Win-win benefits of a Regence health savings account (HSA) Flexible for employees. Affordable for employers. Quality for both. A health savings account (HSA) is an individual-owned medical savings account paired with a low-premium, high-deductible health plan that, together, give consumers greater flexibility—and more responsibility—over their own health care funds: Employees own their HSA account and all contributions. Balances roll over from year to year. After a certain balance, funds can be invested for potentially greater earnings.1 Here’s why a Regence HSA plan might be the perfect fit for your company and your employees. How do HSAs work? u Regence HDHP + HealthEquity® HSA Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association Regence provides your employees’ qualified high-deductible health plan (HDHP) and partners with HealthEquity, one of the largest HSA custodians in the United States, to allow pretax contributions into FDIC-insured health savings accounts. 1 Members should contact HealthEquity member services at 1 (866) 346-5800 or visit the Investments section of the HealthEquity member portal to confirm their plan’s threshold. Regence BlueShield 1800 Ninth Avenue • Seattle, WA 98101 10025rep09334-wa/07-15 u Rollover balances earn tax-free interest HSA account balances can be used for qualified medical expenses, and HDHP premiums are typically lower than conventional health plans. u Full basic coverage All preventive services are covered, just like a PPO. u Maximum HSA contribution limits Many employers offer paycheck deductions. According to IRS regulations, maximum contribution limits for 2015 are $3,350 for individuals and $6,650 for families. At age 55, an additional $1,000 annual contribution is allowed. What makes Regence HSAs great? Automated eligibility Integrated claims % Tax-free interest HSA S Powerful investment tools and advisory services FDIC-insured cash accounts HSA Debit cards for convenient transactions Support 24/7/365 support online and via email/phone Lets employees save for future medical costs ? Regence HSA plan features u HSA tax advantages Employee and employer contributions to HSAs are tax-exempt. u Tax-free interest HSA balances earn tax-free interest. Once employees reach a determined account balance, they can invest their HSA funds for better saving potential. u Tax-free funds If they’re used for qualified medical costs, HSA funds are free from federal and most state income tax penalties. u Tax benefit of HSAs vs. retirement accounts MONEY IN ➟ TYPES OF ACCOUNTS NOT TAXED HSA ➟ MONEY OUT NOT TAXED If used for approved medical expenses TAXED If used for nonmedical expenses Access to Regence in-network doctors NOT TAXED Traditional IRA TAXED TAXED Roth IRA NOT TAXED u Low cost, high returns ° ° Low cost, high returns For both employers and employees, HSAs deliver the highest return on investment, on average, among health care plans. Monthly premiums are lower than most conventional plans. u Security HSA balances roll over from year to year. This lets your employees save for future medical costs while managing their present-day health care. u Employee-owned Unlike flexible spending accounts (FSAs), employees own their HSA, even if they change health plans, retire or leave their job. u Access to Regence quality Employers and employees get access to Regence in-network doctors. u Full preventive coverage HSAs cover all preventive services, accounting for employees’ basic care just like a PPO. For employees who need no more than basic yearly coverage, HSAs make sense. What can HSA funds be used for? Your employees can use their HSA funds to pay for qualified medical expenses as defined by the IRS. These expenses can include their plan’s out-of-pocket expenses (such as their deductible and coinsurance) plus many services that the plan doesn’t cover. The following is a partial list of common qualified medical expenses: Alcoholism (rehab) Ambulance Amounts not covered under another health plan Annual physical examination Artificial limbs/teeth Birth control pills/prescription contraceptives Body scans Post-mastectomy breast reconstruction surgery Chiropractic care Contact lenses Crutches Dental treatments Eyeglasses/eye surgery Hearing aids Long-term care expenses Medicines (prescribed) Nursing home medical care Nursing services Optometry services Orthodontia Oxygen Stop-smoking programs Surgery, other than unnecessary cosmetic surgery Telephone equipment for the hearing-impaired Therapy Transplants Weight-loss program (prescribed) Wheelchairs Wigs (prescribed) Case studies in cost-effectiveness A small employer of 15 people can save money on premiums and decrease an employee’s annual premium cost by switching to an HSA qualified health plan. The employer can deposit $1,000 into each employee’s HSA and still save about $2,000 per year. Small company Employees could see a lower out-of-pocket cost or sustain a balance in their HSA. Employer Conventional Plan HSA Plan $24,980 $9,450 Annual Premium Employer’s HSA Contribution $0 Tax Deductible -$7,450 -$7,450+ $0 -$1,125 FICA Tax savings Employer’s Bottom Line $15,000 $17,530 Medium company $15,875 Conventional Plan HSA Plan Annual Premium $560 $210 Annual Deductible $500 $2,500 Employer’s HSA Contribution $0 -$1,000 $1,000 $1,000 $100 $0 $1,160 $210 Employee Benefit $1,000 Medical Expenses Coinsurance Out-of-pocket Expense A medium-sized employer of 65 people can save money on premiums and decrease out-of-pocket expenses for employees by switching to an HSA qualified health plan. The employer can deposit $750 into each employee’s HSA and still save about $23,000 per year. Employees could see a lower out-of-pocket cost and/or retain a balance in their HSA. Employer Conventional Plan HSA Plan $125,780 $58,000 Annual Premium Employer’s HSA Contribution Conventional Plan HSA Plan Annual Premium $650 $300 Annual Deductible $500 $1,500 $48,750 Employer’s HSA Contribution $0 -$750 -$41,690 -$41,690+ $750 Medical Expenses $750 $750 $0 -$3,650 Coinsurance $50 $0 $1,200 $300 $0 Tax Deductible FICA Tax savings Employer’s Bottom Line $84,090 Large company $61,410 Employee Benefit Out-of-pocket Expense A large employer of 200 people can save money on premiums and decrease out-of-pocket expenses for employees by switching to an HSA qualified health plan. The employer is able to deposit $1,000 into each employee’s HSA and still save over $30,000 per year. Employees could see a lower out-of-pocket cost and/or a growing balance in their HSA. Employer Annual Premium Employer’s HSA Contribution Tax Deductible FICA Tax savings Employer’s Bottom Line Conventional Plan HSA Plan $387,000 $171,000 Conventional Plan HSA Plan Annual Premium $650 $290 Annual Deductible $250 $1,500 $0 -$1,000 $1,000 $1,000 $150 $0 $1,050 $290 Employee Benefit $0 $200,000 Employer’s HSA Contribution -$136,030 -$136,030+ $1,000 Medical Expenses $0 $250,970 -$15,000 $219,970 Coinsurance Out-of-pocket Expense Who is eligible for an HSA? Anyone can purchase a qualified medical plan. But to enjoy the savings and tax advantages of an HSA, they must meet federal eligibility requirements: Must be enrolled in a qualified High Deductible Health Plan. Cannot be enrolled in Medicare. Cannot be claimed as a dependent on another individual’s tax return. Cannot have other health coverage that is not a qualified plan. About HealthEquity HealthEquity is one of the country’s largest FDIC-insured health savings account custodian. Our partnership with HealthEquity lets us offer this flexible, fully integrated health care plan for a reasonable cost with low administrative hassle. Present an HSA info session We can help you explain the benefits of a Regence HSA plan to your employees. 1-888-REGENCE regence.com HealthEquity.com Educational videos and tutorials Online/downloadable guides 24/7/365 help available online and by email or phone Call HealthEquity customer service at 1 (866) 346-5800 10025rep09334-wa/07-15 © 2015 Regence BlueShield
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