Page 15 - QSC EE Guide 01-20 SLO

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 2020 are: • Providers (Dentists,
• Employee: $3,550 Orthodontists)
• Family: $7,100 • 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