High-Deductible Health Plans (HDHP)
2019 ACA Plan Comparison Guide | South Dakota
Wellmark's myBlue HDHPSM high-deductible health plans can dramatically increase your employees' 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.
Help your employees save with an HSA
When your employees enroll in a qualified, high-deductible health plan, they can also open a health savings account (HSA).
A health savings account is an individual savings account employees can contribute to, invest in, and receive certain distributions from. It can be used to pay for qualified medical expenses, like doctor visits, prescription drugs, eyeglasses and dental care, tax-free.
With an HSA, see triple tax-free savings
- When employees put money in their HSA.
- When it 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 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 in-network services only. For PPO plans, additional cost shares will apply to out-of-network services.
|Plan Details||myBlue HDHPSM Bronze||myBlue HDHPSM Silver||myBlue HDHPSM Gold|
|Annual Benefit — Deductible1|
|Coinsurance — member pays||0%||0%||0%|
|Annual benefit — Out-of-Pocket Maximum (opm) In-network|
|Single out-of-pocket maximum||$6,600||$4,500||$3,000|
|Family3 out-of-pocket maximum||$13,200||$9,000||$6,000|
|Preventive care4 screenings, immunizations||Free||Free||Free|
|Virtual Visits5||Deductible applies||Deductible applies||Deductible applies|
|Primary care office visits||Deductible applies||Deductible applies||Deductible applies|
|Non-primary care office services||Deductible applies||Deductible applies||Deductible applies|
|Emergency room||Deductible applies||Deductible applies||Deductible applies|
|Prescription drugs - Blue Rx EssentialsSM||Deductible applies||Deductible applies||Deductible applies|