Page 12 - FSSI EE Guide 07-20 - CA

SAVINGS

The opportunity to establish and contribute to a
Health Savings Account is available when you elect Examples of
the HSA PPO medical plan option. It’s like a
personal, tax-free savings account for health care Eligible HSA Expenses
expenses that earns interest. Any unused money
rolls over from year to year.
• Providers (Doctors, Nurses)
You may elect to make contributions into your • Prescription Drugs
account up to IRS maximums. IRS maximums for • Inpatient Hospital Services
2020 are: • Laboratory & X-Ray
• Employee: $3,550 MEDICAL • Emergency Services
• Family: $7,100 • Acupuncture / Chiropractic
• Catch-up (Age 55+): $1,000

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 • Providers (Dentists,
Orthodontists)
taxes (excluding state taxes in AL, CA and NJ). Any
contributions you make can be increased or • Teeth Cleaning
decreased over the course of the year. DENTAL • Dental Treatment
• Orthodontia
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.
Your account balance earns interest and the unused • Providers (Optometrists,
balance rolls-over from year to year. The money is Ophthalmologists)
yours to keep even if you leave FSSI, no longer • Exams
participate in a high deductible health plan (like the VISION • Glasses
HSA PPO), or retire. • Contact Lenses
• Lasik Surgery
Health Equity
Health Equity is the administrator of our HSA plan
through FSSI. It is fully integrated with Blue Shield,
so when you enroll in the HSA PPO, a tax-
advantaged Health Savings Account (HSA) is • COBRA
automatically created for you. • Long-Term Care
• Medicare
PREMIUMS

Examples of
Ineligible HSA Expenses
Educational Video Ineligible HSA expenses include expenses that are
Health Insurance Terms not medical or health-related as well as cosmetic
http://video.burnhambenefits.com/terms surgery.