Page 10 - EMSAR 2022 Benefits Guide
P. 10
How Your HSA Works With Your Plan
Fund Your HSA How the Plan Use Your HSA
Set aside pre-tax dollars up to Provides Coverage You determine how and when
IRS limits through convenient In-network preventive care is covered at 100%. You to use your HSA dollars. You
payroll deductions. can use your funds to pay for
pay 100% for all other medical and prescription expenses not covered by the
drug services up to the plan’s deductible.
plan or other eligible healthcare
expenses. Any funds remaining
at the end of the year will
rollover and always belong
After you satisfy the annual deductible, you pay to you.
coinsurance or copay until you meet the annual
out-of-pocket maximum.
The plan pays 100% of eligible expenses once you
meet the out-of-pocket maximum.
HSA Funding Limits Eligible HSA Expenses
z Deductibles and z Orthodontia care
Coverage Level 2022 Limit
Individual Coverage $3,650* coinsurance z Eye exams, eyeglasses,
Family Coverage $7,300* z Prescriptions and contact lenses
Contribute an additional $1,000 z Dental treatment z Medicare premiums
Age 55 or Older
on top of these amounts
For a complete list of examples, visit www.irs.gov.
* This is the maximum amount you are able to contribute,
including the EMSAR funding. To determine how much you
can contribute, subtract EMSAR’s contribution from the annual
maximum.
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Fund Your HSA How the Plan Use Your HSA
Set aside pre-tax dollars up to Provides Coverage You determine how and when
IRS limits through convenient In-network preventive care is covered at 100%. You to use your HSA dollars. You
payroll deductions. can use your funds to pay for
pay 100% for all other medical and prescription expenses not covered by the
drug services up to the plan’s deductible.
plan or other eligible healthcare
expenses. Any funds remaining
at the end of the year will
rollover and always belong
After you satisfy the annual deductible, you pay to you.
coinsurance or copay until you meet the annual
out-of-pocket maximum.
The plan pays 100% of eligible expenses once you
meet the out-of-pocket maximum.
HSA Funding Limits Eligible HSA Expenses
z Deductibles and z Orthodontia care
Coverage Level 2022 Limit
Individual Coverage $3,650* coinsurance z Eye exams, eyeglasses,
Family Coverage $7,300* z Prescriptions and contact lenses
Contribute an additional $1,000 z Dental treatment z Medicare premiums
Age 55 or Older
on top of these amounts
For a complete list of examples, visit www.irs.gov.
* This is the maximum amount you are able to contribute,
including the EMSAR funding. To determine how much you
can contribute, subtract EMSAR’s contribution from the annual
maximum.
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