How does HSA Blue PPO II work with a Health Savings Account (HSA)? HSA Blue PPO II is an HSA-compatible insurance plan.
That means it allows you to work with the financial
institution of your choice to establish an HSA with tax
advantages*. With HSA Blue PPO II, you pay a low
monthly premium for coverage against catastrophic
medical bills. At any time, you may make contributions
into your HSA account, which earn tax-deferred
interest. You can then use that money to “self fund”
out-of-pocket health-care expenses — such as your
deductible and unreimbursed medical bills. Your taxable
income is reduced by the amount you contribute to
your HSA each year. An HSA works to your financial
advantage in the following ways:
- Unused balances roll over from year to year and there are no maximum limits on the account accumulation.
- Distributions are tax-free if used for “qualified
medical expenses,” which include: your health
insurance deductible; payments for the diagnosis,
cure, mitigation, treatment or prevention of
disease not reimbursed by your qualified health
plan; and long-term care services and long-term
care insurance.
No lifetime maximum.
Given the high cost of health care, it’s reassuring to
know that each covered member has that kind of protection.
Wellness benefits. You’ll have benefits that help to keep you healthy,
including coverage for routine physical exams,
gynecological exams and more — all with no
deductible to meet.
Benefits for children’s preventive services.
Children’s well-patient care and immunizations are covered at 100 percent.
Access to our extensive network.
You can lower your out-of-pocket costs by choosing a
provider from our extensive network for your medical
care. Chances are, your doctor or specialist already
participates. What’s more, you can see any
participating specialist without a referral.
Out-of-network coverage: You have the choice to
seek care outside the network and still be covered,
although you’ll be responsible for more of the costs.
For out-of-network care:
- The deductible is doubled.
- The coinsurance increases to 20%.
- There is no limit to your calendar-year coinsurance maximum.
- If you go out of network, you will be responsible
for any “balance billing” — in other words, the
difference between the provider’s bill and the
Arkansas Blue Cross allowed amount.
|
|
Affordable Prescription Drug Benefits.
Prescription drug benefits can help to dramatically
lower your out-of-pocket costs. Prescription drug
benefits are based on a formulary (a list of covered
drugs). HSA Blue PPO II uses Formulary Two-2012 (PDF).
The plan pays 100 percent of covered prescription drug
costs for brand-name, generic and non-preferred
brand-name drugs after the deductible has been met.
HealthConnect Blue
With HealthConnect Blue, better health is just a call
or click away. Personal health coaches are available
24/7 to advise you on everything from common health
concerns to chronic conditions. You’ll receive the
latest information on health education programs,
covering topics such as cardiovascular health, diabetes,
weight loss and more. Plus, you’ll have access to
online tools and information to help you make decisions
about your health.
Add Optional Maternity and Obstetrical Care Benefits HSA Blue PPO II provides the option of adding a maternity and obstetrical care
rider — with no per pregnancy maximum. Benefits are payable once the maternity
coverage has been in effect for 12 months. Coverage must remain in force through the entire pregnancy (including post natal visits) for maximum benefits to be received. This optional benefit is available
only to females age 19 or older. Dependents other than a covered spouse cannot
purchase the maternity rider. The maternity rider covers the mother only.
Maternity benefits are subject to the deductible and coinsurance.
|