Page 12 - SunWest EE Guide 09-19 Outside CA

Health savings

accounts

The opportunity to establish and contribute to a
Health Savings Account is available when you elect a Examples of
HSA PPO medical plan option. It’s like a personal,
tax-free savings account for health care expenses Eligible HSA 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. 2019 maximums are:  Inpatient Hospital Services
 Employee: $3,500  Laboratory & X-Ray
 Family: $7,000 MEDICAL  Emergency Services
 Catch-up (Age 55+): $1,000  Acupuncture / Chiropractic

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). Any  Providers (Dentists,
Orthodontists)
contributions you make can be increased or
decreased over the course of the year.  Teeth Cleaning
DENTAL  Dental Treatment
The money in your HSA is yours to save and spend  Orthodontia
on eligible health care expenses whenever you need
it, whether during this plan year or in future plan
years. Your account balance earns interest and the
unused balance rolls-over from year to year. The  Providers (Optometrists,
money is yours to keep even if you leave Sun West, Ophthalmologists)
no longer participate in a high deductible health  Exams
plan (like a HSA PPO), or retire. VISION  Glasses
 Contact Lenses
HealthEquity is the administrator of our HSAs. You  Lasik Surgery
must establish your HSA through HealthEquity as
soon as possible to begin funding with pre-tax
payroll deductions. Also, in order for an expense to
be paid through your HSA, it must be open and
funded with at least one cent on the date when the
claim occurs. Once established, you can use  COBRA
HealthEquity’s online account to find useful HSA  Long-Term Care
plan information, check your HSA balance, and  Medicare
much more. 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/hdhp surgery.

12 Employee Benefits