Page 8 - Murphy Benefits Guide
P. 8
Eligibility How to Spend Your HSA
Requirements This is a list of eligible expenses you can pay for using your HSA savings.
Because there are so many tax X Medical deductibles and coinsurance payments
advantages with the HSA, there are
a few eligibility requirements which X Medical, dental, and vision care services
you must meet in order to open and
contribute to an HSA. To contribute X Medical, dental, and vision care services for your spouse or
to an HSA, you must meet the dependents, even if they are not covered under the same plan as you
following criteria.
X Medicare premiums and COBRA coverage
X You must be enrolled in a X Over the counter medications with a written prescription
Qualiied High Deductible Health
Plan, like Murphy’s HSA plan As the HSA owner, you are responsible for determining whether a
X You must not be covered by any healthcare expense is eligible for reimbursement from your HSA. For a
other health plan which is not a more comprehensive list of eligible and non-eligible HSA expenses, please
Qualiied High Deductible Health visit irs.gov and view Section 213(d) of the IRS Tax Code.
Plan
X You must not be covered by a
Healthcare FSA for the tax year
in which you will claim your Oice Visits
HSA deposits as tax deductions,
unless it is a Limited FSA
X You must not be eligible to be Prescriptions
claimed as a dependent on
someone else’s tax return
X You must not be enrolled in Lab Work
Medicare, TRICARE, or TRICARE
for Life Eligible Healthcare
X You must not have received Expenses
Veterans Administration Beneits You can use your HSA to pay for
within the past three months Vision eligible healthcare expenses such
(exception for service related as...
disabilities)
Dental and Ortho
Radiology
8 2020 Benefits Guide
Requirements This is a list of eligible expenses you can pay for using your HSA savings.
Because there are so many tax X Medical deductibles and coinsurance payments
advantages with the HSA, there are
a few eligibility requirements which X Medical, dental, and vision care services
you must meet in order to open and
contribute to an HSA. To contribute X Medical, dental, and vision care services for your spouse or
to an HSA, you must meet the dependents, even if they are not covered under the same plan as you
following criteria.
X Medicare premiums and COBRA coverage
X You must be enrolled in a X Over the counter medications with a written prescription
Qualiied High Deductible Health
Plan, like Murphy’s HSA plan As the HSA owner, you are responsible for determining whether a
X You must not be covered by any healthcare expense is eligible for reimbursement from your HSA. For a
other health plan which is not a more comprehensive list of eligible and non-eligible HSA expenses, please
Qualiied High Deductible Health visit irs.gov and view Section 213(d) of the IRS Tax Code.
Plan
X You must not be covered by a
Healthcare FSA for the tax year
in which you will claim your Oice Visits
HSA deposits as tax deductions,
unless it is a Limited FSA
X You must not be eligible to be Prescriptions
claimed as a dependent on
someone else’s tax return
X You must not be enrolled in Lab Work
Medicare, TRICARE, or TRICARE
for Life Eligible Healthcare
X You must not have received Expenses
Veterans Administration Beneits You can use your HSA to pay for
within the past three months Vision eligible healthcare expenses such
(exception for service related as...
disabilities)
Dental and Ortho
Radiology
8 2020 Benefits Guide
