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Comment: missionaries to field workers


Info

This page contains information about Health Saver plans in general. For specific options and rates, see Medical Insurance.

Webinar

For a thorough explanation of our Health Saver plans, download this PowerPoint presentation by Dave Meldrum-Green, Reliant's Director of Organizational Affairs & Treasurer. The PowerPoint was prepared back in 2016.

What are Health Saver (HS) plans?

Health Saver plans are High-Deductible Health Plans (HDHP) that allow participants to utilize Health Savings Accounts to save and pay for their current and future medical expenses. There are some aspects of HS plans that are different from traditional Preferred Provider Plans (PPOs). HS plans are designed to be paired with a personal Health Savings Account (HSA) bank account, allowing the employee to save funds each month for medical expenses. The Health Saver plans do not have co-pays for doctor visits or co-pays and discounts for prescriptions drugs. Participants pay 100 percent of medical and prescription drug claims until they've reached the plan's deductible. (For some HS plans, the plan pays at the co-insurance level until an annual Out-of-Pocket Maximum is reached.)  

HSA-compatible plans typically cost 20 percent less than a low-deductible PPO plan. Many of the ministries we connect with, such as Pioneers and Wycliffe are utilizing HSA Plans for their missionaries.

HSA plans will also have an Employer HSA Contribution in addition to the plan premium. 

What is unique about Health Saver plans?

Please be aware, the deductible is "aggregate"; this means the whole deductible applies to the whole family. So couples and families have to meet the entire combined deductible before they receive any coverage of insurance. This applies to both medical visits and prescriptions. If an employee has coverage with one or more dependents, the employee AND his or her dependents must meet the plan's FULL family deductible before any claims will be paid for anyone in the family, and then the family maximum out-of-pocket applies. 

Also, keep in mind if an employee has individual-only coverage, he or she must meet the individual deductible before any claims will be paid by Guidestone, and then an individual maximum out-of-pocket may apply before claims will be paid at 100% (depending on the HS plan). 

What are some advantages of having a Health Savings Accounts?

Triple Tax Savings:

    • Contributions made to the HSA debit account are tax-free
    • Earnings grow within the account tax-free
    • Funds you use to pay for qualified health expenses are not taxed

Reliant will contribute to your HSA each month if you elect annually (through Open Enrollment or via a Cafeteria Plan form) to make regular employee (payroll deduction) contributions into the HSA account. There is also a monthly employer HSA contribution that comes partially from the MTD account and is partially subsidized by Reliant.  

You can take your personal HSA spending account with you if you leave employment with Reliant (you own it!).

You can invest your money in mutual funds for more tax-free earnings (with a $500 minimum account balance).

You can use your HSA debit card to pay for health expenses directly out of your HSA spending account.

 

What are the Annual Contribution Limits for a Health Saver Account?

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titleCARES Act HSA Updates

Included in the CARES Act passed by Congress in March 2020, were expansions of the definition of qualified medical expenses for reimbursement from HSA funds. See: 2020 Federal Actions


Warning
titlePlease be aware

There is a 55-day window for disputing charges on your account. If you believe your HSA has been used fraudulently please call Highmark at the number on the back of your card right away. They will guide you through the process which may include completing forms, so the sooner the better. 

Overview

Excerpt

A Health Savings Account, often called an HSA, is a type of bank account specifically for individuals covered by high deductible plans, like those offered by Reliant. You can contribute to this plan tax-free, and the annual amount contributed to HSA is reported to the IRS each year with your tax return. The funds can be used for any legitimate medical expenses at any time in the future. You can pay for qualified health expenses now, as well as pay for future health expenses on a tax-advantaged basis. The funds in this HSA belong to you even beyond your employment with Reliant. 

Contributing to an HSA

Once you have enrolled in a Guidestone Health Saver plan, you will be able to set up an HSA through the Highmark website. Once you send confirmation to benefits@reliant.org that your HSA has been opened, Reliant will make the monthly contributions for you automatically.   There are two portions of the contributions that Reliant helps direct to your HSA each month: 

  1. Employer Contribution - ER
    • This contribution comes from non-MTD Reliant funds. Reliant leadership sets the Employer contribution rate each year, and it is the same for all field workers based on their coverage level. Current contribution rates can be found in the table below. 
    • This contribution is not deducted from your paycheck.
    • This contribution does count towards the Annual Contribution Limits for your HSA. 
  2. Employee Contribution - EE
    • This contribution is deducted from your paycheck each month. 
    • You determine how much you will save. Please reference Annual Contribution Limits when calculating your desired contribution.
    • Reliant will then deposit the employee contributions from your paychecks along with the Reliant employer contribution in to your HSA. 

    • This contribution is part of the Cafeteria Plan offerings from Reliant. It must be selected each year at Open Enrollment time.  You do have the ability to change, add, or drop a HSA election by filling out an updated cafeteria plan form.

    • Beginning in 2020, Reliant is offering a taxable ministry expense bonus that can be used to increase personal HSA contributions. You will need to accept the ME bonus on your support goal and then sign up in Open Enrollment for a HSA contribution as part of the cafeteria plan. This is depicted in the yellow column. 

Note

Contributions that Reliant sends to our HSA provider may take up to 5 business days from the date of the pay day to be available for use.  Funds may appear on the Highmark site, but there may be an additional delay in accessing those funds for debit card purchases.  

Medicare Enrollment and HSA Restrictions

Upon reaching Age 65, if you decide to delay enrolling in Medicare, you must email us benefits@reliant.org with your expected enrollment date at least 6 months prior to enrolling in Medicare so that we can cease your HSA contributions.  This is because when you enroll in Medicare Part A, you receive up to six months of retroactive coverage, not going back farther than your initial month of eligibility. If you do not stop HSA contributions at least six months before Medicare enrollment, you may incur a tax penalty. For more information and details see Medicare FAQs

Contribution Amounts

Coverage Level

ER Contribution
Paid From Non-MTD accounts

Ministry Expense Bonus for EE Contribution

Employee$25$25
Employee + Spouse
Employee + child(ren) 
$50$50

Family

$75$100

FAQ:

UI Expand
titleHow do I set up and use my HSA? 
See instructions for setting up HSA account on this Solomon page: How to Set Up Your Coverage Account on HighmarkBCBS.com. After you have opened your HSA, PNC will provide a Highmark BCBS personal debit card(s) to use to pay for any qualified health expenses. If needed, you may also pay for qualified health expenses personally and reimburse them later from your HSA spending account. 

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Frequently Asked Questions

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titleAre the in-network doctors and facilities the same for all plans?
Yes. You can see more information about in-network providers on www.highmarkbcbs.com
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titleIs preventative care defined the same way in all the different plan options?
 Yes.


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titleCan you roll over the savings in your HSA year after year?
Yes. Any contributions to your HSA are yours to keep to use for qualified medical expenses even should you exit employment with Reliant.
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titleWhat if your doctor bill is higher than the amount in your HSA?
 You can either pay out of pocket and reimburse yourself later with your HSA account funds, or you can ask to be put on a payment plan with your doctor using your HSA for the payment.
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titleCan you deposit money into your HSA with personal deposits in addition to payroll deductions?
Yes. You'll want to be aware of annual IRS maximums so that you don't exceed the allowed annual maximum. 


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titleWhat are the covered medical expenses that I can pay for using my HSA debit card?
Any medical expense that is actually a medical expense. These include doctor visits, prescriptions, dental costs, vision costs, birth control, and any care that is prescribed by a doctor (you'll want to keep the note from the doctor in your records). Ultimately, allowed expenditures are guided by IRS regulations. Here is one accounting firm's detailed list: https://tax.thomsonreuters.com/hcet-ebia/hmrkYou can find a detailed list from the Highmark website. Be aware that you will need to keep receipts of your expenditures for your tax records.


UI Expand
titleWhat if your doctor bill is higher than the amount in your HSA?
 You can either pay out of pocket and reimburse yourself later with your HSA account funds, or you can ask to be put on a payment plan with your doctor using your HSA for the payment.


UI Expand
titleCan you reimburse an eligible medical expense from my HSA if I paid out of pocket for it?
Yes.  See Filing a Reimbursement from your HSA for details about this process.  
Note
For more HSA answers, see www.highmarkbcbs-hsa.com or Guidestone HSA FAQs

What Reliant staff are saying about the HS plans

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“Honestly the Health Saver 3000 HSA did take a little getting used to, but my wife and I have been very happy with it so far. We chose to invest enough that we expect to probably carry an excess balance over from one year to the next. At this point, it looks like that will happen. One thing this means is that our family budget for health care next year will actually be reduced since we will already be carrying over some funds in the HSA from this year.”  – Steve
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“The HSA payment card is super easy to use. Just like a debit card! Also, since we don’t have significant health-care needs at this point, we like the ability to save up for the future with lower premiums. We also like the freedom to spend our money saved on out-of-network expenses.”  – David
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“As a family that has ALWAYS met our out-of-pocket max each year, this year we’ve paid out from our own pockets LESS than every year before and done it with pre-tax dollars!”  – Heather
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“I like that it did make us think through what medical decisions we were making. I also like that it would allow us to save up for orthodontic work tax-free. I just wish that I had the HSA option back in my 20s and had put aside the savings from a traditional PPO into my HSA account. It would have really been worth having that HSA account balance in my 30s!”  – Luke

Resources


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titleCan you deposit money into your HSA with personal deposits in addition to payroll deductions?

Yes. You'll want to be aware of annual IRS maximums so that you don't exceed the allowed Annual HSA Contribution Limits. For information how to contribute on your own, see Contributing to the HSA Outside of the Cafeteria Plan.


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titleAre there fees associated with HSA?

Yes, please see HSA Fees for more information. 


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titleAre there annual limits to HSA contributions?

Yes, there are annual limits to HSA contributions set by the IRS. For more information see this page: Annual HSA Contribution Limits


Note
For more HSA answers, see https://help.guidestone.org/highmarkhsa

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