HSA-Qualified Deductible EPO Plan
Your HSA-Qualified Deductible EPO Plan is not just health coverage — it's a partnership in health.
You receive preventive care services at little or no cost to you, and online features let you manage most of your care around the clock.
Your benefits include:
- a personal doctor for routine medical care
- copays or coinsurance for most covered services after you meet your deductible
- prescription coverage for brand-name and generic drugs
- no referrals needed for certain specialties, like optometry and obstetrics/gynecology
- an out-of-pocket maximum that limits how much you'll spend on most covered services each year
- a pre-tax health savings account* to help pay for certain medical expenses†
About your HSA
Once you're enrolled, you can set up your HSA and contribute money into it. You can use your HSA funds for any qualified medical expenses, including copays and coinsurance payments, whenever you need them.
Your HSA grows with every contribution you make, and your unused funds roll over each year. And because your HSA money belongs to you, you keep it even if you change jobs or retire.
* To be eligible for an HSA, you must be enrolled in an HSA-qualified deductible health plan and meet other HSA eligibility rules. For more information, see IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans. The tax references in this document relate to federal income tax only. Consult with your financial or tax adviser for information about state income tax laws.
† To view the list of qualified medical expenses defined under Internal Revenue Code Section 213(d), see IRS Publication 502, Medical and Dental Expenses.
Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.