Page 9 - Open Enrollment Guide Sample
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9
How a Healthcare
Bank Account Works
You Are Eligible to Open and Fund a Healthcare Bank How You Fund Your
Account if: Account
You are enrolled in an HSA plan You can set aside dollars on a pre-
You are not covered by your spouse’s health plan or FSA tax basis through payroll deduction if
you open a healthcare bank account
You are not eligible to be claimed as a dependent on someone else’s through Health Equity.
tax return How You Use Your
You are not enrolled in Medicare, TRICARE, or TRICARE for Life Account
You have not received Veterans Administration Beneits You determine how and when to use
your healthcare bank account dollars.
What Expenses Are Eligible for Reimbursement from a You can use your funds to pay for
Healthcare Bank Account? qualiied expenses covered by the HSA
Plan.
A healthcare bank account may reimburse IRS qualiied medical expenses
incurred by you, the account holder, your spouse and your dependents Any funds remaining at the end of the
year will remain in your account for
(even if the spouse and dependent children are not enrolled in the HSA). future use. If you leave [Client], you
take your healthcare bank account
In addition to qualiied medical expenses, the following insurance funds with you.
premiums may be reimbursed from a healthcare bank account.
COBRA premiums
Health insurance premiums while receiving unemployment beneits
Qualiied long term care premiums (the reimbursable amount
depends on one’s age)
Any health insurance premiums paid, other than for a Medicare
supplemental “Medigap” policy, by individuals age 65 and over
HSA eligible medical expenses are deined by the IRS. IRS Publication
502 provides a complete list of eligible expenses. The list can be found at
www. irs.gov/pub/irs-pdf/p502.pdf.
2016 Open Enrollment
How a Healthcare
Bank Account Works
You Are Eligible to Open and Fund a Healthcare Bank How You Fund Your
Account if: Account
You are enrolled in an HSA plan You can set aside dollars on a pre-
You are not covered by your spouse’s health plan or FSA tax basis through payroll deduction if
you open a healthcare bank account
You are not eligible to be claimed as a dependent on someone else’s through Health Equity.
tax return How You Use Your
You are not enrolled in Medicare, TRICARE, or TRICARE for Life Account
You have not received Veterans Administration Beneits You determine how and when to use
your healthcare bank account dollars.
What Expenses Are Eligible for Reimbursement from a You can use your funds to pay for
Healthcare Bank Account? qualiied expenses covered by the HSA
Plan.
A healthcare bank account may reimburse IRS qualiied medical expenses
incurred by you, the account holder, your spouse and your dependents Any funds remaining at the end of the
year will remain in your account for
(even if the spouse and dependent children are not enrolled in the HSA). future use. If you leave [Client], you
take your healthcare bank account
In addition to qualiied medical expenses, the following insurance funds with you.
premiums may be reimbursed from a healthcare bank account.
COBRA premiums
Health insurance premiums while receiving unemployment beneits
Qualiied long term care premiums (the reimbursable amount
depends on one’s age)
Any health insurance premiums paid, other than for a Medicare
supplemental “Medigap” policy, by individuals age 65 and over
HSA eligible medical expenses are deined by the IRS. IRS Publication
502 provides a complete list of eligible expenses. The list can be found at
www. irs.gov/pub/irs-pdf/p502.pdf.
2016 Open Enrollment
