Page 11 - Benefits Guide
P. 11
How to Spend Your HSA If you elect to contribute to an HSA,

Below is a list of eligible expenses you can pay for using your HSA myNEXUS will automatically open
savings. Make sure to keep all receipts and billing statements regarding the your HSA with Optum Bank . You
way you utilize your HSA savings. can expect to receive a welcome kit
in the mail including a debit card
„ Medical deductibles and coinsurance payments which can be used to pay for eligible
expenses . The welcome kit will also
„ Medical, dental, and vision care services include details on the online site and

„ Medical, dental, and vision care services for your spouse or tools available to help you manager
your HSA .
dependents
„ Medicare Part D and COBRA coverage Optum bank will reach out to you
directly if they need additional
„ Over the counter medications with a written prescription information from you in order to
open your account .
Below is a list of some examples of how not to use your HSA dollars.
Members may face a tax and penalty for all expenses which spend HSA The monthly HSA administrative cost
will be paid by myNEXUS as long as
dollars inappropriately. you are enrolled in the myNEXUS

medical plan .
„ Insurance premiums
„ Babysitting/childcare

„ Cosmetic surgery

„ Health club costs

As the HSA owner, you are responsible for determining whether a
healthcare expense is eligible for reimbursement from your HSA. For a
more comprehensive list of eligible and non-eligible HSA expenses please
visit irs.gov and view Section 213(d) of the IRS Tax Code.


Will myNEXUS Contribute to My HSA?

If you elect the Base medical plan, myNEXUS will provide a dollar-for-
dollar match up to $23.07 per bi-weekly pay period or $600 per plan year.
If you decide to contribute to an HSA after your initial election, you

remain eligible for the myNEXUS matching contribution. You can make
or change your HSA election by logging into the ADP site.









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