Page 9 - Apricity Benefits Guide
P. 9
2020
Apricity Benefits Overview



How The HSA Plan Can Save You Money
If you enroll in the HSA Plan instead If you enroll in the HSA Plan instead
of the Core Plan of the Core Plus Plan
You’ll Lower Your Annual You’ll Lower Your Annual
Premium Contributions By Premium Contributions By
Employee Only $948.11 $2,083.17
Employee + Spouse $1,193.50 $3,686.22
Employee + Child $1,079.84 $3,335.47
Employee + Child(ren) $1,134.53 $4,814.33
Family $1,134.53 $4,814.33



How the HSA Plan and the HSA Work Together

Yes, it’s true that under the HSA Plan there are no ixed copays, and you will pay the full cost of
most services until the deductible is met. But, that’s why the HSA is designed as a companion to
this plan. Your HSA will help offset the cost of your deductible. And, in some cases, they may even
cover all of your out-of-pocket expenses. Here’s how it works.


Saving For Future Medical Expenses



HSA Contributions Deductible Coinsurance Plan Pays 100% Money left in your
HSA at the end of
You elect your pre- You pay for After the family Once your out-of- the year will roll over
tax contributions covered services up deductible has pocket maximum is to help cover future
to your HSA at the to your deductible been met you pay reached the plan medical expenses.
beginning of the amount. The money a percentage of pays 100% for the
year. You may from your HSA can covered services rest of the calendar
change this election help pay for these for the rest of the year.
throughout the plan expenses. calendar year.
year without going
over the maximum
allowed.



















Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 9
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
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