Health Savings Account (HSA)-Qualified Health Plan Information

• Lower premiums than the Benchmark plans.
• A $4,000 deductible for family plans; a $2,000 deductible for
       individual plans.
• Medical services are covered in full after the deductible!  That
       means there are no medical copays – the deductible is your
       full exposure for medical expenses!
• Prescriptions count toward the combined medical/Rx deductible (except for certain preventative drugs--see lists below).  After the deductible, you will only make copays on prescriptions; those copays are limited by a per person/family out-of-pocket max.

$$$ Incentive for Enrolling in Cost-Effective Plans
The Town will again contribute additional amounts toward the premium during the 2020-2021 Plan Year for employees who enroll in the Fallon Select and Direct Benchmark Plan or any HSA-Qualified Plan.
 - $100-$190 per month for specified family plans
 - $35-$57 per month for specified individual plans

Health Plan Rates 6-1-20 - 5-31-21
Health Plan Comparison Chart HSA-Qualified Plans

Plan Documents and Links
Tufts HSA-Qualified Plan Summary of Benefits & Coverage
Tufts Health Plan Website
Harvard Pilgrim HSA-Qualified Plan Summary of Benefits & Coverage
Harvard Pilgrim Health Plan Website
Fallon Select HSA-Qualified Plan Summary of Benefits & Coverage
Fallon Direct HSA-Qualified Plan Summary of Benefits & Coverage
Fallon Health Plan Website

Preventative Medication Lists
On the HSA-Qualified plans, the deductible does not apply to certain preventative medications.  On the Fallon or Harvard Pilgrim plans, you pay the applicable co-pay for these drugs.  On the Tufts plan, there is no co-pay.  The lists below are subject to change--please refer to your health plan carrier’s website for the most current information.
Preventative Medications - Tufts
Preventative Medications - Harvard Pilgrim
Preventative Medications - Fallon

Additional Benefits

CanaRx Prescription Drug Mail-Order Program
The CanaRx program makes brand name maintenance medications available for $0 co-pay. Please note that HSA-Qualified plan members are only eligible for certain preventative medications through this program (see list below).
CanaRx Enrollment Form & Med. List - HSAQ Plans

My Telemedicine
Access a doctor from your mobile device or computer 24/7/365 with no copay! Click on My Telemedicine to learn more.

Good Health Gateway Diabetes Care Rewards
Allows members to receive diabetes medications and supplies with $0 co-pays,when they meet program requirements.
Good Health Gateway Flyer
Diabetes Care Rewards for HSAQ Plan Members - Note: Fallon HSA-Qualified plan members are not eligible for $0 co-pays through this program
Good Health Gateway Free Accu-Check Meter Flyer
Good Health Gateway Website     Note: select "Minuteman Nashoba Health Group" when prompted for "Employer/Plan Administrator"

Health Savings Account (HSA)

If you enroll in an HSA-Qualified Plan you will have access to a Town-provided Health Savings Account (HSA), provided you are qualified to make contributions (see open enrollment letter for details).  For the plan year beginning June 1, 2020, the Town will make a contribution to the account during your first month of coverage – $2,000 for family plans and $1,000 for individual plans.  That means you have enough money to cover half the deductible!

Advantages of HSAs include:                                                                        

• No time limit on reimbursements or spending funds (no use-it-or-lose-it provisions)!
• Funds contributed via payroll are made pre-tax, pre-Medicare and pre-Social Security (if applicable).
• You can change your payroll contribution amount throughout the year!
• Fees are paid by the Town while enrolled in a Town HSA-Qualified health plan.
• Provider payments can be made online using HSA funds.
• You own the account – it’s interest-bearing, portable (keep post-employment), inheritable and, once you save a minimum amount, investible.  
• There’s no tax on interest & investment earnings if used for qualifying medical expenses!
• Contributions reduce taxable income & help build long-term savings you can take into retirement!

The Town’s HSA is administered by Health Equity.  Health Equity’s website offers videos and other tools to help you understand how HSAs work.  For specific questions, please call Health Equity Member Services: 866-346-5800.

More Information                                               

Tax-Advantaged Accounts for Insurance-Eligible Employees
A detailed comparison of HSAs and FSAs
HSA Employee Guide
HSA Enrollment Form

FSA Open Enrollment Notice
FSA Flyer                             
FSA Enrollment Form
FSA Payment Benny Card Flyer
FSA Store Flyer
Medical Claim Form
Dependent Care Claim Form

Cafeteria Plan Advisors, Inc. (CPA)
420 Washington Street, Suite 100
Braintree MA 02184
Phone: 781-848-9848
Fax:     781-848-8477
Email: info@cpa125.com

Cafeteria Plan Advisors, Inc. (CPA)
420 Washington Street, Suite 100
Braintree MA 02184
Phone: 781-848-9848
Fax:     781-848-8477
Email: info@cpa125.com