BlueEdgeSM Select HSA

(2-150 employees)

BlueEdge Select Health Savings Account (HSA) is a consumer-directed health plan that includes a Health Savings Account to help employees pay for medical expenses and meet the annual deductible. The chart below presents the different BlueEdge Select HSA plan design options and includes a comparison of in-network versus out-of-network benefits. Prescription drugs are covered at the medical coinsurance benefit noted in the chart below.

In-Network Benefits — 100% / 70% Coinsurance

Out-of-Network Benefits

In-Network Benefits — 80% / 50% Coinsurance

Out-of-Network Benefits

* The deductible is included in the out-of-pocket max

** The deductible must be met before the indicated benefits for office visit/emergency room applies