Aetna Open Access Managed Choice – HDHP with HSA

Available in and out of California

The Aetna Open Access Managed Choice – HDHP has an optional tax-free Health Savings Account (HSA), which you can use for eligible health care expenses whenever you need it—now or in the future (even in retirement).

How this plan works
More about the HSA

How this plan works

  • Costs less per paycheck in exchange for a higher deductible.
    • In-network deductibles: $1,800 individual/$3,600 family
    • Out-of-network deductibles: $4,000 individual/$8,000 family
  • You have the option of contributing on a pre-tax basis to a Health Savings Account (HSA) to help pay for health care expenses now and in the future.
  • Omnicell will contribute $750 per year for employee only coverage and $1,500 per year for family coverage; prorated for employees starting during the year. Omnicell’s contribution is distributed over 26 pay periods. You must enroll in the HSA to receive Omnicell’s contribution.
  • You can also contribute pre-tax money to your account.
    • In 2019, you can contribute up to a total contribution (Omnicell's and yours combined) of $3,500 pre-tax for employee only coverage or $7,000 pre-tax if you cover one or more eligible family members. Participants who will be 55 or older in 2019 can contribute an additional $1,000.
  • You can use any provider you choose, but you’ll pay less when you use in-network providers.
  • Preventive care is free when you use in-network providers. This includes services such as annual physicals, routine screenings, and immunizations.
  • After you meet the in-network deductible, you pay 20% of the cost of most other in-network covered services.
  • When you use non-network providers, you'll need to meet the non-network deductible before anything is covered. After you meet the non-network deductible, you'll pay 40% of the cost of doctor visits and most other covered services. You may also pay more, since non-network providers are not subject to negotiated rates.

More about the HSA

The HSA offers you optional tax-advantaged savings to use now or later for eligible health care expenses. You’re in control of how you spend or save your HSA money, and you always own 100% of your account balance. You can even take it with you if you change plans, leave the company, or retire.

Who is eligible?

To be eligible for an HSA, you must:

  • Be enrolled in the Aetna Open Access Managed Choice – HDHP with HSA;
  • Elect to be enrolled in the HSA (you do not have to make a contribution in order to receive the employer contribution);
  • Have no other health care coverage;
  • Not be enrolled in Medicare; and
  • Not be claimed as a dependent on someone else’s tax return.
  • If you enroll in a Health Savings Account (HSA), you may not enroll in the Health Care flexible spending account (FSA). However you can enroll in the Limited Purpose FSA.
  • Please note if you are a COBRA participant and enrolled in the Aetna Open Access Managed Choice – HDHP, you are not eligible to participate in the HSA.

How much does Omnicell contribute to your HSA?

Omnicell will contribute $750 per year for employee only coverage and $1,500 per year for family coverage to your HSA. The 2019 HSA limit (Omnicell's and your contributions combined) is $3,500 pre-tax for employee only coverage or $7,000 pre-tax if you cover one or more eligible family members. Participants who will be 55 or older in 2019 can contribute an additional $1,000.

How much can you contribute to your HSA?

The maximum amount you and Omnicell can contribute to your HSA for 2019 is $3,500 pre-tax for employee only coverage or $7,000 pre-tax if you cover one or more eligible family members. Participants who will be 55 or older in 2019 can contribute an additional $1,000.

What can you use it for?

You can use your money for eligible health care expenses whenever you need it—now or in the future (even in retirement). You can use your HSA to pay for many out-of-pocket health care expenses, including coinsurance and deductibles. Visit the Aetna website for a more comprehensive listing of HSA-eligible expenses. The account works much like a regular bank account. You’ll receive a debit card to pay for expenses. You’ll also be able to request checks. You cannot use the money in your HSA to pay for non-health care-related expenses. If you do, you will be taxed and penalized according to IRS rules. Please note: If you have domestic partner coverage, the domestic partner must be considered an IRS tax dependent in order for your HSA funds to be used for the domestic partner’s medical expenses.

How to open an HSA

When you enroll in the Aetna Open Access Managed Choice – HDHP with HSA, you can elect to open an HSA and input the amount you wish to contribute. For 2019, you can contribute up to $3,500 pre-tax for employee only coverage or $7,000 pre-tax if you cover one or more eligible family members. Participants who will be 55 or older in 2019 can contribute an additional $1,000.

Can I have both a Health Care FSA and an HSA?

If you choose to open an HSA, you cannot participate in a Health Care FSA. However, you can participate in a Limited Purpose FSA, which you can use to offset any eligible dental and/or vision care expenses.

How the HSA Works

Plan Feature At Aetna Providers
Preventive Care No Charge
Prescriptions
(after deductible is met)

$0 Generic
$30 Formulary Brand
$50 Non-Formulary Brand

HSA Account: Omnicell Contribution
Individual
Family
$750
$1,500
HSA Account: Your Contribution
Individual
Family
Up to $3,500 for 2019 (your contribution and Omnicell's $750 contribution)
Up to $7,000 for 2019 (your contribution and Omnicell's $1,500 contribution)
Your Deductible
Individual
Family
In-network: $1,800 individual/$3,600 family
Out-of-network: $4,000 individual/$8,000 family
Coinsurance
Most in-network covered services
(after deductible met)
Plan pay 80%; you pay 20%
Annual Out-of-Pocket Maximum (including deductible)
Individual
Family
$4,000
$8,000