The Health Savings Account (“HSA”) Plan combines a high-deductible medical benefit administered by Aetna with a tax-advantaged Fidelity savings account. You may use your HSA to pay for out-of-pocket medical expenses or you can save these dollars as part of a long-term strategy to pay your medical bills in retirement (for example).
The University makes monthly HSA contributions on your behalf and you may also make paycheck contributions to your account up to the annual IRS limit. Unlike a Flexible Spending Account, unused HSA dollars rollover each year and can be invested to build a nest egg for future health expenses.
Because HSAs have special tax benefits, they are also subject to certain restrictions. For example, you can sign up for the HSA Plan if you’re not enrolled in Medicare, can’t be claimed as a dependent on someone else’s tax return, and you aren’t already covered under a spouse’s medical plan (unless that plan is also a high deductible plan.)
Below is a brief outline of benefits provided under the Aetna HSA plan. Refer to the official benefits plan booklet for a comprehensive description of plan benefits. Under all circumstances, the plan booklet will take precedence over information contained on this website. Contact Aetna Concierge Services at (888) 901-4636 for questions of coverage.
| In-Network | Out-of-Network | |
|---|---|---|
| Deductible | $2,000 for 'Employee Only' coverage/$4,000 when covering one or more family members | $4,000 Employee Only/$8,000 with dependents |
| Annual Out of Pocket Max | $4,000 for 'Employee Only' coverage/$8,000 when covering one or more family members (includes deductible) | Unlimited |
| Lifetime maximum benefit | Unlimited | |
| Office Visits | 90% after deductible | 50% after deductible |
| Preventive Care | ||
| Immunizations | 100% | 50% after deductible |
| Routine physicals | 100% | 50% after deductible |
| Well-woman exams/screenings | 100% | 50% after deductible |
| Well-baby exams | 100% | 50% after deductible |
| In-Network | Out-of-Network | |
|---|---|---|
| Emergency Room | 90% after deductible | 50% after deductible |
| Inpatient hospital services | 90% after deductible | 50% after deductible |
| Outpatient hospital services | 90% after deductible | 50% after deductible |
| Outpatient surgical center | 90% after deductible | 50% after deductible |
| 30-day supply | ||
|---|---|---|
| Generic | 90% after deductible | |
| Brand formulary | 90% after deductible | |
| Nonformulary | 90% after deductible | |
| 90-day supply | ||
|---|---|---|
| Generic | 90% after deductible | |
| Brand formulary | 90% after deductible | |
| Nonformulary | 90% after deductible | |