Teamworks 

HSA High Deductible Health Plan

The HSA High Deductible Health Plan (HSA-HDHP) features a high deductible health plan plus a health savings account (HSA) partially funded by Wells Fargo and administered by Wells Fargo Health Benefit Services.

How the Plan Works

  • Coverage includes access to the UnitedHealthcare Choice Plus provider network (Medica Network in MN, ND, SD).
    • Preventive care is covered 100% if you use a network provider.
  • Prescription drugs are administered by Medco.
  • All other care including, nonpreventive medical care, mental health and substance abuse care, and prescription drugs are subject to the plan's deductible and coinsurance provisions.
    • In-network deductibles of $2,000 for individual and $4,000 for family must be satisfied before the plan pays 80% of eligible claims.
    • The maximum annual out-of-pocket for in-network expenses is $4,000 for individual and $8,000 for family, including the deductible.
  • Wells Fargo contributes $350 for individual coverage, $750 for family coverage to an HSA each year.
  • You may contribute additional tax-free funds to your HSA.

How Funds Are Used

  • HSA funds may be used to pay for deductible and eligible medical expenses, or you may save your funds HSA funds for future use.
  • HSA funds left in the account each year roll over to the following year for future health care expenses.
  • When you leave Wells Fargo, you may take any unused funds in your HSA with you.

Planning Tools

Plan with confidence using online tools from Wells Fargo Health Benefit Services at www.wfhbs.com.

Note: If you enroll in the HSA High Deductible Health Plan in 2009, you cannot enroll in a Health Care Flexible Spending Account in 2009.

Learn More

To help you decide if the HSA-HDHP fits your needs:

 

Published 10/06/2008

Enroll in Benefits November 10 – 21, 2008

Questions

HR Service Center
1-877-479-3557
TDD/TTY
1-800-988-0161