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Leading Ohio Health Insurance Agency specializing in Individual and Family Health Insurance in Ohio.

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Ohio Health Insurance

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High Deductible PPO Health Plan

Health Savings Account (HSA)*

What is a HSASM?


PPO – Preferred Provider Organization

*Funds are earmarked for eligible medical expenses.

Toll Free: 1 (877) 549-1212


What is a HSASM?

  • High Deductible PPO Health Plan
    • Similar to a traditional PPO, except:
      • High deductible (required by the federal government)
      • No co-payments
      • You pay 100% of health care & prescription costs until you meet your deductible.
  • Health Savings Account (HSA)
    • Tax-free savings account for medical expenses
      • Contribute money tax-free
      • Use money to pay for medical expenses tax-free
      • Earn interest over time tax-free!

Toll Free: 1 (877) 549-1212


Why Offer a HSASM?

  • HSA can help control rising health care costs:
    • Consumer driven health care plans
    • Lower premiums
    • More informed health care decisions
  • HSA provides more options managing your health care:
    • You control how to use funds
    • You can use funds now or save them for future expenses

Toll Free: 1 (877) 549-1212

how is an hsa different from your current plan
How is an HSA different from your current plan?

Similar to your current plan

Different from current plan

  • Choice of doctors
  • Large network of providers
  • Out-of-network benefits option
  • Access to specialists with no referrals*
  • Provider discounts = big savings
  • Nationwide, worldwide coverage
  • High deductible – required by federal government
  • Health savings account to pay for health care services
  • No co-payments for services: you pay 100% until you meet your deductible

* Referrals may be needed for mental health and substance abuse services.

Toll Free: 1 (877) 549-1212

how does an hsa work
How does an HSA work?

Before you reach your deductible

After you reach your deductible

  • You pay 100% of your health care and prescription drug expenses
  • In-network preventive care is covered, without paying your deductible amount first:
    • Annual physical exams, well-baby care, mammograms, etc.
  • Your plan pays a percentage of or all of your additional health care expenses

After you reach your deductible

  • Most plans pay 100% of all covered expenses for the rest of the plan year

Toll Free: 1 (877) 549-1212

how does the hsa work
How does the HSA work?

You, your employer, or anyone can contribute to the HSA – tax-free!

  • 2010 Annual Contribution Limit:
  • $3,050 individual
  • $6,150 family

When you use your HSA to pay for qualified medical expenses, the money comes out tax-free!

HSA checkbook and debit card from your local bank

Use for medical expenses at doctor’s office, pharmacy, etc.

If you don’t use your HSA money, you don’t lose it!

The fund grows - tax-free!

Toll Free: 1 (877) 549-1212

how should i contribute to my hsa
How should I contribute to my HSA?
  • You have many options:
    • Contribute through payroll deduction, tax-free
    • Contribute on your own and deduct them on your tax return
      • Contribute quarterly or monthly
      • Contribute the maximum at the beginning of the year
      • Contribute throughout the year, as you can
  • Your 2010 contribution limits:
    • $3,050 per year for employee only
    • $6,150 per year for family coverage
    • $1,000 per year catch-up contribution (55 or older by 12/31/10)

Toll Free: 1 (877) 549-1212

using hsa funds
Using HSA Funds

Eligible medical expenses:

  • Deductible and coinsurance amounts
  • Medical procedures
  • Prescription drugs
  • Visits to your doctor
  • Eyeglasses, contact lenses
  • Laser eye surgery
  • Hearing aids
  • Bandages

Visit for guidance.

Toll Free: 1 (877) 549-1212

covered preventive care services
Covered Preventive Care Services*

Preventive services covered without having to meet your deductible:

  • Well baby and well child care
  • Routine physicals
  • Routine Screening tests (adult and child)
  • Immunizations (adult and child)
  • Mammograms and Pap Smears
  • Colonoscopies

* Specific guidelines apply to these benefits. Check your Member Guide for a complete list of covered preventive care services.

Toll Free: 1 (877) 549-1212

how are prescription drugs paid
How are prescription drugs paid?

Prescription drugs covered just like medical benefits:

  • Before you meet your deductible, you:
    • Pay 100% of the cost of your prescription drugs (discounted rates)
    • Use your HSA checkbook or debit card at pharmacy
  • Once you reach your deductible:
    • The plan pays 100% of all covered prescription drug expenses

Toll Free: 1 (877) 549-1212

how does hsa work for families
How does HSA work for families?
  • Aggregate deductible:
    • All covered expenses count toward a single deductible for the entire family
    • If you reach that deductible, you pay just a percentage of covered health care expenses
    • Your plan pays the rest!

Note: Aggregate deductible applies to all coverage tiers except employee only.

Toll Free: 1 (877) 549-1212

how do i manage my hsa account
How do I manage my HSA account?
  • My HSA Account tool
  • It’s easy and all online
    • Fund balance and transactions
    • Claims information
    • Summary information for tax purposes
  • Log on to the Member Services area of your local HSA vendor

Toll Free: 1 (877) 549-1212

what happens to your hsa down the road
What happens to your HSA down the road?
  • Balance of $1,500? You can invest amounts as low as $1*
  • Your HSA is portable - it’s yours!
  • At retirement, continue to use HSA funds for qualified medical expenses, tax-free
    • Or use the funds for non-medical expenses and incur the tax

* Please see your HSA handbook for details.

Toll Free: 1 (877) 549-1212

thank you
Thank You!

Toll Free: 1 (877) 549-1212

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