•  HSA Plans
     Click on these links to view a schedule of benefits covered by the Medical HSA Plan: 
     
    Health Savings Account Contributions 
    Need to change the amount of your monthly health savings account contribution?  

    Simply log in to Bswift and click on the link  hsa  to submit your change request to HR.

      
    Calendar year maximum health savings account contributions for 2022:  
    • Individual:  $3650
    • Family:      $7300
    • Catch-Up for age 55 or over:  $1000   
     
    Qualified Healthcare Expenses
    The Internal Revenue Service determines what expenses can be reimbursed and what cannot.  View the IRS publication for a full list of qualified and nonqualified healthcare expenses:  View IRS Publication 502 for a full list
     
    Plan Design
     

    Benefit Design

    $1500 HSA Plan

    		  

    Deductible (Plan Year):

    $1,500

    		 

    Individual

    		 

    Family

    $3,000

    		 

    Coinsurance:

    100%

    		  

    Total Out of Pocket Max:

    $3,000

    		 

    Individual

    		  

    Family

    $6,000

    		 

    Physician Office Visit:

    $25 after Deductible

    		  

    Specialist Office Visit:

    $35 after Deductible

    		  

    Emergency Room:

    $100 after Deductible

    		  

    Urgent Care:

    $35 after Deductible

    		  

    Inpatient Hospital:

    $100 after Deductible

    		  

    Outpatient Surgery:

    Deductible

    		  

    Prescription:

    Deductible then $10/30/50   Specialty:  $75 or $125

    		  
     
         

     Employee Monthly Premiums: 

    Monthly Medical Premiums

    HSA Plan

    w/o Wellness   w/Wellness

    Employee only

    $5            $0 **

    Employee & spouse

    $450         $420

    Employee & children

    $315         $285

    Family

    $755         $725
    **The Board will contribute $25 per month into your HSA account. 
     
    		  
     
    Other helpful links: