Page 9 - Aegion Value Plan SPDs
P. 9
Medical Care HSA Plan
Your Plan has an embedded Out-of-Pocket which means:
If You, the Subscriber, are the only person covered by this Plan, only the “Individual” amounts
apply to You.
If You also cover Dependents (other family members) under this Plan, both the “Individual” and
“Family” amounts apply. The “Family” Out-of-Pocket amounts can be satisfied by any combination
of family members but You could satisfy Your own “Individual” Out-of-Pocket amount before the
“Family” amount is met. You will never have to satisfy more than Your own “Individual” Out-of-
Pocket amount. If You meet Your “Individual” amount, other family member’s claims will still
accumulate towards their own “Individual” Out-of-Pocket and the overall “Family” amounts. This
continues until Your other family members meet their own “Individual” Out-of-Pocket or the entire
‘Family” Out-of-Pocket is met.
9
Your Plan has an embedded Out-of-Pocket which means:
If You, the Subscriber, are the only person covered by this Plan, only the “Individual” amounts
apply to You.
If You also cover Dependents (other family members) under this Plan, both the “Individual” and
“Family” amounts apply. The “Family” Out-of-Pocket amounts can be satisfied by any combination
of family members but You could satisfy Your own “Individual” Out-of-Pocket amount before the
“Family” amount is met. You will never have to satisfy more than Your own “Individual” Out-of-
Pocket amount. If You meet Your “Individual” amount, other family member’s claims will still
accumulate towards their own “Individual” Out-of-Pocket and the overall “Family” amounts. This
continues until Your other family members meet their own “Individual” Out-of-Pocket or the entire
‘Family” Out-of-Pocket is met.
9
