Page 11 - Vistra Demo
P. 11
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
9