We offer two Consumer Driven Health Plans; one medical plan with a Health Reimbursement Account (HRA) and the other medical plan with a Health Savings Account (HSA). Both plans are administered by Blue Cross Blue Shield (BCBS) of MN. You also have the opportunity to enroll your eligible dependents in the plan you choose.
There are many similarities between the two plans:
- Both offer free preventive screenings.
- Both offer in and out-of-network coverage, allowing you to choose the provider you want and still receive coverage.
- Both medical plans allow employees and their covered spouse the ability to earn $350 each in incentive rewards for completing a preventive care exam and online health assessment.
| Health Reimbursement Account (HRA) |
Health Savings Account (HSA) |
|
|---|---|---|
| Plan Similarities | In Network/Out-of-Network | |
| Employer Incentive Funding | Employees and their covered spouses are eligible to receive $350 in incentive rewards into their HRA or HSA for completing a preventive care exam and online health assessment. This process is optional, but highly encouraged in order to receive the incentive funding contribution. | |
|
Preventive Services |
Free / 50% coinsurance after deductible |
|
|
Plan Deductible and Out-Of-Pocket Administration |
After an individual family member meets their individual plan deductible, the plan will pay claims for that person, less any coinsurance. After they reach the individual out-of-pocket maximum, the plan will pay 100%. |
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|
Office Visits
|
20% coinsurance after deductible / 50% coinsurance after deductible |
|
|
Inpatient / Outpatient Services |
20% coinsurance after deductible / 50% coinsurance after deductible |
|
|
Emergency and Urgent Care Services |
20% coinsurance after deductible / 50% coinsurance after deductible |
|
|
Pharmacy Coinsurance (Retail) |
Generic 30% (subject to a maximum of $50) Preferred Brand 30% (subject to a maximum of $150) Non Preferred Brand 30% (subject to a maximum of $250)
Certain preventive drugs are not subject to the deductible, and are covered at coinsurance amount. |
|
| Plan Differences | ||
|
Plan Deductible (combined medical / pharmacy) |
Per Person: $900 / $1,800 Family: $1,800 / $3,600 |
Per Person: $3,200 / $4,000 Family: $6,400 / $8,000 |
|
Out-Of-Pocket Maximum |
Per Person: $4,000 / $8,000 Family: $8,000/ $16,000 |
Per Person: $5,000 / $8,000 Family: $10,000 / $16,000 |
|
Generic Medications |
Plan deductible waived for generic medications |
Plan deductible applies (except those on the preventive drug list) |
|
Employer Funding (In addition to Incentive Funding) |
N/A |
Employee Only: $25 per pay period All Other Tiers: $40 per pay period |
|
Employee Contributions |
Not allowed into the HRA |
Pretax contributions into HSA allowed, up to federal limits. Contributions grow tax free and may be used for eligible health care expenses tax-free. 2024 Limits:
*Individuals 55 and older are eligible to contribute an additional $1,000. |
|
Health Care Flexible Spending Account (HCFSA) Participation |
HCFSA allowed for all eligible expenses as defined by the IRS. |
HCFSA allowed for dental and vision claims only until the deductible has been met, at which point may also be used for medical expenses. |
|
Employee Payroll Contributions |
Higher than the Health Savings Account Plan |
Lower than the Health Reimbursement Account Plan |