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Health Insurance Savings Accounts - HSAs
When to create and how to best use your Health Insurance Savings Accounts (HSAs)
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  • Your Questions About Hsa Health Insurance Plans
  • Your Questions About Hsa Account
  • Your Questions About Hsa Insurance Premiums
  • Your Questions About High Deductible Health Insurance Premiums
  • Your Questions About Health Insurance Savings Accounts
  • Your Questions About Health Insurance Benefits for Veterans
  • Your Questions About Flexible Spending Accounts
  • Your Questions About Hsa Accounts
  • Your Questions About Health Spending Accounts

Your Questions About Hsa Health Insurance Plans

Carol

Carol asks…

Health insurance…?

I’m going to buy an health plan, and since i haven’t great experience, i was wondering if anyone can explain me something:

PPO; HSA; HMO.

What are these terms? What’s the difference?

Also, if you have experience with health plans, what do you suggest me? Which plan do you think i should choose?

I’m male, 32 (married but my wife is already insured), not taking any medicine, no smoker, perfect condition.

Thanks
Robert

Travis Bunker answers:

With an HMO:

1. You have to choose a primary care physician (PCP).
2. You must go to your PCP for everything (you cannot choose to go see another Dr. Without a referral from your PCP).
3. There is no out of network coverage.

With a PPO:

1. You do not need to choose a PCP – you can go to any Dr. You like, general care or specialist, directly at any time you like without a referral from anyone.
2. Coverage is cheaper in-network than out of network but you can go to any Dr. Or hospital you want without having to worry about what is and isnt covered.

With an HSA:

1. HSA’s (Health Savings Accounts) are types of health insurance plans.
2. There are 2 components: the insurance component and the savings account component.
3. The insurance component is a high deductible health insurance plan.
4. The savings account component gives you an above the line tax deduction for all money contributed into the account (up to IRS limits), the money grows tax free in the account, and the money comes out tax free as long as you use the money for qualifed medical expenses (or are over the age of 65).

Here are 3 articles with more details (Article #1 is on HMO’s, Article #2 is on PPO’s, and Article #3 is on HSA’s):

http://www.healthquote360.com/Health_Insurance_Plans/HMO_Health_Insurance_Plans.php

http://www.healthquote360.com/Health_Insurance_Plans/PPO_Health_Insurance_Plans.php

http://www.healthquote360.com/Health_Insurance_Plans/Health_Savings_Accounts.php

Chris

Chris asks…

What is a Health Savings Account? And should I start me a 401K?

It’s open enrollment at my workplace. I’m 27 with three children. Would either of these benefit my family and I. My children have peachcare, but I don’t have health insurance at the current moment. I’ve been searching for a health care plan at a reasonable rate. Any suggestions? Would the HSA do me any good? What about the 401 K? Please give details. Thanks!

Travis Bunker answers:

The HSA (health savings account) would do you great deal of good! Especially with kids. What the HSA does is take a certain dollar amount out of your check before taxes. It puts it into basically a savings account. You then use this money for things like co-pays, medicine, if you need anything to do with the medical world it can be paid from this account. If your employer is offering these plans, get on their health insurance program. And do the HSA, it will be great because then you have your medical money already set aside when the kids get sick!

YES YES YES start the 401k as well! This is freeeeeeee money from your employer! If you want a 3% (on average) raise per year, get the 401k! Not only will it give you money from your employer now, it will grow to amazing amounts as long as you keep it going!

Robert

Robert asks…

Question about Barak Obama’s health care plan from an undecided voter?

Ok, Barak Obama is wanting to propose a country wide health care plan for all Americans. Here is my concerns about that. If we do not all already have a health care plan, than what the heck is Medicare and Medicaid. We all can eventually have that. And look at how much comes out of each of our paychecks for Medicare. How much is “another” health care plan going to effect my pay. I mean, Fed income tax is the largest tax that comes out of my check, then social security, then Medicare, then state and local, then my 401k, health insurance, than HSA. Now, with Barak Obama’s plan, I can look forward to another lump sum taken out for yet another heath care plan. Secondly, if we did have a country wide heath care plan, is that not taking away my right to choose weather or not I want to pay for health care? I mean, I am a young guy. If I get in a tight spot, I can choose “nah, I am healthy right now, I can get by without a doctor visit for 2 years maybe. I am only 29. I can go with out health insurance for 2 years and save money”. To some people that is worth a risk. Some people just can not afford it. But now all of a sudden, Barak Obama wants to have another big tax for health care that everyone has to pay, even people who can not afford to have another lump some taken out of their checks that resembles Medicare and social security. What do you all think? Is this common sense? Or am I thinking in the wrong direction?
Marcia, If they can not afford it, than who is paying for it? Lets take a guess on this one. I will guess the taxpayers. Am I right?
mountain, I am a registered Democrat by the way.
An Informed Voter. You are correct. If I have a car, there is no choice, I have to have car insurance. But don’t forget, I can choose not to have a car.
Walter D, what is the largest chunk of those 70 million people. Let me guess, illegals that came into our country without permission and stole some of our jobs in the first place.
H. Mills, you have a good answer to my question. Still, I need to ask you this. How long will McCain’s tax credit last. One year? Two? How many times will we receive his tax credit. Barrack Obama’s plan sounds permanent and like it would be the largest tax increase in history.
Cindyann, I remember when Hillary Clinton tried that and it failed and Hillary took a lot of heat for it. If the plan is so good, why did it fail the first time?

Travis Bunker answers:

Sounds like you have it figured out, not only pay for yourself but those (over) 45 million people that don’t have a health care too.
All this and cutting 95% of people taxes, Raising corporate taxes, which will stifle job growth,
I like the part where it says -force insurers to pay out a reasonable share of their premiums for patient care instead of keeping exorbitant amounts for profits.
Sounds like Nationalizing the Insurance Co.

Barack Obama and Joe Biden will guarantee affordable, accessible health care coverage for all Americans– How?

No where in this plan dose it say where all this money will come from. Health Care for patients with diabetes costs $130 billion each year alone and its on the rise.

I know the down checks will be plenty, people that haven’t read the plan. Or understand the things that it doesn’t say.

Steven

Steven asks…

Can I have HSA with two medical plans coverage (primary being HDHP and other being traditional)?

I have High deductible health plan (HDHP) as primary and I’m planning to have a secondary plan (a traditional plan and not a HDHP).

My company’s insurance coordinator says, I cannot contribute to HSA anymore if am also covered by a traditional plan due to IRS policy on HSA. But I can still use the amount that I have contributed so far.

But when I called the insurance company they said, I can both contribute and use the HSA if at least one is a HDHP plan.

Can you please advise? which is true

Travis Bunker answers:

No.

The company insurance coordinator is correct.

The insurance company is wrong.

It is illegal to contribute to an HSA if you have a health plan that is not an HDHP. In other words, for you to be allowed to contribute to an HSA, all of your health plans need to be HDHP’s. (There are a few exceptions, such as dental plans, vision plans, and long-term care plans.) If you have a traditional plan, then you cannot contribute to an HSA.

This is not the company’s rule. This is the federal government’s rule. And the insurance company should have known this.

Lizzie

Lizzie asks…

basic Health insurance questions?

Hello everyone. I come from a country where health insurance always covers everything, and I never cared of that so much. Now being in the US I find everything very confusing and would highly appreciate if someone could answer me some basic questions:

what do the following terms mean in regards to health insurances:
#1: Annual deductible: Individual/Family
#2: Out-of-pocket maximum: Individual/Family
#3: Coinsurance percentage
#4: Lifetime coverage limit
(the latter is 5000 which sounds unbelievable to me)

Further, how does a health savings account helps me. If I take a plan with HSA I seem to have to pay more so I wonder how that makes sense.

Thanks alot.

Travis Bunker answers:

Hello.

Deductible is the amount of money you must pay first before your plan benefits begin to pay. Many plans will waive a deductible if you are only using “routine” benefits, but you need to confirm this with the insurance company.

Numbers 2 and 3 almost go together. Your plan will pay a certain percentage of agreed payment with the medical doctor or other provider you use. Some plans say 80% – 20%, some say 90% – 10%, etc. Once you confirm what your percentage of responsibility will be, the out-of-pocket maximum will tell you what total 20% or 10% you must pay. It may be low, say $500.00 or it could be higher. A typical figure may be $1500.00, but your plan could be more or less. When you spend whatever amount your limit is, then your plan will become 100%.

If your plan truly has a $5,000.00 lifetime maximum, that is a terrible plan indeed. You should check to make sure it doesn’t say $5,000,000.00 (Five Million). There are some employers out there though that would do this kind of thing to their employees so you will just have to confirm if it’s true.

HSA. The HSA may or may not help you. An HSA allows you to deduct your contributions to it from your income tax or contribute pre-tax dollars from your paycheck if your employer has what’s commonly called a “cafeteria plan” or an IRS 125 plan that offers a choice of benefits. You may also add in a contribution from your employer, and have your spouse or even your Uncle contribute too. Money from family members can be contributed. The IRS limits the total amount you can contribute. Your employer can tell you what the limits are, but my guess is, if your employer really has a 5K limit on your healthplan, the HSA probably ain’t much better.

Your HSA money earns tax-free interest and is available to you whenever you need it. You can also take the account with you if you change jobs, and the balance can keep growing for as long as you like.

There is no rule that says you have to spend the money on just health care expenses, but if you spend the money on “non-qualified” expenses, you will be taxed, and there may be added penalties.

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HSA limits increase for 2012CHIPTS
HSA limits increase for 2012CHIPTS

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