1. HSA 2013
North Memorial Health Care
U.S. Bank
November, 2012

2. It’s time to take control
Your health
Your savings
Your future
Your choice
Today’s employees are challenged to make the most out of their healthcare dollars and the decisions they make in selecting benefit coverage.
Consumer Driven Healthcare plans are on the rise and provide an economical way to ensure coverage while depositing money into your own account to pay for healthcare expenses

3. Highlights of a HSA-Qualified Health Plan?
Lower health insurance premiums
100% preventive care coverage*
Greater flexibility and control in how your healthcare dollars are spent
Ability to contribute to a tax-advantaged HSA
Consumer Driven Healthcare Plans offer lower premium costs and may allow you to set aside tax-free dollars in a Health Savings Account to pay for current or future healthcare expenses.
Your Consumer Driven Healthcare Plan provides 100% coverage for Preventive Care so you still get the typical preventive care; annual physicals, immunizations , etc at no additional cost.
Why pay more towards our insurance premium when you can put those funds in your account?
* Depends on health plan design

4. Highlights of a Health Savings Account (HSA)?
Triple-tax savings
Contributions are tax-deductible*
Tax-free earnings
Tax-free withdrawals from an HSA when used to pay for qualified medical expenses
Control over your healthcare spending
No “use-it-or-lose-it” requirement; grow your account balance year over year
The funds and account is yours and goes with you even if you change jobs or insurance coverage
An HSA is a tax-advantaged account established to pay for qualified medical expenses. Think of it as a “401(k) or IRA for Healthcare”
Funds are contributed on a pre-tax basis. Interest and investment earnings are tax free like a 401(k) or IRA. Withdrawals are also tax-free if used for qualified medical expenses. HSAs give you control over how and when your healthcare dollars are spent or saved for retirement.
* Not tax-deductible at state level in CA or WI

5. Making Contributions to an HSA
Contribute on a pre-tax basis
Contributions through your employer via payroll deduction
Contribute on an after-tax basis*
Use the online contribution tool to electronically debit your personal checking or savings account
Use the online HSA deposit form and mail with your personal check
Contribution limits (2013):
Single Coverage - contribute up to $3,250
Family Coverage - contribute up to $6,450
Catch-Up Contribution: age 55 or older – up to an additional $1,000
*Deduct after-tax contributions from taxable income when filing your personal tax return as an above-the-line deduction
Contributing to your HSA is easy. By contributing via payroll deduction, you maximize your tax savings.
If you choose you can contribute on an “after-tax” basis by using the on-line contribution tool or by printing an on-line deposit form from your account and mailing it with a personal check to the P.O. Box listed on the deposit form

6. Using Your HSA Funds Use your Payment Card at a Pharmacy
Fill a prescription or purchase qualified over-the-counter medication that has been prescribed by a doctor, as defined in IRS Publication 502
Swipe your Payment Card
Save a copy of receipt for your records
Use your Payment Card at a Healthcare Provider /Hospital
Pay your co-pay or deductible when you check in
Provider submits claim to insurance carrier
Health plan adjudicates claim and sends out Explanation of Benefits (EOB)
Provider sends you a final bill
Provide your method of payment:
Provide HSA payment card information on the bill and mail
Use your U.S. Bank Payment Card for your healthcare spending needs

7. Additional Ways to Pay with Your HSA
Healthcare Provider /Hospital
Pay your co-pay or deductible when you check in
Provider submits claim to insurance carrier
Health plan adjudicates claim and sends out Explanation of Benefits (EOB)
Provider sends you a final bill
Go online and use Bill Pay to issue payment to your doctor
Reimburse yourself for expenses paid out of pocket by going online and initiating a direct deposit reimbursement

8. Qualified Medical Expenses
IRS Publication 502* contains a list of all approved qualified medical expenses, including:
Doctor’s office visits
Prescriptions
Some over-the-counter items
Hospital visits
Acupuncture
Chiropractor
Eyeglasses and contact lenses
Dental treatment
Eye surgery
Smoking cessation programs
Therapy
*IRS Publication 502 can be found on-line at under Useful Links & Resources.
A variety of expenses you can pay for with your HSA funds. HSA-eligible expenses exceed what is typically covered by your health plan
Save up to 35% on things you already buy (i.e. over the counter medications) by using pre-tax dollars to pay for those purchases!

9. U.S. Bank CDH Solution
Healthcare Payment Solutions is an integrated, web-based solution built specifically for Consumer Driven Healthcare (CDH) 9

10. 24/7 Access to Information and Education
Interactive online demonstration
What is an HSA?
How does an HSA work?
Why use an HSA?
Frequently Asked Questions
HSA specific
HSA investments
Healthcare Toolbox
Resources to help you make informed healthcare decisions
Tools to help you manage your healthcare spending
Also have FSA and HRA demos and FAQs

11. U.S. Bank Online Healthcare Toolbox
Our Healthcare Toolbox provides smart, easy-to-use interactive tools to help manage healthcare spending and reduce costs.
WebMD® Coverage Advisor – evaluate health insurance options, determine OOP costs and model HSA and/or FSA contribution levels
WebMD ® -WebMD is one of the leading sources for trustworthy and timely health and medical news, helping individuals take an active role in managing their own health and wellness
MayoClinic.com – provides an array of health information, medical services and education & research
Expense Tracker - Pitch the shoebox! Our Healthcare Expense Tracker enables you to consolidate and manage your healthcare bills. Simply enter your expenses online, track and categorize them, and securely upload a receipt.

12. Enrollment Experience
Enroll in the Health Plan through the employer and elect the U.S. Bank HSA
Employer processes enrollment file
Payment Card(s) are ordered and mailed
Employees receive “welcome” notification via
Complete on-line enrollment process
Reimbursement options
Dependents
Beneficiaries
Terms and Conditions acceptance
Order additional cards for dependents

13. Managing Your HSA Online
Online capability to request additional card(s) for spouse and dependents
Convenient online Bill Pay and direct deposit reimbursement options
Update dependent information, designate beneficiaries, etc.
Automated reminders and notices
Access to important decision support tools to make informed healthcare decisions

14. Your U.S. Bank HSA Balance Information Contributions Distributions
Account summaries
Accountholder forms
Investment information
Helpful Links
Once you sign into your HSA, you can conveniently access a variety of account information and important tools to help you become a smarter healthcare consumer!

15. U.S. Bank Healthcare Mobile
“I’m on my way to the doctor. Do I have an adequate balance?”
“I just purchased a prescription at my pharmacy. Will my HSA balance cover the cost?”
Manage your HSA on-the-go w/ U.S. Bank Healthcare Mobile! Check balances 24/7, view important alerts about deadlines affecting your account, save your user and password with a convenient 4-digit passcode and access your account from your iPhone, iPod Touch or iPad. 15

16. U.S. Bank Healthcare Expense Tracker
Add a new expense
Detail expense information (date-of-service, amount, provider, etc.)
Update existing expense
Add or view receipt images 16

17. HSA Investment Experience
Access investment account information such as balance and fund performance
Manage your investment account online (i.e. buy and sell funds)
Once your HSA meets a designated investment threshold, you can investment in a variety of load-waived mutual funds.
There are no additional costs for opening your investment account or making transactions, a great way to plan for your future!

18. Your Responsibilities
Always save your receipts
No third party substantiation of how your money is spent
IRS may need receipts if you are part of a general IRS audit
Tax Reporting
U.S. Bank will send you IRS Form 1099 only if you distributed funds out of your HSA in the prior year
U.S. Bank will provide you IRS Form 5498 online to download if you contributed funds to your HSA
Complete form 8889 annually when you do your taxes
You are solely responsible for how you spend your HSA dollars

19. Accountholder Support
HSA Consumer Services Representatives available Monday through Friday,
7:00 a.m. to 7:00 p.m. (CST) –
Monthly statements available online or mailed to your residence
Annual IRS reports are provided
Interactive Voice Response (IVR), 24/7 –
U.S. Bank is committed to providing you with access to information when you need it.
Annual IRS reports– 1099 (how much you spend) mailed by end of Jan; 5498 (how much you contribute) mailed in May.

20. Thank you

21. Important Information
This Health Savings Account (HSA) is a custody account with U.S. Bank serving as the custodian. Terms and conditions of the HSA are included in your HSA application and agreement. U.S. Bank deposit products that are held in the HSA are FDIC insured, subject to FDIC insurance limits. FDIC insurance is determined on end-of-day ledger balances in your deposit account which may include funds deducted from your available balance for investment purchases that have not yet settled.
Non-deposit investment products, such as mutual funds, are not deposits or obligations of, or guaranteed by U.S. Bank or any of its affiliates, nor are they insured by the Federal Deposit Insurance Company (FDIC), or any other government agency. Past returns of investment products do not guarantee future results. Mutual fund prospectuses provide detailed information about fund investment objectives and fees. Read a mutual fund's current prospectus carefully before investing.
U.S. Bank does not provide legal, tax, or investment advice to HSA accountholders. Contact a qualified accountant, attorney or investment adviser for tax, legal or investment advice.