High-Deductible Health Plans (HDHP)
2020 ACA Plan Comparison Guide | Iowa
Wellmark's myBlue HDHPSM encourages employee engagement in their health care. Because your employees pay the full cost of care (excluding preventive care) and prescriptions until they reach their deductible, an HDHP helps them understand the true cost of care — and offers the lowest monthly premiums.
Help your employees save with an HSA
When your employees enroll in a qualified HDHP, they can also open a health savings account (HSA). An HSA is an individual savings account employees can contribute to, invest in, and receive certain distributions from.
Integration between Wellmark claims and consumer-driven accounts from WageWorks® External Site means reimbursement is automatic, and employees can view their account balances on their personal myWellmark® account.
WageWorks also offers an easy-to-use mobile app, EZ Receipts® External Site, to help put your employees in control of their health care.
With an HSA, see triple tax-free savings
- When employees put money into their HSA.
- When the HSA accumulates.
- When employees spend money from their HSA.
Employees won't be taxed when they take money out of their HSA as long as they use the funds exclusively to pay for qualified medical expenses.**If employees use any HSA funds to pay for expenses other than qualified medical expenses, they may be subject to income taxes and additional penalties.
Here's how an HSA works
High-deductible health plan options
Regardless of the network you choose, all the products in the table are available. Amounts shown reflect covered in-network services only. For PPO and POS plans, additional cost shares will apply to out-of-network services.
All plans use Blue Rx EssentialsSM pharmacy benefits.
|Plan Details||myBlue HDHPSM Bronze||myBlue HDHPSM Silver|
|Annual Benefit — Deductible in-network1|
|Coinsurance — member pays||0%||0%|
|Annual benefit — Out-of-Pocket Maximum (opm) In-network|
|Single out-of-pocket maximum||$6,750||$6,750|
|Family3 out-of-pocket maximum||$13,500||$13,500|
|Preventive care4 screenings, immunizations, primary care office services||Free||Free|
|Virtual Visit5||Deductible applies||$0 after deductible|
|Primary care office services6||Deductible applies||$0 after deductible|
|Non-primary care office services||Deductible applies||$60 after deductible|
|Emergency room||Deductible applies||$250 after deductible|
|Prescription drugs - Blue Rx EssentialsSM|
|Tier 1||Deductible applies||$20 after deductible|
|Tier 2||$60 after deductible|
|Tier 3||$125 after deductible|
|Specialty preferred||$150 after deductible|
|Non-preferred||$200 after deductible|
|Medicare Part D Creditable Coverage7||No||Yes|
Your employees will be required to use Blue Distinction® Centers for knee and hip replacements, bariatric surgery and transplants in 2020.