Health Savings Account Plan
The Health Savings Account (“HSA”) Plan combines a high-deductible medical benefit administered by Premera Blue Cross with a tax-advantaged Fidelity savings account. You may use your HSA to pay for out-of-pocket medical expenses or you can save these dollars as part of a long-term strategy to pay your medical bills in retirement (for example).
The University makes monthly HSA contributions on your behalf and you may also make paycheck contributions to your account up to the annual IRS limit. Unlike a Flexible Spending Account, unused HSA dollars rollover each year and can be invested to build a nest egg for future health expenses.
Because HSAs have special tax benefits, they are also subject to certain restrictions. For example, you can sign up for the Premera HSA Plan if you’re not enrolled in Medicare, can’t be claimed as a dependent on someone else’s tax return, and you aren’t already covered under a spouse’s medical plan (unless that plan is also a high deductible plan.)
> Health Savings Account Plan Questions and Answers
> Fidelity HSA overview (15-minute video presentation)
| Premera HSA Plan Benefit |
In-Network
|
Out-of-Network
|
| Deductible |
$2,000 individual/$4,000 family
|
$4,000 individual/$8,000 family
|
| Annual Out of Pocket Max |
$4,000 individual/$8,000 family
(includes deductible)
|
| Lifetime maximum benefit |
Unlimited |
| Office Visits |
90% after deductible |
50% after deductible |
| Preventive Care
|
| Immunizations |
100%
|
50% after deductible
|
| Routine physicals |
100%
|
50% after deductible
|
| Well-woman exams/screenings |
100%
|
50% after deductible
|
| Well-baby exams |
100%
|
50% after deductible
|
| Other Services |
In-Network |
Out-of-Network |
Emergency Room
(copay waived if admitted) |
90% after deductible
|
50% after deductible
|
| Inpatient hospital services |
90% after deductible
|
50% after deductible
|
| Outpatient hospital services |
90% after deductible
|
50% after deductible
|
| Outpatient surgical center |
90% after deductible
|
50% after deductible
|
| Prescription drugs (retail/pharmacy) |
30-day supply
|
| Generic |
90% after deductible
|
| Brand formulary |
90% after deductible
|
| Nonformulary |
90% after deductible
|
Prescription drugs
(mail order) |
90-day supply
|
| Generic |
90% after deductible
|
| Brand formulary |
90% after deductible
|
| Nonformulary |
90% after deductible
|
This is a brief outline of the benefits provided. Refer to the Premera High Deductible Health Plan plan summary for a comprehensive description of plan benefits. Under all circumstances, the plan summary will take precedence over information contained on this website. > 2013 plan summary