HSA-Compatible 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. HSA-compatible high-deductible health plans from BlueCross BlueShield of Tennessee give you the opportunity to offer outstanding, cost-effective employee benefits – whether for two employees or two thousand. 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
• Prescription medications used for preventive purposes can be excluded from the deductible – Preventive Drug List 
• You have a choice of deductible arrangements:

1. With many of the plans, a shared deductible or one deductible and out-of-pocket maximum applies to family coverage – meaning the entire family deductible must be met before any benefits are paid.

2. For plans with embedded deductibles, only one family member must meet the individual deductible amount before any benefits are paid. The rest of the family must meet the full family deductible amount.

• 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.
• An HSA can be set up through a financial institution. Employees may do this on their own, or you can set up an HSA for the workplace. BlueCross BlueShield of Tennessee can help.

Take a moment to compare high-deductible health plans:

Embedded Deductible HDHPs

Note:  The embedded deductible can only be available with options that have at least a $2200 individual deductible