Page 6 - The Polyclinic New Hire Guide
P. 6
Health Savings Account (HSA)
Health Savings Account (HSA)
Administered by Optum Health Financial
If you are enrolled in our HDHP plan, The Polyclinic makes a monthly contribution
to your Health Savings Account. You own the HSA and unused funds accrue and
rollover each year. The HSA allows you to pay for IRS-qualiied medical expenses
tax free (see IRS Publication 502 for additional details). The HSA can be used for
qualiied expenses, such as your medical plan deductible, dental, vision care services,
prescription drugs, eyeglasses, contacts, weight-loss programs, and alternative care.
You may use payroll deductions to direct additional pre-tax contributions to your
account, up to the annual IRS limit; for 2015, the individual maximum is $3,350 and
the family maximum is $6,650.
To be eligible to open or contribute to an HSA, you must:
X Be covered by a qualiied HDHP
X Not be enrolled in Medicare, Medicaid, or Tricare
X Not be listed as a dependent on another person’s income tax return
X Not be covered by another non-HSA qualiied medical plan including a Health
Flexible Spending Account
X Have not received Veterans Administration (VA) beneits within the past three
months
6
2015 New Employee Benefit Guide
Health Savings Account (HSA)
Administered by Optum Health Financial
If you are enrolled in our HDHP plan, The Polyclinic makes a monthly contribution
to your Health Savings Account. You own the HSA and unused funds accrue and
rollover each year. The HSA allows you to pay for IRS-qualiied medical expenses
tax free (see IRS Publication 502 for additional details). The HSA can be used for
qualiied expenses, such as your medical plan deductible, dental, vision care services,
prescription drugs, eyeglasses, contacts, weight-loss programs, and alternative care.
You may use payroll deductions to direct additional pre-tax contributions to your
account, up to the annual IRS limit; for 2015, the individual maximum is $3,350 and
the family maximum is $6,650.
To be eligible to open or contribute to an HSA, you must:
X Be covered by a qualiied HDHP
X Not be enrolled in Medicare, Medicaid, or Tricare
X Not be listed as a dependent on another person’s income tax return
X Not be covered by another non-HSA qualiied medical plan including a Health
Flexible Spending Account
X Have not received Veterans Administration (VA) beneits within the past three
months
6
2015 New Employee Benefit Guide
