What
is a Health Savings Account (HSA), paired with a High Deductible Health Plan?
A Health Savings Account is an account that allows
you to accumulate funds deposited by RCPS on your behalf, as well as your own
pre-tax contributions, to cover healthcare expenses toward your deductible. You must be enrolled in UnitedHealthcare’s High Deductible Health Plan (HDHP).
How
to open a Health Savings Account, HSA
- If you are a new hire or if you choose the HDHP with HSA due to a Qualifying Event (QE), please establish an HSA bank account as soon as possible, but no later than within 31 days of your date of hire or QE.
- Please go to the Optum Bank website: http://www.optumbank.com/
- Select click on “Open An HSA” on the top bar. Click “Next”.
- Enter your demographic information.
- When asked for "Medical Information....Group number or financial advisor number, enter our group number: 717709.
- Effective date: >New Hire Effective date: First of the month following date of hire>Qualifying Event Effective date: Based on situation
- You will receive a letter from Optum Bank with your card or a letter requesting additional information from you if needed. If asked for additional information, please respond to Optum as soon as possible.
HSA
advantages
- If you wish to contribute
additional money to your HSA account pre-tax, you must complete a new application
each year and submit it to Payroll. Go
to the RCPS Intranet website, Human Resources Intranet page,
"Forms - Benefits” link, and print an HSA contribution form. Complete and submit this form to
payroll. You can change the per
pay period contribution to your account anytime throughout the year.
-
You must
not exceed the IRS maximum contribution each year which includes both
employee and employer contributions made on your behalf. The 2023 IRS maximum for an individual is $3,850 and $7,750 for family.
HSA catch up (for age 55 and older) $1,000.
- Account Portability: Unused account
dollars are yours to keep even if you retire or leave the company.
- Healthcare dollars can grow over time: You can also invest your HSA dollars in
select funds.
- HSA dollars can be used for future eligible expenses such as medical,
dental or vision expenses.
HSA Eligible expenses
The products and services listed below are examples
of eligible expenses for payment under your HSA, to the extent that such
services are not covered by your medical, vision and dental insurance plans.
This list is not all-inclusive; additional expenses may qualify, and the items
listed below are subject to change in accordance with IRS regulations. Please
refer to IRS Publication 502 to verify that your expense is eligible.
Abdominal Supports
Acupuncture
Alcoholism treatment
Artificial limbs & teeth
Asthma treatments/nebulizer
Bariatric Surgery
Blood pressure monitoring devices
Body scans (MRI, CAT scan)
Breast reconstruction surgery following mastectomy
Co-insurance amounts and deductibles
Contact lenses – also materials & equipment
Dental procedures, non-cosmetic
Dentures and denture adhesives
|
Diabetic supplies
Diagnostic items/services
Drug addiction treatment
Eye Exams
Eyeglasses-prescription sunglasses/safety glasses
Flu Shots
Fluoridation device or services
Gambling problem treatment
Hearing aids
Home Health Care
Hospital services
Hot/cold packs
Inclinator
Individual counseling (to alleviate or prevent a
physical or mental defect or illness)
|
Insulin
Laboratory tests
Long Term Care Premiums
Laser eye surgery/Lasik
Medical Alert necklace or bracelet
Medical Records charges
Mental health treatment facility
Nursing services provided by a nurse or attendant
Obstetrical expenses
Occlusal guard to prevent teeth grinding
Operations
Optometrist
Organ donors/transplants
|
Orthodontia
Osteopath fees
Ovulation monitor
Oxygen
Patterning exercise
Personal trainer fees
Physical exams
Physical therapy
Prenatal/Postnatal exams
Prescription drugs (prescription drugs imported
from another country are not covered)
Weight loss program/
drugs – if prescribed by a physician
Preventive care screenings
Prostheses
Psychiatric care
Psychoanalysis
|
Psychiatric care
Psychoanalysis
Psychologist
Screening tests
Sleep deprivation treatment
Smoking cessation programs and medications
Speech Therapy
Sterilization procedures
Support braces/wraps
Surgical Stockings
Taxes on medical services and products
Transplants
Transportation expenses for person to receive
medical care
Vaccines/
Immunizations
|
HSA
tax provisions and eligibility requirements
- Contributions to your HSA account
are made pre-tax and withdrawals from your account for eligible medical
expenses are tax free.
- Earnings on the account are
not taxed and there is no lifetime maximum accumulation of your HSA
account.
- Withdrawals for reasons
other than eligible medical expenses taken before age 65 are subject to
additional 20% penalty but there is no distribution required at age 70 ½.
- HSA account holder must not be covered by any other health plan
(i.e. Medicare, Medicaid, Tricare, Group, and Individual coverage unless the coverage is a High Deductible Health Plan).
- Cannot be covered by a
spousal medical FSA and cannot be claimed as a dependent on another
person’s tax return.
Limited
Purpose Health Flexible Spending Account (FSA)
- You may only enroll in a Limited
Purpose Health FSA. With the Limited Purpose Health (FSA), only dental and vision expenses are
eligible for reimbursement; medical expenses are not eligible for
reimbursement.