Page 16 - 2021 Dreyer's New Hire Guide
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HOW DOES AN HSA WORK? QUALIFIED HSA EXPENSES
You contribute to the HSA on a pretax basis and Expenses can be reimbursed from your HSA if the
can change how much you contribute from each expenses are for the diagnosis, cure, mitigation,
paycheck up to the IRS maximum anytime during treatment or prevention of disease, and for
the year. This account is only compatible with the treatments affecting any part or function of the
following medical plans: Anthem PPO HSA (High body. The expenses must be primarily to alleviate
Deductible Plan) – $1,500 and Anthem Blue Cross or prevent a physical or mental defect or illness.
PPO HSA (High Deductible Plan) – $3,000. Expenses solely for cosmetic reasons generally
are not considered expenses for medical care.
2022: $3,650 (Employee Only) or $7,300 (Family)
Also, expenses that are merely beneficial to your
If you are age 55+, you can make an additional general health are not eligible.
$1,000 catch-up contribution. You can use money
in your HSA to pay for insurance deductibles A complete list of eligible and non-eligible
and medical care/supplies like dentistry, expenses can be found at https://www.
ophthalmology and prescription drugs. optumbank.com/resources/medical-expenses.
html, and in IRS Publication 502, which can be
When you enroll, an account will be created for ordered from the IRS by calling 8OO.TAX.FORM
you. You’ll be given access to a secure, easy-to-use (800-829-3676) or by visiting www.IRS.gov.
web portal where you can track your account
balance, or submit requests for reimbursements.
In addition, you’ll be issued an HSA Benefits Card If you have a family status change
you can use at point-of-sale to pay for qualified mid-year (example: Employee + Family to
medical expenses. Claim submissions and receipt Employee Only), the HSA contribution will be
upload can be done online at www.optum.com increased or decreased accordingly based
or through the mobile app. Payment will be made on monthly proration.
based on your available funds. Distributions can
be made payable to you or a provider.
For questions, you can call Customer Service at
866-234-8913 – option 1, Monday – Friday, or online
through live chat at Customercare@optum.com.
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2021–2022 EMPLOYEE BENEFITS GUIDE
