HSA Chapter MT

ProvSelect HSA Plan : 

ProvSelect HSA Plan BENEFITS 2011 ProvSelect HSA

ProvSelect HSA Health Incentive : 

ProvSelect HSA Health Incentive $450 for employee and $450 for covered spouse/adult benefit recipient – deposited into open HSA account Take biometric health screening and online health assessment by November 24, 2010 Account has to be open by December 31, 2010 or incentive will be forfeited

ProvSelect HSA : 

ProvSelect HSA Two parts Insurance coverage (high deductible PPO) Health Savings Account

ProvSelect HSA : 

ProvSelect HSA Insurance Coverage Annual Deductible $1,500 employee only tier $3,000 for all other tiers– no individual deductible Out-of-pocket maximum $2,500 employee only coverage $5,000 for all other tiers – no individual out of pocket maximum Preventive Care is covered at 100% (age and frequency schedules apply) In-Network Office Visits covered at 80% coinsurance after deductible is met Out-of-Network Office Visits covered at 50% coinsurance after deductible is met For more information, please refer to your medical plan comparison guide.

ProvSelect HSA : 

ProvSelect HSA Insurance Coverage (continued) Inpatient Care is covered after the deductible is met 100% at a Providence Facility 80% for all other in-network facilities and 50% out-of-network Prescription Drugs Preventive generic and brand formulary drugs are covered at 100% Preventive drugs list is available at: www.providence-healthforlife.com Non-preventive drugs are covered at 80% subject to deductible

ProvSelect HSA : 

ProvSelect HSA Health Savings Account Eligibility to open a Health Savings Account Enrolled in a qualified high deductible plan (ProvSelect HSA qualifies) You cannot be enrolled in another plan (including a Providence plan) as a spouse/adult benefit recipient (ABR) You cannot be enrolled in a state or federal Medicare or Medicaid Plan Contributions to a Health Savings Account Providence can contribute You can contribute

ProvSelect HSA : 

ProvSelect HSA Health Savings Account - Seeding

ProvSelect HSA : 

ProvSelect HSA A savings account for you to save before-tax dollars to pay for qualified health care expenses 8 + $3,050 for an individual $6,150 for a family Contribute an additional $1,000 in 2011 if you are age 55 or older Automatic before-tax payroll deductions or by personal check to WageWorks, the HSA administrator All contributions are deposited to Mellon Bank through Wage Works – you have to open an account or your money is forfeited = + 2011 catch-up contributions (if eligible) Total 2011 maximum, combined contributions to HSA Employee contributions (optional) Providence 2011 contributions

ProvSelect HSA : 

ProvSelect HSA Health Savings Account Advantages Free pre-tax money from Providence and opportunity to earn even more free money through health incentive Utilize HSA to pay for deductibles and coinsurance as well as eligible expenses (the same list as flexible spending accounts) Use as a vehicle for retiree medical savings Your contributions reduce your taxable income The funds you withdraw to pay for qualified medical expenses remain untaxed Your HSA earns interest - tax free and once your account is at $1,000 you can invest in mutual funds HSA balance rolls over from year to year

ProvSelect HSA : 

100% of in-network preventive care services Including preventive prescription drugs Deductible $1,500 Providence Health Savings Account Contribution Employee Health Savings Account Contribution In-network Coinsurance Providence 80% - 100% Employee 0% - 20% Comprehensive Protection Out-of-pocket maximum $2,500 100% of in-network preventive care services Including preventive prescription drugs Deductible $3,000 Providence Health Savings Account Contribution Employee Health Savings Account Contribution In-network Coinsurance Providence 80% - 100% Employee 0% - 20% Comprehensive Protection Out-of-pocket maximum $5,000 Employee Only Coverage Employee plus family coverage (all tiers) ProvSelect HSA

Flexible Spending Accounts : 

Flexible Spending Accounts Health Care FSA (HCFSA) – Limited Purpose Account You can still utilize your Health Care FSA even if you participate in the HSA but there are rules! Limited availability for medical expenses Can be used for medical expenses once the deductible has been met Can be used for out of pocket vision, dental and orthodontia expenses not covered by the plan

Health Savings Account vs. Health Care FSA : 

Health Savings Account vs. Health Care FSA

Questions about Benefits? : 

Questions about Benefits? HR Service Center is here to Assist Email: WAMTREGHRSC@providence.org Phone: 1-888-687-3753, select option 2 Hours: Monday – Friday 6:30 a.m. – 5:00 p.m. (Pacific Standard Time)