Page 11 - Guide

Fontbonne will contribute $250
into an HSA for each employee
Here is How the Plan Works who newly elects the HSA plan.
Fontbonne’s contribution will
1. First you put money in your HSA count toward the IRS annual

2. Money invested from your account has the ability to grow tax-free; maximum contributions.
the money rolls from plan year to plan year (a certain level of funding Contributions cannot be made
until the account is established.
in the account must be reached to be eligible for investing)
3. You can use your HSA to pay your deductible, coinsurance, or

prescription drug copays*
* Qualiied health expenses which may be reimbursed from an HSA on a tax-free basis are
listed in IRS publication 502 and include out-of-pocket medical, dental, and vision expenses
for you and your dependents

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

Radiology

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