Regence HSA Healthplan > Own Your Health Care Dollars

Regence HSA Healthplan

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Unique Features

Clients own their health care dollars with a tax-advantaged account that covers medical expenses beyond their health plan. Or they can choose to save.
Unlimited, up-front preventive care plus personalized tools and support your clients need to make the plan their own.
Comprehensive wellness programs like Care Enhance^® Nurseline & Regence Health Coach^SM.

Coverage at a Glance

Deductible:	$1,500 - $3,500 single $3,000 - $7,000 family	Prescriptions Dental Vision No Referrals Maternity Preventive Care Alternative Care Mental Health
Annual OOP Max:	$5,000 single, $10,000 family
Coinsurance Max:	not applicable
Lifetime Max:	$2,000,000 per enrollee
Copay:	none except for ER
Coinsurance:	80% Preferred, 60% Non-Preferred
Providers:	Regence PPO Network

Basic Features

Cost Sharing
Deductible	$1,500/$2,500/$3,500 single $3,000/$5,000/$7,000 family
Annual OOP Max	$5,000 single/$10,000 family Amount includes your deductible Preferred and Non-Preferred providers combined
Coinsurance Max	not applicable
Lifetime Max	$2,000,000 per enrollee
Copay	$50 emergency room copay
Coinsurance	You pay 20% for most Preferred services. You pay 40% for most Non-Preferred services.
Everyday Needs
Prescriptions	You pay 50% at participating and non-participating pharmacies. $1,200 calendar year maximum Subject to deductible
Preventive Care	You pay 20% for Preferred providers. You pay 40% for Non-Preferred providers. Deductible waived No annual limit
Vision	Not covered
Office Visits	Deductible and coinsurance
X-Ray Services	Deductible and coinsurance
Lab Services	Deductible and coinsurance
Special Needs
Alternative Care	Chiropractic services only Deductible and coinsurance $500 calendar year maximum
Maternity	Not covered
Mental Health Care	You pay 50% for Preferred and Non-Preferred providers. Limited to 20 outpatient visits and 8 inpatient days per calendar year, for mental health and chemical dependency combined.
Other Considerations
Networks	Regence PPO (Preferred)

Benefit Summaries, Exclusions & Limitations

Exclusions and limitations are inside each benefit summary PDF below.
For effective dates beginning 1/1/08.

Benefit Summary: $1,500 Single Deductible (PDF)

Benefit Summary: $2,500 Single Deductible (PDF)

Benefit Summary: $3,500 Single Deductible (PDF)

Benefit Summary: $3,000 Family Deductible (PDF)

Benefit Summary: $5,000 Family Deductible (PDF)

Benefit Summary: $7,000 Family Deductible (PDF)