Strutting shopper

3 UX strategies to help ecommerce users save money: reveal the total cost of ownership

By Jeff McNeil December 12, 2011

For big-ticket purchases like buying health insurance, the sticker price (monthly premium) is just the beginning. Via the interface, UX designers can and should encourage users to think beyond sticker price and discover the total cost of ownership of their healthcare usage. Armed with this knowledge, users can make apples-to-apples comparisons, find savings, and confidently click the Buy button.

Determining the total cost of ownership is not always easy, and multi-dimensional products like health insurance make it even harder.

Without considering these other costs, consumers tend to shop according to the lowest premium available—even if it results in a higher annual cost. Which is why many consumers hate buying insurance: they suspect they're getting the wrong policy for their situation—and paying too much as a result. So how can UX designers fix this information gap and stack the deck in favor of the consumer?

Plan A: Crunch the numbers for your users

In Lesson #5 of my last article, 5 Lessons Learned in Redesigning America's First Health Insurance Exchange, I proposed a decision tool as one strategy to encourage users to think about total cost of ownership (TCO): a wizard would ask the consumer questions about their past health service usage, comfort with risk, etc., and would respond with a list of plans for the consumer to consider.

Unfortunately, this is a large technical undertaking, requiring a lot of data crunching, extensive user testing, and time.

Considering the already huge task load for each U.S. state to launch a healthcare exchange, are there any interface-centric ways to encourage TCO thinking? Let's start by taking a look at the TCO comparisons consumers are already comfortable performing.

Plan B: Leverage how consumers already shop

Applying TCO thinking to health insurance

  1. Encourage consumers to review past usage history

    Just as in purchasing insurance, a consumer purchasing a cell phone plan 'backs into' a plan, e.g. picks the plan that is the least undesireable. The cell phone consumer, though, has the advantage of seeing past usage history very easily since every wireless carrier provides a monthly usage summary in their bill that includes minutes, text and data (if applicable).

    Some, but not all, health insurance carriers offer online services that let you see usage history. Encouraging consumers to get hold of past usage information could be done on an introduction screen to Bronze, Silver, Gold plans or an info page about annual deductibles.

  2. Normalize annual & monthly

    "Quick! What's $2,000 divided by 12?"
    "I don't know. Give me a calculator."

    Grocery stores show unit pricing to consumers to let them compare cost of products of different quantities. In health insurance, there is an incongruity between monthly premium and annual deductible that discourages such comparisons.

    A savvy consumer will divide a plan's annual deductible by 12, add it to the monthly premium, showing a worst-case scenario where the consumer pays the full deductible. The consumer can then easily compare that against a plan with no annual deductible. But that's a lot of leg work for such an expensive product, wouldn't you say?

    A simple way of encouraging this type of value comparison is to let the consumer see premiums—on either a monthly or annual basis—with a toggle.


    Monthly vs Annual premium
  3. Use real world numbers

    Toggled to the Annual Premium view, the cost number is becoming more easily comparable (in combination with the annual deductible).

    Taking a page from the EPA playbook, what if we took those numbers a step further and introduced a 'worst-case scenario' cost figure for the consumer? Let's show them what they would have to pay if they maxed-out the annual deductible and had $200 worth of co-pays that year.


    Worse-Case Scenario Cost

    There could (and should) be other consumer costs that figure into a "worst-case scenario" such as prescription drugs, hospital stays, etc.


    Merely showing a monthly (or annual) premium on its own does not accurately reflect what most consumers are really going to pay for their health insurance's total cost of ownership.

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