Page 9 - United Capital EE Guide 04-17
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MEDICAL INSURANCE



          MEDICAL HRA/HSA COMPARISON (CONTINUED)


             HEALTH REIMBURSEMENT ARRANGEMENT (HRA)                     HEALTH SAVINGS ACCOUNT (HSA)
                                                     ELIGIBLE EXPENSES

           Medical Expenses:                                   Medical Expenses:
           Doctors (and other providers), Lab Work, X-Rays, Prescription  Doctors (and other providers), Lab Work, X-Rays, Prescription
           Drugs, Durable Medical Equipment, Ambulance, Artificial  Drugs, Durable Medical Equipment, Ambulance, Artificial
           Limbs, Insulin Treatment, Alcoholism Treatment, Sterilization,  Limbs, Insulin Treatment, Alcoholism Treatment, Sterilization,
           Acupuncture, Chiropractic, etc.                     Acupuncture, Chiropractic, etc.
           Dental Expenses:                                    Dental Expenses:
           Not Eligible                                        Dentists, Orthodontists, Teeth Cleaning, X-Rays, Fluoride
                                                               Treatments, etc.
           Vision Expenses:                                    Vision Expenses:
           Not Eligible                                        Optometrists, Ophthalmologists, Exams, Glasses, Contact Lenses,
                                                               Lasik Surgery
           Insurance Premiums:                                 Insurance Premiums:
           Not Eligible                                        COBRA Premiums, Long-Term Care Premiums, Medicare
                                                               Premiums
                                                   INELIGIBLE EXPENSES
           Cosmetic surgery, or expenses that are not medical or health  Cosmetic surgery or expenses that are not medical or health
           related                                             related
                                                   MANAGING ACCOUNTS
           Your HRA balance can be viewed online using the Anthem Blue  HSA Bank is the administrator of our HSA plan through United
           Cross member online tool. Visit, www.anthem.com/ca and select  Capital. You must establish your HSA through HSA Bank as soon
           ‘Register Now’. This online navigation tool also allows you to  as possible to begin funding with pre-tax payroll deductions.  Also,
           find doctors, print ID cards, look up claims, and check coverage. in order for an expense to be paid through your HSA account,
                                                               it must be open and funded with at least one cent on the date
                                                               when the claim occurs. Once established, you can use HSA Bank’s
                                                               online account to find useful HSA plan information, check your
                                                               HSA balance, and much more.

























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