Page 12 - Fontbonne New Hire
P. 12
Here is How the Plan Works
Fontbonne will contribute $250 into
an HSA for each employee who newly 1. First you put money in your HSA
elects the HSA plan. Fontbonne’s 2. Money invested from your account has the ability to grow tax-free;
contribution will count toward the the money rolls from plan year to plan year (a certain level of funding
IRS annual maximum contributions.
Contributions cannot be made until in the account must be reached to be eligible for investing)
the account is established. 3. You can use your HSA to pay for eligible expenses

Y Medical deductibles and coinsurance payments
Y Medical, dental, and vision care services

Y Medical, dental, and vision care services for your spouse or
dependents, even if they are not covered under the same plan as
you

Y Medicare premiums and COBRA coverage

Y Over-the-counter medications with a written prescription

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.





Ofice Visits



Prescriptions




Lab Work


Eligible Healthcare
Expenses

You can use your HSA to pay for
Vision eligible healthcare expenses such
as...




Dental and Ortho






12 2018 New Hire Enrollment Radiology
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