HSA "How To Guide"

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How To Choose an HSA Plan, Sign Up,
Save Money, and Get Assistance!

Start Saving 40% to 50% on your Health Insurance, Reduce Your Income Taxes, And Get The Kind of Health Care You Really Want!

 - How to Choose an HSA-qualified Health Insurance Plan
 - How to Apply for Coverage
 - We're Here to Help
 - How to Establish your Health Savings Account
 - How to Maximize Your Tax Benefits
 - How to Keep Your Health Insurance Premiums Low
 - How to Reduce Your Medical Expenses and Income Taxes
 - What about President Obama's Healthcare Reform?
 - How to Save Money on Plans for Small Groups
 - How to speak with one of our friendly advisors!

 


How to Choose an HSA-qualified Health Insurance Plan

HSA plans are simple and easy to understand. If you need some basic information on how Health Savings Accounts work, visit our HSA Info page, and our Q and A page.

When you are ready to choose a plan, follow the directions below.  It usually takes no more than 10 minutes or so to choose the best plan for your needs.

  1. Get an Instant Quote.  Our instant quote engine can rapidly show you the available plans in your area, so that you can get an overall feel of what premiums will be for the different HSA plans.  Request an effective date no later than the 28th of the current month.  With most companies this will enable you to lock in current rates for 12 to 24 months, and beat any pending rate increases.  To see a short video explanation on how to run quotes and compare plans, see our HSA Instant Quote Video.

  2. Compare premiums.  Our quote system will initially show you just the 100% plans.  These are the most popular plans we offer, and can make it easier for you to compare rates among different companies.  You can lower your premium by choosing a plan that pays 50, 70, or 80 percent of qualified medical expenses until a certain out-of-pocket limit is reached, before covering 100%.  To show these plans, go to the Customize Search tab at the top of the page, and change Your Coinsurance from <10% to “Any”.

    For most plans there is only one deductible for the entire family.  A prominent exception is the Right Start HSA plan, which has a per person deductible.

    For complete instructions on how to compare your instant quote results, view our 11 minute HSA Instant Quote Video.

  3. Decide if you want a plan that pays for outpatient charges, or if you want a more catastrophic plan that only covers charges while you are hospitalized.  You can lower your premium by choosing a plan that covers only inpatient doctor visits and prescription drug expenses.

    You can quickly see if the quote you're looking at covers these expenses by clicking the Details link next to the instant quote result, and looking up Office Visit and Prescription Drugs.  (Most of our customers choose HSA plans, but we do offer copay plans as well if you want to compare rates).  The following plans cover outpatient doctor visits and prescription drugs, subject to the deductible and coinsurance (note that not all plans are available in all states):

    The plans vary by state, but the following plans generally do NOT cover outpatient doctor visits, and are usually less expensive than other plans:

    The following plans do NOT cover outpatient prescription drugs (though they may provide a discount card), and may also be less expensive than other plans:

    1. Consider adding a supplemental accident plan.  For a very modest additional cost, you can add a supplemental accident plan to your coverage that cover $5,000 or $10,000 after a $100 deductible.  Because these accident plans are very inexpensive, you may be able to keep your premiums lower while greatly reducing your exposure for the type of claims you're most likely to need your health insurance for - an accident.  Stand-alone accident plans can be viewed on our Accident Plans page.

    2. Do a final review and choose your plan.  You can see additional coverage details on our High Deductible Health Insurance Plans page where you can also download a company brochure.

      You may also wish to check the insurance company's PPO network to see which doctors and hospitals are considered in-network providers.  Having access to a PPO network can mean substantial discounts in what you pay for your health care, even before you meet your deductible.  The link to each plans PPO network can be found on that company's page on our site.


"You provided excellent service and you really made the job of finding the right coverage for me easy.  I can't think of anything you could do better."

I was looking specifically for a HSA compatible plan when I came across your site.  All the important information is certainly there and easily accessible.  I learned about the many investment options available through HSAs from your site.

I will definitely fund my HSA, in fact I will probably go ahead and pay my premiums and medical expenses out of pocket (post-tax), because I want to maximize my tax free compounding interest in the HSA account.

My previous insurance plan cost nearly $1,000/month with $5,000 deductible and 10% coinsurance thereafter.  My HSA compatible plan costs $194/month with $10,000 deductible and pays 100% thereafter.  Even if we meet our deductible we are about even with the old plan.  If we remain healthy we will be well ahead.

My only regret is that I did not act quickly enough to have my plan in place before the new year, so my maximum contribution is slightly lower this year.  I have to say, though, that you did warn me about this in your emails.

You provided excellent service and you really made the job of finding the right coverage for me easy.  I have already recommended you to others.  I can't think of anything you could do better.

Rob May
Ypsilanti, MI

Read More...

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How to Apply for Coverage

Applying for HSA health insurance and establishing an HSA is quick and easy. Most companies allow you to apply online. Or you may simply print out an application and fax it to us at 866-284-0082, or mail in your application.  All applications are submitted under the name of Wiley Long, the president of HSA for America.  If you are working with one of our advisors (all of whom are fully licensed insurance agents in the states they represent), that person will be noted on your record as your assigned contact.

If you want to lock in current rates, you should request an effective date no later than the end of the current month.    To make sure you get your requested effective date, you should send in your application as soon as possible.

Apply Online

The easiest and most efficient way to apply for an HSA plan is online through an insurance company's secure online application.  This will enable you to avoid the hassles of filling out a paper application, and will speed up the process by instantly transmitting your information directly to the insurance company’s underwriting department.  The application usually takes about 10 minutes to complete.  Most, but not all insurance companies offer an online option.

You may apply online by running instant quotes, and apply online for most plans we offer right from the quoting system's results page.  Or simply select the apply online link below for the plan you are interested in.

Before beginning the online application, we recommend that you have the following information available in order to speed up the process:

  1. Your doctors’ names, addresses, and phone numbers
  2. Medications you currently take or recently took, including dosage and frequency
  3. Dates of hospitalization
  4. The name of the plan for which you are applying
  5. Your requested effective date
  6. Your credit card information to cover the initial premium

All online applications are 100% secure. Most use SSL certified 128 bit encryption.  Anthem uses Sun's Java Cryptography Extension which implements RSA Laboratories, "PKCS #5: Password-Based Encryption Standard," version 1.5, Nov 1993.

Mail or Fax an Application

You can download an application for the plan you are interested in, print it out, fill in all the required information, then fax it to us toll-free at (888) 771-0010 or mail it to us at the address below.  Simply run an instant quote, then click "Apply" next to the plan you are interested in and select "download an application."  When the Adobe Acrobat reader opens with the application, use the menu bar at the top to save the application to a file or simply print it out right from the reader.  Simply follow the instructions on the first page and complete the application..

Eligibility

Individual and family health insurance applications go through an approval process called “underwriting”.  Because health insurance is designed primarily to cover you for the unexpected, a company may put a waiver on pre-existing health conditions.  If you have cancer, heart disease, or other serious health conditions you will likely be declined.  Some companies also reserve the right to rate the premium up to cover the cost of current medications, though this is less likely to happen with HSA plans.

Insurance companies also look at the application in regards to your height and weight, and may charge an extra premium if you are over their weight guidelines when you apply.  The height and weight criteria for each health insurance company is confidential to their underwriting department, and we are not allowed to post that information.  But we have put together a Build Chart that shows the maximum amount you can weigh and still be confident that you will not be rated up due to your weight with any company.  If you weigh over this amount, please email us and we can let you know which insurance company would look at your situation most favorably, and what the likely rate-up would be.

If you have questions in regards to your eligibility for coverage due to medical conditions you have been treated for in the last ten years, please send us an email with your question and we will contact you in regard to your best options.

See the chart below for instructions to apply with each insurance company:

Insurance Plan Page

Application Page
Health Savings Account Plans Apply Online
 - Aetna
 - American National
  
 - Anthem Blue Cross Blue Shield of Colorado
 - Blue Cross Blue Shield of Arizona
 - Anthem Blue Cross (in California)
 - Blue Cross Blue Shield of Indiana
 - Blue Cross Blue Shield of Illinois
 - Blue Cross Blue Shield of Louisiana
Apply Online
 - Blue Cross Blue Shield of Missouri
 - Blue Cross of Nevada
 - Blue Cross Blue Shield of Ohio
 - Blue Cross Blue Shield of Tennessee
 - Blue Cross Blue Shield of Texas
 - Blue Cross Blue Shield of Virginia
 - Blue Cross Blue Shield of Wisconsin
 - Blue Shield of California
 - Celtic Health Insurance
 - Golden Rule / UnitedHealthcare
 - Health Net
 - Humana Health Insurance
 - Nationwide / Health Net FB
 - Pacificare / UnitedHealthcare
 - Time Assurant Health
 - World Health Insurance

If you are searching for non-HSA insurance, we also offer Nationwide to our customers:


What Happens after you Apply

When you apply for a health insurance plan through HSA for America, we immediately submit the information to the insurance company's underwriting department.  Before your policy is issued it must be approved.  This process can take anywhere from an hour, to three or four weeks, depending on the insurance company and your particular health history.

We monitor your application while it is in the underwriting process, and keep you informed every week.  We use our experience and connections to make sure your policy gets issued as quickly as possible.  If any additional information is needed, we'll let you know.  We'll inform you as soon as you've been approved, and make sure that you're happy with your coverage.

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We're Here to Help

As you've probably noticed, our website is very complete and should answer most of your questions.  However, if you need personal assistance, we are happy to help.  You may communicate with us in the following ways.
  1. If you have a quick question for us, the best way to get an answer is to fill out our contact form.  We do return emails as quickly as possible, but are often on the phone consulting with clients and so are unable to take incoming calls.

  2. If you are ready to apply, and need to talk to someone briefly before applying, please fill out our contact form with the word URGENT in the message, or call and ask the receptionist to try to patch you through to a consultant.  If you are unable to reach us, tell the receptionist to mark your message as urgent, and we will get back with you as quickly as possible.  (Please note: We do NOT do business in the following states: MA, ME, NH, NJ, NY, RI, and VT.)

  3. If you are serious about choosing a plan, and are looking at a premium of over $300 - $500 per month, you may want to schedule a consultation with us before you sign up for a plan.  We will help you fully analyze all your options, let you know the pros and cons of the various plans you are considering, and give you our professional opinion as to which plans will best meet your needs.  We will then help you get enrolled with the plan you choose.  To learn more about our consultation service, click here.

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How to Establish your Health Savings Account

Once you have applied for a high deductible health insurance plan, you'll want to go ahead and set up your Health Savings Account.  You are not required to establish an HSA, but by funding the account as soon as possible you'll be able to take advantage of the tax-deductions and tax-deferred growth that HSAs offer.

To establish your HSA, follow the steps below:

  1. First, you will need to choose the bank or trustee that you would like to administer your HSA.  While some insurance companies offer to administer your account (only if you have their insurance plan), you may also choose to work with an outside, third party administrator.

    For a list of companies offering HSAs, please visit our HSA Administrator page.  There you'll find information on fees, interest rates, and investment options.

    If you plan on keeping the money invested in an interest-bearing savings account, you'll want to initially look at the fees that the various administrators charge, and choose one with lower or zero fees, such as American Charter Bank.  Many of our customers choose to place their HSA funds with an administrator that offers investment options, such as HSA Resources or HSA Bank.

  2. Once you have chosen your administrator, you will need to download their enrollment form.  You may obtain these forms on our HSA Administrator page by clicking on the name of the company you've chosen.  At the bottom of the administrator's web page, you can obtain their enrollment form by clicking the link that says "Open their Application."

  3. After downloading the proper enrollment form, you will need to send it, along with your opening deposit, to the address listed on the enrollment form.  You will receive your introductory packet, including complete instructions on how to make future deposits and the options you have for withdrawing your funds, in approximately two weeks.

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How to Maximize Your Tax Benefits

An HSA plan is really a pretty simple concept.  You have a high-deductible health insurance plan, which you hope to never use.  But if something big does happen, it will protect your assets and cover your medical expenses.  But there are a few things that you should know that can make a big difference in how much money you spend, and how much money you accumulate in your account.

Because HSA contribution limits are based on the number of months during the year in which you have a qualifying health insurance plan, you should get your coverage in place as soon as possible.

There are basically three different strategies you can take when deciding how to fund your health savings account.

  1. Put no money in the account (or the minimum amount required to open the account), except when you incur a medical expense.  This strategy allows you to legally "launder" any money used to pay medical expenses.  In other words, by depositing money into your HSA, then immediately withdrawing it to reimburse yourself for medical expenses, you are making your medical expenses all tax-deductible.  You may want to use this strategy if you are on a tight budget and want to keep your cash outlay as low as possible.

  2. Fully fund the account, or at least put in as much as possible based on your budget.  Take money out of the account any time medical expenses are incurred, and let the rest grow tax-deferred.  This strategy will maximize your tax deduction, while making your HSA funds available to pay any non-covered medical expenses before your deductible is met.

  3. Fully fund the account, but pay all medical expenses from a non-HSA account.  Reimburse yourself for medical expenses at a later date.  This strategy will allow you to maximize your tax deduction, and will also allow you to maximize the tax-deferred growth of your HSA.  You can then reimburse yourself, tax-free, at any time in the future for medical expenses incurred over the ensuing years.  (For an example of this strategy, see Maximize Your HSA, Issue 3).

To maximize the potential growth of your funds, you may want to make your HSA deposits as early in the year as possible.  Any growth in your account is tax-deferred, like an IRA.

Once you get your health insurance plan established, you may want to set up a Health Reimbursement Arrangement so that your business can cover the cost of your health insurance and other medical expenses, further reducing your taxes.  See our HSA for America Additional Benefits page for more information.

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How to Keep Your Health Insurance Premiums Low

  1. Raise your deductible as your HSA account grows.

    When you fund your account you build up a financial "cushion" which allows you to raise your deductible as your account grows.  Every time you raise your deductible, your premium should go down.

    By the way, don't forget that every time you fund your account you get an instant tax-deduction.  When you offset the tax savings against your premiums, you'll find your net cost for an HSA plan can be very low.

    The maximum allowable contribution goes up every year with the rise of the Consumer Price Index.  In 2010 the individual contribution limit is $3,050, and the family limit is $6,150.  So each year you can deposit greater amounts into your HSA and continue to raise your deductible, if you choose.

  2. Stay healthy, so you can switch plans.

    All health insurance plans have rate increases.  If a rate increase happens to you, you can switch to a different insurance company - but only if you pass their underwriting requirements.  If chronic disease develops, you may be stuck with your current plan, and its accompanying rate increases, for eternity.  Or at least it may seem that long…

    If you pay attention to the pharmaceutical commercials, you learn lifestyle really has nothing to do with disease, and it is natural and healthy to be on many medications for the rest of your life, which will then solve your health problems.

    If you pay attention to the science, you know the truth is quite different. It appears lifestyle is probably 95% of the picture, and we know the occurrence of degenerative disease can be dramatically reduced and even prevented.

    We've found many HSA owners are interested in wellness, and disease prevention.  After all, they're paying for their own doctor visits if they do get sick.  We also believe it is because HSA owners are "forward thinking" people, and like to plan for their future - both financial and physical.  You can improve your odds of excellent health with just a few key habits:

    • Eat very high quantities of fresh vegetables and fruits.  Shoot for 35% of your calories.  This will lower your risk for diabetes, high blood pressure, heart disease, cancer, and more.

    • Limit your intake of sugar and starchy carbohydrates like bread and pasta.  The majority of health problems in the U.S. are related to metabolic diseases that involve insulin resistance, a direct result of eating too many processed foods.

    • Exercise and lift weights.  Exercise guru Jack La Lanne recently turned 93, and he says if you have muscles you never feel old.

  3. Compare your plan to other available plans at least once a year, or whenever you get a rate increase.

    Often-times people keep their plan much longer than they should, and end up paying much more than they should.  If your rates go up, you can compare a wide variety of plans on our Instant Quote System.  If you have your coverage through HSA for America, we automatically do our Annual Comprehensive Policy Review, giving you an analysis of available plans any time we are notified of a rate increase or a change in your current situation.

  4. Subscribe to Maximize Your HSA.

    Maximize Your HSA is a free monthly newsletter we publish via email, where we keep you informed on innovative ways to lower your health insurance costs, lower your health expenses, and maximize the benefits you get from your HSA.

    You can also keep up with current news and information on Health Savings Accounts by visiting our HSA Blog.

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How to Reduce Your Medical Expenses and Income Taxes

HSA for America has several free programs that give you access to the lowest wholesale prices on lab tests, prescription drugs, and even hospital bills.  Learn how to track your medical expenses for tax purposes, and how to establish a Health Reimbursement Arrangement to lower your taxes even further:  HSA for America Additional Benefits.

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How to Save Money on Plans for Small Groups

Group coverage has become quite expensive, making it increasingly difficult for the small business owner to provide health insurance coverage for his or her employees.  An alternative we recommend for healthy small groups of less than 20 employees is to let the employees sign up for individual health insurance coverage instead of a group plan.  Individual plans are underwritten, so not everyone can qualify.  But as a result they are much less expensive, typically costing half of what group plans charge.  The employees benefit by having permanent coverage that they can take with them if they ever leave the business.

If you would like to help your employees with the cost of their health insurance, in most states you can set up a health reimbursement arrangement, or HRA, which will reimburse employees for the cost of their health insurance as a tax-free fringe benefit.  To learn more, see our Small Group HSA Plans page.

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