Regence HSA Comprehensive Healthplan - $1,500 Indiv. Ded.

Washington Health Insurance Plans| Regence Blue Shield HSA Comprehensive Healthplan - $1500 Individual Deductible

• Own your health care dollars with a tax-advantaged account that covers medical expenses beyond your health plan. Or choose to save.
• More robust coverage than most HSAs, such as maternity and prescription coverage, plus a lower deductible.
• Fully integrated banking means one point of contact: Regence.

Coverage at a Glance

Deductible:	Selected Deductible: $1,500 $1,500 Individual
Annual OOP Max:	$5,000 per member
Lifetime Max:	$2 million per member
Copay:	Not applicable on this plan
Coinsurance:	20% preferred providers, 40% participating providers
Coinsurance Max:	Not applicable on this plan
Network(s):	Preferred Network Find a Doctor

	Prescription benefits
	Dental
	Vision
	No Referrals
	Maternity
	Preventive Care
	Alternative Care
	Mental Health

 

Basic Features

Cost Sharing

Deductibles:	$1,500 Individual
Annual OOP Max:	$5,000 Amount includes your deductible Maximum only applies to Preferred providers' services. No maximum for Participating providers.
Coinsurance Max:	Not applicable on this plan
Lifetime Max:	$2 million paid by Regence per member
Copay:	Not applicable on this plan
Coinsurance:	You pay 20% for most Preferred providers' services. You pay 40% for most Participating providers' services.

Everyday Needs

Prescriptions:	You pay 50% at Participating pharmacies. $2,000 calendar year maximum Subject to deductible
Preventive Care:	You pay 20% for Preferred providers. You pay 40% for Participating providers. Deductible waived No annual limit
Vision:	Not covered
Office Visits:	Deductible and coinsurance apply
Diagnostic x-ray services:	Deductible and coinsurance apply
Outpatient Laboratory services:	Deductible and coinsurance apply

Special Needs

Alternative care:	12 acupuncture visits per calendar year 10 spinal manipulations per calendar year Deductible and coinsurance apply
Maternity:	Deductible and coinsurance apply
Mental Health:	12 visit limit for outpatient services per calendar year 8 day limit for inpatient services per calendar year Deductible and coinsurance apply

Other considerations

Network(s):	Preferred Providers Preferred Providers (most medical services)