Page 11 - 2018 Carlstar Benefit Guide
P. 11
BENEFITS ENROLLMENT • 201811
How the HSA Silver Plan Works (continued)
What Expenses are Eligible For What Expenses Are Not Eligible for
Reimbursement from an HSA? Reimbursement from an HSA?
An HSA may reimburse IRS qualiied medical The following expenses may not be reimbursed
expenses incurred by you (the account holder), your from an HSA.
spouse, and your dependents (even if the spouse and X
dependent children are not enrolled in the CDHP). Premiums for an insurance carrier
Qualiied medical expenses are deined by the IRS in supplemental policies
IRC Sec. 213(d). X Expenses covered by another health plan
X Expenses incurred prior to the date the HSA
In addition to qualiied medical expenses, the was established
following insurance premiums may be reimbursed
from an HSA. HSA eligible medical expenses are deined by the IRS.
IRS Publication 502 provides a complete list of eligible
X COBRA premiums expenses. The list can be found at www. irs.gov .
X Health insurance premiums while receiving
unemployment beneits Can Ineligible Expenses be Reimbursed
X Qualiied long term care premiums (the from the HSA Silver Account?
reimbursable amount depends on one’s age) Yes. Neither the trustee, bank, insurance company,
X Any health insurance premiums paid, other than nor the employer are required to determine if a
claim submitted for reimbursement is a qualifying
for an insurance carrier supplemental “Medigap” medical expense.
policy, by individuals age 65 and over
Distributions made from an HSA to reimburse the Any amount withdrawn from an HSA for a non-
account beneiciary for qualiied medical expenses are qualifying medical expense is added to the account
excluded from gross income. beneiciary’s income and subject to ordinary income
tax and 20% excise tax.
Where Can I Find More Information on HSAs?
This document is meant to serve as a high level summary of HSAs. We encourage you to familiarize yourself with
all of the rules and regulations pertaining to HSAs. To view statute, technical guidance and other consumer friendly
information released by the U.S. Department of Treasury, please visit: www.treas.gov/ofices/public-affairs/hsa
Use Your HSA to Pay for Your
X Deductible X Vision care X Over the counter drugs with
X Out-of-pocket maximum X Prescription drugs a written prescription
X Dental expenses X Hearing aids *Find more examples at www.irs.gov
in IRC Sec. 213(d).
How the HSA Silver Plan Works (continued)
What Expenses are Eligible For What Expenses Are Not Eligible for
Reimbursement from an HSA? Reimbursement from an HSA?
An HSA may reimburse IRS qualiied medical The following expenses may not be reimbursed
expenses incurred by you (the account holder), your from an HSA.
spouse, and your dependents (even if the spouse and X
dependent children are not enrolled in the CDHP). Premiums for an insurance carrier
Qualiied medical expenses are deined by the IRS in supplemental policies
IRC Sec. 213(d). X Expenses covered by another health plan
X Expenses incurred prior to the date the HSA
In addition to qualiied medical expenses, the was established
following insurance premiums may be reimbursed
from an HSA. HSA eligible medical expenses are deined by the IRS.
IRS Publication 502 provides a complete list of eligible
X COBRA premiums expenses. The list can be found at www. irs.gov .
X Health insurance premiums while receiving
unemployment beneits Can Ineligible Expenses be Reimbursed
X Qualiied long term care premiums (the from the HSA Silver Account?
reimbursable amount depends on one’s age) Yes. Neither the trustee, bank, insurance company,
X Any health insurance premiums paid, other than nor the employer are required to determine if a
claim submitted for reimbursement is a qualifying
for an insurance carrier supplemental “Medigap” medical expense.
policy, by individuals age 65 and over
Distributions made from an HSA to reimburse the Any amount withdrawn from an HSA for a non-
account beneiciary for qualiied medical expenses are qualifying medical expense is added to the account
excluded from gross income. beneiciary’s income and subject to ordinary income
tax and 20% excise tax.
Where Can I Find More Information on HSAs?
This document is meant to serve as a high level summary of HSAs. We encourage you to familiarize yourself with
all of the rules and regulations pertaining to HSAs. To view statute, technical guidance and other consumer friendly
information released by the U.S. Department of Treasury, please visit: www.treas.gov/ofices/public-affairs/hsa
Use Your HSA to Pay for Your
X Deductible X Vision care X Over the counter drugs with
X Out-of-pocket maximum X Prescription drugs a written prescription
X Dental expenses X Hearing aids *Find more examples at www.irs.gov
in IRC Sec. 213(d).
