Page 8 - 2019 Murphy Benefits Enrollment
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 Medical deductibles and coinsurance payments
advantages with the HSA, there are
a few eligibility requirements which Medical, dental, and vision care services
you must meet in order to open and Medical, dental, and vision care services for your spouse or
contribute to an HSA. To contribute
to an HSA, you must meet the dependents, even if they are not covered under the same plan as you
following criteria.
Medicare premiums and COBRA coverage
You must be enrolled in a 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
You must not be covered by healthcare expense is eligible for reimbursement from your HSA. For a
any other health plan which is more comprehensive list of eligible and non-eligible HSA expenses please
not a Qualiied High Deductible visit irs.gov and view Section 213(d) of the IRS Tax Code.
Health Plan
You must not be covered by a
Healthcare FSA for the tax year
in which you will claim your
HSA deposits as tax deductions,
unless it is a Limited FSA
You must not be eligible to be Oice Visits
claimed as a dependent on
someone else’s tax return
You must not be enrolled Prescriptions
in Medicare, TRICARE, or
TRICARE for Life
You must not have received
Veterans Administration Lab Work
Beneits within the past three
months (exception for service Eligible Healthcare
related disabilities)
Expenses
You can use your HSA to pay for
Vision eligible healthcare expenses such
as...
Dental and Ortho
Radiology
8
Requirements This is a list of eligible expenses you can pay for using your HSA savings.
Because there are so many tax Medical deductibles and coinsurance payments
advantages with the HSA, there are
a few eligibility requirements which Medical, dental, and vision care services
you must meet in order to open and Medical, dental, and vision care services for your spouse or
contribute to an HSA. To contribute
to an HSA, you must meet the dependents, even if they are not covered under the same plan as you
following criteria.
Medicare premiums and COBRA coverage
You must be enrolled in a 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
You must not be covered by healthcare expense is eligible for reimbursement from your HSA. For a
any other health plan which is more comprehensive list of eligible and non-eligible HSA expenses please
not a Qualiied High Deductible visit irs.gov and view Section 213(d) of the IRS Tax Code.
Health Plan
You must not be covered by a
Healthcare FSA for the tax year
in which you will claim your
HSA deposits as tax deductions,
unless it is a Limited FSA
You must not be eligible to be Oice Visits
claimed as a dependent on
someone else’s tax return
You must not be enrolled Prescriptions
in Medicare, TRICARE, or
TRICARE for Life
You must not have received
Veterans Administration Lab Work
Beneits within the past three
months (exception for service Eligible Healthcare
related disabilities)
Expenses
You can use your HSA to pay for
Vision eligible healthcare expenses such
as...
Dental and Ortho
Radiology
8
