1. $ $ $ $ HDHP High Deductible Health Plan HSA Health Savings Account
Premium $ $ $ $
HDHP
High Deductible Health Plan
HSA
Health Savings Account
Max Annual Contributions to your Bank or Credit Union HSA Account
$0 to $3,400 - Single
$0 to $6,750 – Family
Catch-up Contribution available at age $1,000 – Max
Health Plan Deductible
$1,300 / $6,550 max – Single
$2,600 / $13,100 max – Family
Out of Pocket Maximums *******Health Plan Not to Exceed
$6,550 Single $13,100 Family
You Select your Co-insurance of 80% or 100% after Deductible at time of enrollment

2. Qualified Medical Expenses
Savings
Premium $ $ $ $
HDHP
High Deductible Health Plan
HSA
Health Savings Account
Qualified Medical Expenses
Doctor & Hospital Expenses
Surgeries
Prescription Drugs
Lab & X-ray
Dental & Vision
Physical Therapy
Out of Pocket Expenses from Health Plan
See IRS Guide 502 for Full List
Tax Deductible
Tax Deferred – 2% Interest (Example) at your Bank or Credit Union
Tax Free Withdraws for Eligible Medical Expenses
Your Money!
Before Age 65
20% Tax Penalty For Non -Medical Expenses
Reported As Earned Income
After Age 65
Penalty Free Non – Medical Withdraws
No Use It Or Lose It Rule!