Page 15 - QSC EE Guide 07-19 Colorado
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SAVINGS














         Discovery Benefits |
         Health Savings Account                                                   Examples of
         The opportunity to establish and contribute to a                  Eligible HSA Expenses
         Health Savings Account is available when you elect
         the HSA PPO medical plan option. It’s like a
         personal, tax-free savings account for health care
         expenses that earns interest. Any unused money                              •   Providers (Doctors, Nurses)
         rolls over from year to year.                                               •   Prescription Drugs
                                                                                     •   Inpatient Hospital Services
         Once eligible for the plan, QSC will make the                               •   Laboratory & X-Ray
         following HSA contributions into your account:                              •   Emergency Services
         •   Employee: $45 Biweekly                                                  •   Acupuncture / Chiropractic
         •   Family: $90 Biweekly

         In addition to QSC’s contribution, you may elect to
         make contributions into your account up to IRS
         maximums. IRS maximums for 2019 are:                                          •   Providers (Dentists,
         •   Employee: $3,500                                                             Orthodontists)
         •   Family: $7,000                                                            •   Teeth Cleaning
         •   Catch-up (Age 55 years or older): $1,000                                  •   Dental Treatment
                                                                                       •   Orthodontia
         The portion of your paycheck that you contribute to
         your HSA will be taken out before you pay federal
         income taxes, Social Security taxes, and most state
         taxes (excluding state taxes in AL, CA and NJ). In                           •   Providers (Optometrists,
         addition, you can increase or decrease your HSA                                 Ophthalmologists)
         contributions over the course of the year.                                   •   Exams
                                                                                      •   Glasses
                                                                                      •   Contact Lenses
           HSA Advance                                                                •   Lasik Surgery
           Discovery Benefits offers the HSA Advance feature,
           which allows you to access your future HSA
           contributions before you’ve built your
           funds. Future contributions will automatically pay
           back the advance amount as they become
           available. The HSA Advance feature is a great way                          •   COBRA
           to help you make the transition to our HSA PPO                             •   Long-Term Care
           plan and cover your healthcare expenses.                                   •   Medicare




                                                                                 Examples of
                                                                          Ineligible HSA Expenses

                                                                   Ineligible HSA expenses include expenses that are
                      Educational Video                            not medical or health-related as well as cosmetic
                      Health Savings Accounts                      surgery.
              http://video.burnhambenefits.com/hdhp
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