1. HSA Process Review

2. Health Savings Account
HDHP + HSA
You must have an IRS Qualified High Deductible Health Plan (HDHP) to open an HSA. The two pieces work together to help you cover your medical expenses.
Health Savings Account
Deductible
HDHP Plan
Prescription Drugs
Medical and prescription drug expenses accumulate to the same combined deductible
The HDHP (processed by SAS) covers medical expenses after the deductible has been met
Prescription drugs have copayments that apply after the deductible has been met, and are then covered after copayments.
Funds in the HSA can be used to pay for any eligible expenses as defined by Section 213(d) including deductible and copayment charges

3. HSA Process Flow Chart – Deductible not yet met
Member goes to the doctor’s office for service and gives NEW insurance card information only
Provider submits claim to insurance
Insurance determines if deductible is met NO
Claim is processed and applied to deductible
Insurance mails Explanation of Benefits (EOB) to member, statement of remittance to provider
Provider bills member for outstanding liability amount
Option 1: Member pays provider with available HSA funds
Option 2: Member pays provider with own out of pocket(OOP) funds, then reimburses themselves with HSA funds
Option 3: Member chooses to pay OOP and saves HSA funds for future use

4. HSA Process Flow Chart – Deductible previously met
Member goes to the doctor’s office for service and gives insurance card information only
Provider submits claim to insurance
Insurance determines if deductible is met
Insurance processes claim
Insurance mails check to provider and Explanation of Benefits (EOB) to member
YES
No HSA funds needed. Any HSA funds left in account at the end of the year will roll over to the following year.

5. will roll over to following year
How the plan works
Single Plan with $1,300 HDHP
HSA – YEAR ONE
WSD contribution
$1,000
HSA account balance $1,300
Your contribution (Optional)
$300
You see your doctor for an annual physical (Preventive)
-$0
$1,300
A minor hiking accident sends you to the emergency room
-$638
$662
Monthly prescription filled at $25/month
-$300
$362
HSA balance at the end of year one
will roll over to following year

6. Plan, Save and Pay for Health Care
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