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MyHealth HSA Plan At-a-Glance





        MyHealth HSA Plan At-a-Glance

         If you cover...                                       EFH may contribute this to your HSA        MYHEALTH HSA PLAN AT-A-GLANCE
         •  You only                                                     Up to $1,525
         •  You + child(ren)                                             Up to $2,425
         •  You + spouse                                                 Up to $3,050
         •  You + family                                                 Up to $3,050
         Deductible                                                      In-network
         •  You only                                                       $1,800
         •  Family                                                         $3,600
         Out-of-pocket maximum
         •  You only                                                       $4,800
         •  Family                                                         $9,600
                                                                      (includes deductible)
         You pay:                                                        In-network
         Preventive care                                                $0, no deductible
         Doctor office visits                                         20% after deductible
         Most other eligible expenses except prescription drugs       20% after deductible
        * No out-of-network benefits, except for emergency situations.




























                                          Go Mobile with BCBS Apps
                                          •  BCBSTX App – To download, text BCBSTXAPP to 33633.
                                                ■ Find a doctor, hospital or urgent care facility
                                                ■ See your coverage and claims
                                                ■ View and use your member ID card
                                          •  Centered App – To download, text CENTERED to 33633.
                                                ■ Set activity and meditation goals
                                                ■ Record your steps automatically
                                                ■ Choose from a variety of meditation sessions
                                          •  Healthy Family App – To download, text FAMILY to 33633.
                                                ■ Get preventive screenings and vaccination
                                               recommendations for all family members
                                                ■ Store past test information

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