High Deductible Health Plans

High Deductible Health Plans

High deductible health plans are PPO health plans with higher out-of-pocket costs, so they offer comprehensive benefits at a lower monthly premium cost. Due to the added member cost responsibility, however, they work best when paired with a financial arrangement.

HSA-compatible high deductible health plans are unique because they must follow some federal guidelines, such as:

  • Covered expenses (except preventive services) are subject to deductible and coinsurance, including prescription drugs.
  • Most preventive services, like wellness exams and immunizations, are paid at 100 percent after a copay.
  • One deductible and out-of-pocket maximum apply to family coverage, so the entire family deductible must be met before any benefits are paid.
  • New deductibles are applied at the beginning of each calendar year (carryovers from previous years do not apply).
  • And, in accordance with federal law, these plans comply with minimum annual deductibles and maximum out-of-pocket expenses.

Take a moment to compare high deductible health plans:

HSA
Compatible Plans
HRA
Compatible Plans
FSA
Compatible Plans
Plan 1
D: $1,200/$2,400
O:$2,500/$5,000
80% after deductible
Plan 1
D: $1,500/$3,000
O:$3,000/$6,000
80% after deductible
Plan 6
D: $5,000/$10,000
O:$6,000/$12,000
80% after deductible
Any PPO health plan can be paired with an FSA
Plan 2
D: $1,700/$3,400
O:$3,500/$7,000
80% after deductible
Plan 2
D: $2,000/$4,000
O:$4,000/$8,000
80% after deductible
Plan 7
D: $1,700/$3,400
O:$3,500/$7,000
80% after deductible
Plan 3
D: $2,500/$5,000
O:$2,500/$5,000
100% after deductible
Plan 3
D: $2,500/$5,000
O:$5,000/$10,000
80% after deductible
Plan 8
D: $2,500/$5,000
O:$2,500/$5,000
100% after deductible
Plan 4
D: $2,500/$5,000
O:$4,000/$8,000
80% after deductible
Plan 4
D: $1,500/$3,000
O:$3,000/$6,000
80% after deductible
Plan 9
D: $2,500/$5,000
O:$4,000/$8,000
80% after deductible
Plan 5
D: $3,000/$6,000
O:$5,000/$10,000
80% after deductible
Plan 5
D: $2,500/$5,000
O:$5,000/$10,000
80% after deductible
Plan 10
D: $3,000/$6,000
O:$5,000/$10,000
80% after deductible
KEY: D - Deductible O - Out of Pocket C - Coinsurance
All dollar amounts are Individual/Family
Page Modified:February 13, 2008