Page 14 - Veritone EE OOS Benefit Guide_2020
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HEALTH SAVINGS





       How the Health Savings Account (HSA) Works
       The opportunity to establish and contribute to a 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 rolls-over from year to year.

       You may elect to make contributions into your account up to IRS maximums.   The  money  in  your  HSA  is  yours  to  save  and  spend  on  eligible  health  care
       IRS maximums for 2020 are:                                                expenses whenever you need it, whether in this plan year or in future plan years.
       •   Employee: $3,550                                                      Your account balance earns interest and the unused balance rolls-over from year
       •   Family: $7,100                                                        to  year.  The  money  is  yours  to  keep  even  if  you  leave  Veritone,  no  longer
       •   Catch-up if you are 55 years of age or older: $1,000                  participate in a high deductible health plan (like the HSA PPO), or retire.

       The portion of your paycheck that you contribute to your HSA will be taken out   Once you enroll in the HSA plan,  PNC Bank will send you a debit card in the
       before you pay federal income taxes, Social Security taxes and most state taxes   mail. You can use this card to pay for healthcare related expenses. The funds will
       (excluding state taxes in AL, CA and NJ). Any contributions you make can be   draw directly from your Health Savings Account.
       increased or decreased over the course of the year.
       Eligible HSA Expenses Include:






                   Medical Expenses                       Dental Expenses                    Vision Expenses                       Premiums

         Providers (Doctors, Nurses), Prescription   Providers (Dentists, Orthodontists),   Providers (Optometrists,    COBRA, Long-Term Care, Medicare
            Drugs, Inpatient Hospital Services,   Teeth Cleaning, Dental Treatment,   Ophthalmologists), Exams, Glasses,
          Laboratory, X-Ray, Emergency Services             Orthodontia                Contact Lenses, Lasik Surgery
                Acupuncture / Chiropractic


       Ineligible HSA Expenses Include:
       Expenses that are not medical or health-related as well as cosmetic surgery.

                                                                                                                   Educational Video
                                                                                                                  Health Savings Accounts
                                                                                                           http://video.burnhambenefits.com/hdhp/


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