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HSA Plan

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 login to Bswift then click the link in the red box to submit your change request  
hsa
  
Calendar year maximum health savings account contributions for 2026:  
  • Individual:  $4,400
  • Family:       $8,750
  • Catch-Up for age 55 or over:  $1,000   
 
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

HSA Plan

 

Deductible (Plan Year):

$1,650

 

Individual

 

Family

$3,300

 

Coinsurance:

100%

 

Total Out of Pocket Max:

$4,125

 

Individual

 

Family

$8,250

 

Physician Office Visit:

$25 after Deductible

 

Specialist Office Visit:

$50 after Deductible

 

Teladoc Visit:

$15 after Deductible

 

Emergency Room:

$200 after Deductible

 

Urgent Care:

$50 after Deductible

 

Inpatient Hospital:

$100 after Deductible

 

Outpatient Surgery:

Deductible

 

Prescription:

Generic: Deductible then $10 copay

 
 
Preferred Brand: Deductible then 20% up to $100  
Non-Preferred Brand: Deductible then 20% up to $200  
Specialty: Deductible then 20% up to $300  
     

 Employee Monthly Premiums: 

Monthly Medical Premiums

HSA Plan

w/o Wellness   w/Wellness

Employee only

   $10            $0 **

Employee & spouse

$490         $460

Employee & children

$340         $310

Family

$820         $790

**The Board will contribute $20 per month into your HSA account. 

 

 

Teladoc services include general medicine, dermatology and behavioral health:

   

Other helpful links: