses.

You’ll then receive a personalized report ranking your plans in order of total cost, total savings and worst-case scenario.

– When using the web app, your report appears instantly for you to utilize as a cost comparison guide when selecting benefits! Download the report to view it later.

– When utilizing the phone appointment, your report is emailed directly to you within 1-2 business days.

Does Decision Doc ask for any financial or personal information?

All the information you provide is voluntary! To use Decision Doc, we will ask for your first and last name, date of birth, and email address. If you decide to answer the medical questions over the phone, we may also ask for your home zip code and phone number. All this information is used exclusively for the purpose of providing our services.

Decision Doc does not ask for social security numbers, home address, or any other personal financial information.

Will my medical usage be kept private?

Absolutely. MHM never shares your specific medical usage information with your employer, health insurance carrier, or any other party. All information is stored securely in strict compliance with HIPAA standards.

Who do I contact for specific plan questions?
MyHealthMath is here to help you evaluate your health plan options based on your specific medical usage. Since we are not a licensed benefits consultancy, any questions such as “what services are covered with a copay” and “which services are subject to the deductible and/or out of pocket maximum,” should be directed to your HR Department or through your employer’s Employee Portal, if applicable.
What information will be needed?
Decision Doc asks for basic health usage information—such as frequency of doctor visits, labs, medications, and planned surgeries—for each person who will be covered by the plan. Prescription medications can have a significant effect on costs, so we highly recommend providing us with as much prescription information as you have available. This includes whether they are generic or brand, the quantity of pills per bottle, and how frequently you get them filled.
What does the report show?

The report provides an estimate on you how much you could spend (or save) with each plan you are being offered. Reports also provide you with:

– An overview of your plan options

– Your worst-case scenario (the most you would pay in a plan year if you were to reach your out-of-pocket maximum)

– Tax savings you could have from an HSA contribution (if applicable)

– A breakdown of the costs, such as the annual premiums, out-of-pocket expenses (copayments, coinsurance, deductible), and HSA/HRA benefits

– Links to relevant resources

How does this benefit me?
We help you identify which health plan will help you save on health care expenses, so you get the care you need at a price you can afford.

We present you with a visual break down of each plan showing your annual premium, deductible, out-of-pocket expenses, and any other factors on the plan, such as a personal or employer contributions to an HSA (Health Savings Account) or HRA (Health Reimbursement Arrangement). Looking at the whole picture of your annual health care expenses allows us to estimate how much you will spend on health care under each plan. Then, you can make an informed decision. The average person who engages with us saves $1,300 on their health expenses in a year.

When will I get my report?
If you answer your medical questions online, your report will appear instantly.

If you answer your medical questions over the phone, your report will be emailed to you within 1-2 business days.

How accurate is the report?
Our system analyzes your projected usage to understand which plan provides the most efficient coverage for you. We’re meticulous about getting your plan details right, but our calculations are only as good as the information you provide. Providing us with accurate information about upcoming services and medications ensures that our estimate comes as close as possible to your actual expenditures.

Unreported expenses and unforeseen circumstances will affect your actual savings, so always keep the “worst case scenario” on your report in mind when planning for the coming year.

Can I have an alternative situation (like adding dependents or hospital stays) calculated?
Yes! When you answer your questions online, you will have the option to take the questionnaire as many times as you would like. If you wish to compare the changes you made to the report, make sure you download a copy of each report!

During a phone call, we can also create an alternate report for you! We can send you multiple reports for different scenarios you might encounter. Make sure to indicate this alternative scenario during your phone call.

Is vision and dental included in the report?

No. Currently, we only factor in your health insurance plans (no separate vision or dental plans). However, if your health insurance plans cover an annual / bi-annual routine vision screening, that is included in the estimate because it is included in your health insurance plan coverage.

If I answer the questions over the phone, where will you send my report?

We will email your report to any email address you prefer! Just let your agent know where you want us to send it.

Can my spouse join the conversation/participate?
Yes! We encourage you to involve any family members who may help increase the accuracy of the information you provide!
What is a Claims Snapshot?
MHM’s Claims Snapshots show employees which of their current health plans will save them the most money based on their actual past health utilization. Accessing your Claims Snapshots is easy; just go to Decision Doc and if you qualify, you’ll be asked if you want to see your Snapshot. This immediacy makes Claims Snapshots an easy decision-making tool for employees whose health needs are not changing. Importantly, since health care needs and health plan details usually do change year to-year, you can continue on to share your future health needs and then obtain a more personalized report based on your anticipated medical usage.
Why am I not receiving the option to view my Claims Snapshot?
Once you share your name, date of birth, and email, Decision Doc will check to see if you have enough claims to produce a meaningful Snapshot. Sometimes, when people don’t have enough claims it’s because they haven’t been enrolled in their employer’s health plan for a long enough period. If you don’t have enough claims, you will simply continue through the series of medical questions (either through the app or phone call) so that we can provide you with a personalized report comparing your plan options.
I am being asked for my Subscriber ID. What is that?

The subscriber ID is the number on your health insurance card. If you don’t have that readily available, we will also accept the member ID for any dependents enrolled on your plan.