hsa seminar preferredone hsa plan 2013 ®. what is an hsa health plan? high deductible health plan +...
TRANSCRIPT
HSA Seminar PreferredOne HSA Plan 2013
®
What is an HSA Health Plan?
High Deductible Health Plan + Health Savings Account
2
Health Savings Accounts (HSAs) are used in conjunction with a qualified High Deductible Health Plan (HDHP)
Use pre-tax dollars from your HSA to pay the deductible and coinsurance.
First dollar coverage for preventive care
High Deductible Health Plan
3
SM
Deductible
Individual $1,2500
Family $3,00
Coinsurance
Tier 1: 100%
Tier 2: 80%
100% Plan paid
for covered services
Out-of-Pocket
Individual $3,500
Family $8,000
Pre
ve
nti
ve
ca
re -
10
0%
Coinsurance Tier 1: 100%
Tier 2: 80%
&
Prescription Drug
Copayments
DeductibleIndividual $1,250 Family $3,000
Coinsurance: The percentage of the total cost you must pay for a given service after you have met your plan’s deductible.
Copay: A predetermined dollar amount that you must pay for certain services and products.
Out-of-Pocket Maximum: The maximum amount you pay out of your pocket for covered services, including the deductible and coinsurance.
100% Plan Paid: Once you reach your out-of-pocket maximum, the plan pays 100% of covered services for the remainder of the plan year.
Deductible: The amount you must pay out of your pocket in a plan year before receiving any coverageby the plan.
4
In-Network HSA Plan Benefits
Deductible - $1,250 single/$3,000 family
Coinsurance North Tier 1 Providers – 100% coverage after you reach the deductible amount is met. Tier 2 Providers – 80% coverage after you reach the deductible
amount is met.
Prescription Drugs• North Memorial Pharmacy
Generic: $15 copayment after deductible amount is met. Formulary $30 copayment after deductible amount is met. Non-formulary 50% after deductible amount is met, $30 minimum, $200 maximum.
Out-of-Pocket Maximum - $3,500 single/$8,000 family
Health Savings Account
5
SM
Deductible
Individual $1,2500
Family $3,00
Coinsurance
Tier 1: 100%
Tier 2: 80%
100% Plan paid
for covered services
Pre
ve
nti
ve
ca
re -
10
0%
Use your pre-tax HSA
dollars to pay for health
care charges applied to
your deductible and
coinsurance.
$ ? $
Out-of-Pocket
Individual $3,500
Family $8,000
DeductibleIndividual $1,250 Family $3,000
Coinsurance Tier 1: 100%
Tier 2: 80%
&
Prescription Drug
Copayments
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Twin Cities Metro Area 763.847.4477
Outside the Metro Area 1.800.997.1750
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