Page 9 - NEW ICON GUIDE (PORTRAIT)

SAVINGS
Health Savings Account

Health Savings Account (HSA)
The opportunity to establish and contribute to a Health Savings Account is available when you elect the Basic
HSA medical plan option. It’s like a personal, tax-free savings account for health care expenses that earns
interest. Any unused money rolls over from year to year.

ABC Company’s Wellness Incentive Program is your opportunity to
receive funds into your HSA. If you complete the program noted on Examples of
page 6, ABC Company’s employer contribution will be deposited in
your account in June, 2020. Eligible HSA Expenses

In addition to ABC Company’s contribution, you may elect to make
contributions into your account up to IRS maximums. IRS maximums • Providers (Doctors, Specialists,
for 2019 are: Nurses)
• Employee: $3,500 • Prescription Drugs
• Family: $7,000 • Inpatient Hospital Services
• Catch-up (Age 55+): $1,000 MEDICAL • Laboratory & X-Ray
• Emergency Services
Please Note: Alterra’ Mountain Company’s contributions count
towards IRS limits. Please take this into consideration when making
your elections.

The portion of your paycheck that you contribute to your HSA will be •
taken out before you pay federal income taxes, Social Security taxes Providers (Dentists,
and most state taxes (excluding state taxes in AL, CA and NJ). Any • Specialists)
contributions you make can be increased or decreased over the Teeth Cleaning
course of the year. DENTAL • Dental Treatment
• Orthodontia
You can decide how to manage your money. The money in your HSA is
yours to save and spend on eligible health care expenses whenever
you need it, whether in this plan year or in future plan years. You can
use the funds in your account to pay tax-free for qualifying out-of- • Providers (Optometrists,
pocket Medical, Dental and Vision expenses such as deductibles, Ophthalmologists)
coinsurance and copays. Your account balance earns interest and the • Exams
unused balance rolls-over from year to year. The money is yours to • Glasses
keep even if you leave ABC Company, no longer participate in a high VISION •
deductible health plan (like the Basic HSA), or retire. You may • Contact Lenses
continue to make contributions to your HSA if you enroll in another Lasik Surgery
qualified high deductible health plan, or elect COBRA continuation
coverage of your Basic HSA plan coverage if your employment
terminates.

• COBRA
• Long-Term Care
• Medicare
PREMIUMS
Accessing Your HSA
• HSA Bank (Legacy Intrawest): Go to https://
myaccounts.hsabank.com or call (800) 357-6246.
• Health Equity (Squaw/Alpine): Go to Examples of
www.healthequity.com or call (866) 346.5800.
• Discovery Benefits (MMR, BBMR, Crystal, Solitude): Go to Ineligible HSA Expenses
www.DiscoveryBenefits.com
or call (866) 451-3399 Ineligible HSA expenses include expenses that are not medical or
health related as well as cosmetic surgery.

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