Page 9 - 2015 OE Sample Guidebook
P. 9
How the HRA Works
Complete Wellness Activities When You Have a Healthcare Expense Once Your HRA is Depleted
You will earn $100 for each activity Any deductible and coinsurance You are responsible for paying the
completed up to a maximum of $700. expenses are taken out of the HRA remaining deductible and coinsurance
A covered spouse may also irst. expenses until you meet the out-of-
earn $100 for each activity completed pocket maximum. Once you meet
up to a maximum of $700, for a You are responsible for copays the out-of-pocket maximum the plan
maximum total of $1,400 per (includes doctor ofice visits, pays 100% of your eligible medical
household. Emergency Room, prescription drugs). expenses.
Any leftover money in your HRA at the
end of the year automatically rolls over
to the next year.
Preventive care services are covered in-network at 100%
on both plans with no charge against your plan deductibles or coinsurance expenses.
How the HSA Works
Complete Wellness Activities When You Have a Healthcare Expense Once you meet your deductible
You will earn $100 for each activity You decide whether or not to use the You are responsible for paying
completed up to a maximum of $700. funds from your HSA or pay out-of- coinsurance expenses until you meet
A covered spouse may also pocket. the out-of-pocket maximum.
earn $100 for each activity completed There will be no copays. You are Once you meet the annual out-of-
up to a maximum of $700, for a responsible for paying for all medical pocket maximum the plan pays 100%
maximum total of $1,400 per services and prescriptions until you of your eligible medical expenses.
household. meet your annual deductible.
There is no “use or lose it” rule. All Want to pay for your eligible medical expenses tax-free?
unused money will remain in your HSA Make pre-tax contributions to your HSA through payroll deduction. The
for future use. If you leave [Client], you IRS contribution limits for 2014 are $3,300 for individuals and $6,550 for
take your HSA funds with you. families. These funds can be withdrawn at any time to pay for qualiied
medical expenses. Refer to IRS Publication 502 for a complete list of eligible
expenses at www.irs.gov/pub/irs-pdf/p502.pdf.
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Complete Wellness Activities When You Have a Healthcare Expense Once Your HRA is Depleted
You will earn $100 for each activity Any deductible and coinsurance You are responsible for paying the
completed up to a maximum of $700. expenses are taken out of the HRA remaining deductible and coinsurance
A covered spouse may also irst. expenses until you meet the out-of-
earn $100 for each activity completed pocket maximum. Once you meet
up to a maximum of $700, for a You are responsible for copays the out-of-pocket maximum the plan
maximum total of $1,400 per (includes doctor ofice visits, pays 100% of your eligible medical
household. Emergency Room, prescription drugs). expenses.
Any leftover money in your HRA at the
end of the year automatically rolls over
to the next year.
Preventive care services are covered in-network at 100%
on both plans with no charge against your plan deductibles or coinsurance expenses.
How the HSA Works
Complete Wellness Activities When You Have a Healthcare Expense Once you meet your deductible
You will earn $100 for each activity You decide whether or not to use the You are responsible for paying
completed up to a maximum of $700. funds from your HSA or pay out-of- coinsurance expenses until you meet
A covered spouse may also pocket. the out-of-pocket maximum.
earn $100 for each activity completed There will be no copays. You are Once you meet the annual out-of-
up to a maximum of $700, for a responsible for paying for all medical pocket maximum the plan pays 100%
maximum total of $1,400 per services and prescriptions until you of your eligible medical expenses.
household. meet your annual deductible.
There is no “use or lose it” rule. All Want to pay for your eligible medical expenses tax-free?
unused money will remain in your HSA Make pre-tax contributions to your HSA through payroll deduction. The
for future use. If you leave [Client], you IRS contribution limits for 2014 are $3,300 for individuals and $6,550 for
take your HSA funds with you. families. These funds can be withdrawn at any time to pay for qualiied
medical expenses. Refer to IRS Publication 502 for a complete list of eligible
expenses at www.irs.gov/pub/irs-pdf/p502.pdf.
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