Page 6 - 2016 ACProducts Non-Union
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2016 Beneits Guide
How the Plan Options
Work
PPO HDHP with an HSA
The PPO plan is a traditional health The HDHP plan is a consumer-driven approach to healthcare and
plan which requires certain copays features a Health Savings Account (HSA). The plan pays 100 percent
in addition to satisfying the annual for eligible, routine preventive care and 80 percent for prescription
deductible. The plan pays 100 percent medications and covered services from network providers once you
for eligible, routine preventive medical meet the annual deductible. Under the HDHP HSA plan, one or
expenses received from network more family members can contribute towards the deductible and
providers. Copays apply to ofice visits out-of-pocket maximum. Employees electing to cover dependents
and prescription medications. An must satisfy the full family deductible before the plan begins to pay
annual deductible is required for any beneits. Your current medical coverage will rollover to next year
inpatient or outpatient type services. unless you make changes during Open Enrollment.
An annual deductible is required for
any prescription medications prior to ACPI will contribute $350 for an individual or $700 for a family
the copays being applied. into your HDHP HSA regardless of whether or not you contribute
out of your pocket into the account. The employer HSA funding is
Under the PPO, at least two family pro-rated over the 12-month period and will be deposited monthly
members must contribute a portion into your account. For new hires this will be pro-rated over the
of the deductible and out-of-pocket months your coverage will be effective during the year. The IRS
maximum. Copays, deductibles, and limits the amount an employee and an employer can contribute
coinsurance amounts spent on medical to an individual’s HSA during the year. The IRS limits are $3,350
expenses accumulate toward the total for an individual and $6,650 for family for the family tier (one or
out-of-pocket maximum. Prescription more dependents); therefore employee contributions are limited to
copays will now also be accumulated $3,000 for an individual and $5,950 for family when combined with
towards the out-of-pocket maximum. the employer funded portion. Also, an additional $1,000 catch-up
Your current medical coverage will contribution is available for those age 55 or older and enrolled in the
rollover to next year unless you make HDHP. Funds in your HSA roll over from year to year and can be
changes during open enrollment. used to help pay for eligible healthcare expenses. More details about
the beneits of having an HSA are available in this guide.
6
How the Plan Options
Work
PPO HDHP with an HSA
The PPO plan is a traditional health The HDHP plan is a consumer-driven approach to healthcare and
plan which requires certain copays features a Health Savings Account (HSA). The plan pays 100 percent
in addition to satisfying the annual for eligible, routine preventive care and 80 percent for prescription
deductible. The plan pays 100 percent medications and covered services from network providers once you
for eligible, routine preventive medical meet the annual deductible. Under the HDHP HSA plan, one or
expenses received from network more family members can contribute towards the deductible and
providers. Copays apply to ofice visits out-of-pocket maximum. Employees electing to cover dependents
and prescription medications. An must satisfy the full family deductible before the plan begins to pay
annual deductible is required for any beneits. Your current medical coverage will rollover to next year
inpatient or outpatient type services. unless you make changes during Open Enrollment.
An annual deductible is required for
any prescription medications prior to ACPI will contribute $350 for an individual or $700 for a family
the copays being applied. into your HDHP HSA regardless of whether or not you contribute
out of your pocket into the account. The employer HSA funding is
Under the PPO, at least two family pro-rated over the 12-month period and will be deposited monthly
members must contribute a portion into your account. For new hires this will be pro-rated over the
of the deductible and out-of-pocket months your coverage will be effective during the year. The IRS
maximum. Copays, deductibles, and limits the amount an employee and an employer can contribute
coinsurance amounts spent on medical to an individual’s HSA during the year. The IRS limits are $3,350
expenses accumulate toward the total for an individual and $6,650 for family for the family tier (one or
out-of-pocket maximum. Prescription more dependents); therefore employee contributions are limited to
copays will now also be accumulated $3,000 for an individual and $5,950 for family when combined with
towards the out-of-pocket maximum. the employer funded portion. Also, an additional $1,000 catch-up
Your current medical coverage will contribution is available for those age 55 or older and enrolled in the
rollover to next year unless you make HDHP. Funds in your HSA roll over from year to year and can be
changes during open enrollment. used to help pay for eligible healthcare expenses. More details about
the beneits of having an HSA are available in this guide.
6
