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Individuals and Families: HSA Blue PPO II
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HSA Blue PPO II Benefits At-A-Glance

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.

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*Establishing a personal health savings account has important tax consequences. Arkansas Blue Cross and Blue Shield, a Mutual Insurance Company, does not provide investment or tax advice. You should consult with your investment and/or tax advisor if you have any questions concerning any investment or tax issues concerning an HSA or other personal health account.




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Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue
Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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