
BCBS HSAs offer triple tax benefits, meaning contributions, earnings, and withdrawals for qualified medical expenses are tax-free.
By setting aside a portion of your paycheck in a BCBS HSA, you can save up to $7,300 for an individual or $14,600 for a family in annual contributions.
HSAs are portable, so you can take them with you if you change jobs or retire, and use the funds for qualified medical expenses at any time without penalty.
Out-of-Pocket Costs
Out-of-Pocket Costs can be a challenge, but understanding them can help you plan ahead. You'll have to pay for non-preventive services and prescriptions until you reach a deductible.
The deductible is $1,650 for employee coverage in 2025, and $3,300 for employee + spouse/domestic partner, employee and child(ren) or family coverage. This is the amount you'll need to pay before your health plan kicks in.
Once you've reached your deductible, you'll still have to pay co-insurance and copays for prescriptions until you hit your out-of-pocket maximum. This is the total amount you'll pay out-of-pocket for health care in a given year, excluding premiums.
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For employee coverage, the out-of-pocket maximum is $3,000, while for employee + spouse/domestic partner, employee and child(ren) or family coverage, it's $6,000. This is the amount after which your health plan will cover 100% of non-preventive services.
Here's a breakdown of the out-of-pocket maximum for different coverage levels:
Remember, the deductible and out-of-pocket maximum won't be pro-rated if you add the HDHP during the year. So, it's essential to understand these costs upfront to plan your expenses accordingly.
Plan Limits
The IRS sets limits on how much you can contribute to your HSA each year, so it's essential to stay within those limits to avoid tax penalties. If you exceed the limits, you may be liable for IRS tax penalties unless you remove excess contributions before filing your taxes.
The individual coverage contribution limit for 2023 is $3,850, increasing to $4,150 in 2024 and $4,300 in 2025. If you have family coverage, the limits are $7,750 in 2023, $8,300 in 2024, and $8,550 in 2025.
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In addition to these limits, there's also an additional catch-up contribution for individuals 55 and over, which remains at $1,000 per year through 2025.
Here's a breakdown of the contribution limits:
Remember to deduct any state contribution you receive from the federal limit to determine your personal contribution limit.
Medicare and BCBS
If you're enrolled in Blue Cross Blue Shield (BCBS) and are considering Medicare, it's essential to understand how these two plans interact with your Health Savings Account (HSA). If you enroll in Medicare while funding an HSA, you may incur an excess contribution tax penalty.
Individuals enrolled in BCBS' High Deductible Health Plan may receive MIT seed money and contribute to their HSA until they retire as long as they defer enrollment in all parts of Medicare.
You'll pay tax penalties if your HSA contributions and your Medicare enrollment overlap. To avoid these penalties, it's recommended to stop contributing to your HSA 6 months before enrolling in Medicare.
The IRS will consider you to have had access to Medicare for 6 months prior to your enrollment date. For example, if you become eligible for Medicare in August 2023 but don't retire and enroll in Medicare until October 2025, the IRS will backdate your Medicare enrollment eligibility to April.
If you enroll in Medicare during your HSA testing period, you'll pay back taxes plus an additional 10 percent tax. An HSA testing period is the full year after you enroll in an HSA midyear if you make the maximum contributions when you first sign up.
Here are some possible penalties you might face if you enroll in Medicare while funding an HSA:
- You'll be subject to back taxes on any contributions made after your Medicare enrollment date.
- Your contributions after you're enrolled in Medicare might be considered “excess” by the IRS, and you'll be taxed an additional 6 percent when you withdraw them.
- You'll pay back taxes plus an additional 10 percent tax if you enroll in Medicare during your HSA testing period.
Managing Your
Managing Your HSA is a breeze with the right tools. You can open and contribute to your HSA automatically with UMB Bank, the custodian of the BCBSRI HSA.
The State contributes up to $1,600/$3,200 for individual/family coverage each plan year, with half deposited in January and the other half in July. This contribution is not pro-rated for employees who enroll after January 1 and July 1.
To manage your HSA contributions, you can use Workterra. If you submit your contribution amount in Workterra between a certain date and another date, the new contribution amount will be reflected in your next payday. Here's a breakdown of the dates:
The maximum contribution amount allowed by the State payroll system for a given pay period is $999.99. You can also use the Blue Solutions app to manage your HSA, check your account balance, and make contributions from your checking or savings account.
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Taxes and Contributions
You can contribute up to $3,850 to your HSA if you have individual coverage, or up to $7,750 if you have family coverage, according to the IRS limits.
These limits apply to both you and your employer, and exceeding them can result in IRS tax penalties unless you remove the excess contributions before filing your taxes.
You can remove excess contributions by contacting BCBRI, and the deadline is before you file your taxes.
The IRS sets annual limits on HSA contributions, and these limits are the same for both individual and family coverage.
Here are the annual limits for 2023, 2024, and 2025:
You can take money out of your HSA income tax-free for qualified medical expenses, thanks to the triple tax advantages of an HSA.
This means you can put money in tax-free, grow your savings tax-free, and take the money out tax-free for qualified medical expenses.
To report your HSA contributions and distributions, you'll need to file Form 8889 with your federal income tax return.
You'll also receive Form 1099-SA if you had any distributions from your HSA, and BCBSRI will send you Form 5498-SA to report your total contributions.
State Taxes
Contributions to your HSA are exempt from Rhode Island state taxes, just like they are from federal taxes. This means you won't have to worry about paying state taxes on your HSA contributions, account earnings, or distributions for qualified medical expenses.
To take advantage of these tax benefits, make sure to keep track of your HSA contributions and distributions. You can do this by logging in to your account at mybcbsri.com and checking your HSA statements.
If you need to name beneficiaries for your HSA, you'll need to have the last four digits of their Social Security numbers handy. This is an important step to ensure that your beneficiaries can access your HSA funds if something happens to you.
Here are the three IRS forms you'll need to be familiar with when it comes to your HSA:
- Form 8889: This form is filed with your federal income tax return to report your total HSA contributions and distributions for the tax year. You can get this form by logging in to your account at mybcbsri.com and clicking "Your HSA".
- Form 1099-SA: This form provides the total distributions that were made from your HSA during the year. If you had any distributions, BCBSRI will send you this form in January following your plan year.
- Form 5498-SA: This form reports the total contributions made to your HSA for the tax year covered by the form. BCBSRI will submit this form directly to the IRS, as required by law.
Frequently Asked Questions
Are HSA better than PPO?
HSAs offer a long-term advantage over PPOs by allowing you to save for future healthcare expenses and roll over funds each year. This sets them apart from traditional PPO plans.
What is BCBS health savings Plan?
Blue Cross Blue Shield (BCBS) Health Savings Plan is a medical savings account that allows you to pay for eligible medical expenses tax-free, combining health insurance with a savings component
What is the downside of an HSA?
HSAs come with tax penalties for non-medical expenses before age 65 and may be subject to penalties if contributions are made too close to Social Security benefits.
What is the difference between Blue Cross Blue Shield HSA and PPO?
A Blue Cross Blue Shield HSA is a savings account for healthcare expenses, while a PPO is a type of health insurance plan that offers flexibility in choosing healthcare providers. Choosing between the two depends on your individual healthcare needs and financial goals.
How do I access my HSA account?
To access your HSA account, use your HSA Bank Health Benefits Debit Card at point-of-sale with signature or PIN, or check your current balance. Your debit card can only be used for medical expenses at approved merchants.
Sources
- https://hr.mit.edu/benefits/health/hdhp
- https://individual.carefirst.com/individuals-families/health-insurance-basics/health-insurance-costs/hra-hsa-fsa.page
- https://employeebenefits.ri.gov/benefit-programs/active-employees/health-benefits/health-savings-accounts-hsa
- https://www.azblue.com/inspire-health/blog/hsa-vs-fsa-breaking-down-the-difference
- https://www.bcbst.com/our-plans/employer-group-plans/hra-hsa-fsa-information
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