USING YOUR HIGH DEDUCTIBLE HEALTH PLAN & HSA St. Croix Central School District November 2014.
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Transcript of USING YOUR HIGH DEDUCTIBLE HEALTH PLAN & HSA St. Croix Central School District November 2014.
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USING YOUR HIGH DEDUCTIBLE HEALTH PLAN
& HSA
St. Croix Central School District
November 2014
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TODAY WE WILL COVER:
• The Medical Plan Deductible Amounts
• What is an HSA and how is it used • How does the HSA work in
conjunction with my medical plan• How can I reduce medical expenses
and save money
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MEDICAL PLAN DESIGN SUMMARY
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WHAT IS AN HSA PLAN?
High deductible health insurance policy that covers large medical or hospital claims Investment or savings
account from which you can withdraw money tax-free for qualified medical
expenses
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WHO IS ELIGIBLE FOR AN HSA?Any individual that:• Is covered by a high deductible health plan
(HDHP)• Is not covered by other health insurance,
unless it is a HDHP (includes traditional Flexible Spending Accounts and Health Reimbursements Accounts)
• Is not enrolled in Medicare or Tricare• Has not received VA non-preventive care
benefits in the last 3 months• Is not claimed as a dependent on someone
else’s tax return
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SO HOW DOES THIS WORKWHEN I SEE MY DOCTOR?
• You see a physician or receive other professional services• You present your Medica ID Card to the provider• Provider bills Medica for the service• Medica applies the in-network discounts and applies the
allowed amount to your deductible• Medica sends you an Explanation of Benefits• Provider bills you for the service• You receive the EOB and bill for services• You confirm the “amount you owe” on the EOB matches the
provider bill• You pay your provider using your HSA Card, HSA Checks or
personal funds
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SO HOW DOES THIS WORKWHEN I USE A PHARMACY?
• You visit a pharmacy to pick-up a prescription drug• You present your Medica ID Card to the pharmacist• Pharmacist runs the prescription through Medica and
applies the negotiated discounts to the price of your medication
• Medica applies the cost of the prescription to your deductible
• You pay for the prescription using your HSA Card, HSA Checks or personal funds
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EXPLANATION OF BENEFITS
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EXPLANATION OF BENEFITS
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WHO CAN I CONTACT FOR HELP?1-800-952-3455
WWW.MEDICA.COM
Call if you have questions about:Medical Plan Coverage or ClaimDeductible or Out-of-Pocket balancesFinding a Doctor, Dentist or SpecialistHealth Plan Services
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WHO CAN I CONTACT FOR HELP? ASSOCIATED BANK OR
WESTCONSIN CU
Call if you have questions about:Contributions to your HSA Reimbursements from your HSARequesting a HSA Bank Cards or checks
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MANAGING HEALTH PLAN COSTS REQUIRES TEAMWORK
• Your claims create the premiums you pay
• Utilize tools available to be a good health care consumer
• Take advantage of wellness opportunities available (including the fitness club discounts!!)
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MYMEDICA.COM
Pharmacy Resources Price a Medication
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MAIN STREET MEDICA
Helps you compare:Costs for a variety of procedures and conditionsHospital quality ratings
Prescription costsChiropractic servicesEquipment & supplies
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MAIN STREET MEDICACost estimates are based on Medica’s actual contracted rates
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24 HOUR NURSE LINE
Your nurse is one call awayImmediate support for your health concerns Help in making decisions about your healthAvailable 24/7 Call 1.800.962.9497
to access a registered nurse
Chat live with a nurse online atmymedica.com
Health & Wellness
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EMPLOYEE ASSISTANCE PROGRAM (EAP)Jump over life’s hurdles.
Start with one easy call to the Medica EAP – 24/7
Whatever your concern:Find a new day care for your childManage credit card debtResearch addiction support optionsLook for a family counselorDeal with grief
Call 1.800.626.7944 Tailored support when you need it – free & easy
Health & Wellness
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HEALTH CLUB REIMBURSEMENT PROGRAM
240 Reasons to get fit withFit ChoicesSM by Medica
12 Visits per month
$20 Credit toward monthly dues
8K Health clubs to choose from (national and regional)
Health & Wellness
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HEALTH CLUB REIMBURSEMENT PROGRAM
National facilities Regional facilities
Health & Wellness
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THANK YOU FOR TEAMING UP WITHJA COUNTER AND
MEDICA!