Under Medical Plan Option C, your non-preventive prescription drug costs count toward your deductible and out-of-pocket maximum amounts. So, if you are prescribed a non-preventive prescription drug early in the year, it is possible you’ll receive a bill as high as $2,300 for single coverage or $4,600 for family coverage. If you are enrolled in family coverage, you must meet the family deductible amount before the plan will begin to pay benefits for all non-preventive drugs and services. Learn more about how prescription drug benefits work with Medical Plan Option C.
If you have a condition requiring regular, high-cost medications, you may want to consider Medical Plan Options A or B.
Note: Preventive drugs are generally prescribed for people who may be at risk for certain diseases or conditions. This does not include drugs or medicines for treatment of an existing illness or condition.
View the current Express Scripts preventive prescription drug list.
True Family Deductible
With Option C, your family’s expenses must meet the full family deductible before the Plan begins to pay coinsurance. Note that under Options A and B, each individual member of your family needs to meet only the single deductible for his or her coinsurance to begin. Learn how the family deductible works.
Non-Tax Qualified Dependents
You cannot use HSA or Flexible Spending Account funds to reimburse health care expenses for non-tax qualified dependents. Any HSA withdrawals associated with expenses for such dependents are taxable income and subject to a 20 percent tax.
Maximize Your Savings with a Limited Purpose FSA
A Limited Purpose FSA (LPFSA) is like a traditional Health Care FSA, but may be used only for eligible dental and vision expenses (medical expenses aren’t eligible). If you enroll in Medical Plan Option C, you may elect to contribute to an LPFSA in addition to, or instead of, your HSA. If you use your LPFSA for dental and vision expenses, you can save your HSA money for health care expenses in the future. If you enroll in Medical Plan Option A or B, you may not elect to contribute to an LPFSA, but you may instead contribute to a Health Care FSA.
The annual LPFSA contribution limit is $3,050.
Note: If you do not elect to contribute to a LPFSA, you may pay for dental and vision expenses from your HSA. When making your election on the benefits election website, note that this option will appear as “Health Care FSA.”