Page 12 - Moonwell Studios Benefit Guide

Health Savings
SAVINGS

Accounts (HSA)

The opportunity to establish and contribute to a
Health Savings Account is available when you elect
the Blue Shield Silver HSA PPO medical plan option.
It’s like a personal, tax-free savings account for Examples of
health care expenses that earns interest. Any unused Eligible HSA Expenses
money rolls over from year to year.

In 2020, Moonwell Studios will make the following • Providers (Doctors, Nurses)
annual HSA contributions into your account: • Prescription Drugs
• Employee: $500 • Inpatient Hospital Services
• Family: $1,000 • Laboratory & X-Ray
MEDICAL • Emergency Services
In addition to Moonwell Studios' contribution, you • Acupuncture / Chiropractic
may elect to make contributions into your account up
to IRS maximums. IRS maximums for 2020 are:
• Employee: $3,550
• Family: $7,100 • Providers (Dentists,
• Catch-up (Age 55+): $1,000 • Orthodontists)
Teeth Cleaning
DENTAL •
The portion of your paycheck that you contribute to • Dental Treatment
your HSA will be taken out before you pay federal Orthodontia
income taxes, Social Security taxes and most state
taxes (excluding state taxes in AL, CA and NJ). Any
contributions you make can be increased or
decreased over the course of the year. • Providers (Optometrists,
Ophthalmologists)
• Exams
The money in your HSA is yours to save and spend on • Glasses
eligible health care expenses whenever you need it, VISION • Contact Lenses
whether in this plan year or in future plan years. Your • Lasik Surgery
account balance earns interest and the unused
balance rolls-over from year to year. The money is
yours to keep even if you leave Moonwell Studios, no
longer participate in a high deductible health plan
(like the Blue Shield Silver HSA PPO), or retire.
• COBRA
• Long-Term Care
PREMIUMS • Medicare

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

12 Employee Benefits