Benefit Summaries

The following are high-deductible health plans that are compatible with a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA).

HSAs

• PPO HSA $1500/$3000 100/80
• EPO HSA $1,350/$2,700 100
• EPO HSA $1,500/$3,000 100
• EPO HSA 100 with $2,000 / $6,000
• EPO HSA $2,500/$7,500 100
• EPO HSA $5,000/$10,000 100
• EPO HSA $1,500/$3,000 Hybrid
• EPO HSA $3,000/$6,000 Hybrid

HRAs

• PPO HRA $1,500/$3,000 100/70
• PPO HRA $2,000/$6,000 100/70
• EPO HRA $1,500/$3,000 100  
• EPO HRA100 with $2,000 / $6,000
• EPO HRA $2,500/$7,500 100  
• EPO HRA $5,000/$15,000 100
• EPO HRA $5,000/$15,000 80

HRA Alternative Option Benefits

• EPO HRA $25 $2,500/$5,000 80  

• EPO 100 $250
• EPO 100 $500
• EPO 100 $1,000
• EPO $15 $0 Ded. 90
• EPO $25 $500/$1,500 80
• EPO $15 $1,000/$2,000 80
• EPO $15 $2,000/$4,000 80
• EPO $30 $3,000/$6,000 80

• Traditional Dental

• EPO $750 80
• EPO $1,500 80

• Premier Vision

• DSCC IPA $15/$25/80
• DSCC EPO HRA $1,300/$3,900
• DSCC EPO HSA $3,000/$9,000

• Diagnostic & Preventive Dental (automatic)
• Basic Dental

• Blue EPO 1200/2400
• Blue EPO 2400/4800

• BlueAdvantage EPO 2000/6000
• BlueAdvantage EPO 3000/9000
• BlueAdvantage PPO 1800/3600
• BlueAdvantage PPO 3000/6000