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Healthy Savings Plan

Insurance

The Healthy Savings Plan is available to all benefit-eligible faculty and staff. Non-Medicare-eligible retirees and dependents have access to the Retiree Healthy Savings Plan. As the University's IRS-qualified high-deductible health plan, you can enroll in a health savings account (HSA). For eligible faculty and staff, the University makes contributions to your HSA.

Discounts

Visit the health and wellness tools and discounts webpage to maximize your convenience and savings.


2020 Healthy Savings Plan | 2019 Healthy Savings Plan


  2020 Healthy Savings Plan  

Premiums

Healthy Savings Plan- Monthly premiums for active employees, 2020*

Coverage level Employee cost
Self only $44
Self and spouse $154
Self and child(ren) $129
Self, spouse, and child(ren) $254

 


Deductible

The Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual deductibles, 2020

  In-network Out-of-network
Medical and Rx (combined) $1,500/self*; $3,000/family* $3,000/self*; $6,000/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.


Out-of-pocket limit

The Healthy Savings Plan has one out-of-pocket limit that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual out-of-pocket limits, 2020

  In-network Out-of-network**
Medical and Rx (combined) $3,000/self*; $6,000/family* $6,000 or more/self*; $12,000 or more/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.
** Please refer to the Summary Plan Description (SPD) for additional details on allowable/eligible expenses when using an out-of-network provider.


Prescription drugs

To estimate prescription costs, visit Express Script's prescription cost estimator tool (exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the prescription to estimate the cost covered by the plan and the cost to you.

Healthy Savings Plan-Prescription drug out-of-pocket cost, 2020

  In-network Out-of-network
Prescription drug: Retail (formulary generic, formulary brand, or non-formulary brand) 10% after deductible 30% or more after deductible
Prescription drug: Mail (formulary generic, formulary brand, or non-formulary brand) 10% after deductible 30% or more after deductible

 


Annual University contribution to Health Savings Account

The University will contribute funds to a Health Savings Account for eligible employees who enroll in the Healthy Savings Plan. Visit the understanding your HSA webpage to learn if you're eligible and/or the amount the University will contribute based on the elections you choose. In addition to University contributions, faculty and staff may choose to contribute tax-free money up to IRS limits.


Network providers

You may choose to visit either in-network or out-of-network physicians and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.

Virtual visits are also available to you. Virtual visits let you see and talk to a doctor from your mobile device or computer without an appointment, any time. Visit the virtual visits webpage to learn more.


Preventive care

Many health plans include preventive care services, such as various screenings, vaccinations and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).

Forms and guides


  2019 Healthy Savings Plan  

Premiums

Healthy Savings Plan- Monthly premiums for active employees, 2019*

Coverage level Employee cost
Self only $43
Self and spouse $145
Self and child(ren) $119
Self, spouse, and child(ren) $235

*Premiums for retirees vary according to a formula based on years of service and other factors. For an idea of what premiums would be for your particular circumstances, use the Retiree Insurance Premiums Estimator.


Deductible

The Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual deductibles, 2019

  In-network Out-of-network
Medical and Rx (combined) $1,500/self*; $3,000/family* $3,000/self*; $6,000/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.


Out-of-pocket limit

The Healthy Savings Plan has one out-of-pocket limit that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual out-of-pocket limits, 2019

  In-network Out-of-network
Medical and Rx (combined) $3,000/self*; $6,000/family* $6,000/self*; $12,000/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.


Prescription drugs

To estimate prescription costs, visit Express Script's prescription cost estimator tool (exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the prescription to estimate the cost covered by the plan and the cost to you.

Healthy Savings Plan-Prescription drug out-of-pocket cost, 2019

  In-network Out-of-network
Prescription drug: Retail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% after deductible
Prescription drug: Mail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% after deductible

 


Annual University contribution to Health Savings Account

The University will contribute funds to a Health Savings Account for eligible employees who enroll in the Healthy Savings Plan. Visit the understanding your HSA webpage to learn if you're eligible and/or the amount the University will contribute based on the elections you choose. In addition to University contributions, faculty and staff may choose to contribute tax-free money up to IRS limits.

Retirees do not receive University contributions toward an HSA, but you may set up an HSA account if you are not enrolled in another insurance plan, including Medicare. If you meet the eligibility requirements, you may contribute your own after-tax money to the HSA.


Network providers

You may choose to visit either in-network or out-of-network doctors and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.

Virtual visits are also available to you. Virtual visits let you see and talk to a doctor from your mobile device or computer without an appointment, any time. Visit the virtual visits webpage to learn more.


Preventive care

Many health plans include preventive care services, such as various screenings, vaccinations, and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).

*In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.

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Reviewed 2019-10-09