Health Savings Account Benefit Characteristics
Anthem BCBS
UniCare - Illinois
UniCare - Indiana
Humana One - Illinois
Humana One - Indiana
Aetna
United HealthCare
Required HSA Plan Features
Before you can establish a Health Savings Account (HSA) and make tax-advantaged HSA contributions, you must be enrolled in a HSA-compatible high deductible health insurance plan (Also referred to as "HDHP" or "High Deductible Health Plan"). These plans have required characteristics, including:
- High deductible
- Limits on out-of-pocket expense
- Preventive care benefits
- No co-pay benefits (deductible waived) for medically necessary office visits and for pharmacy
- All benefits (with an exception for preventive care) must be subject to the high deductible.
Deductibles and Out-of-Pocket Expense
HSA-compatible health insurance plans must have a minimum annual deductible and limits on annual out-of-pocket expense (deductibles, coinsurance and other amounts, but not premiums):
| Single Person | for 2008 | for 2009 | |
| Minimum Deductible | $1,100 |
$1,150 |
|
| Out-of-Pocket Max | $5,600 | $5,800 | |
| Family | for 2008 | for 2009 | |
| Minimum Deductible | $2,200 |
$2,300 |
|
| Out-of-Pocket Max | $11,200 | $11,600 | |
Deductible Exception for Preventive Care
An HSA-compatible plan may apply a smaller deductible or no deductible for preventive care, which includes services such as:
- Routine pre-natal
- Well child care
- Child and adult immunizations
- Annual physical exams
- Mammograms
- Pap smears
Benefit Requirements for PPOs
An HSA-compatible plan using a PPO network may apply higher deductibles and out-of-pocket expenses to covered health care services provided by non-PPO providers.
