HSA Qualified plans

These lower-premium, high-deductible health plans give members affordable coverage and the flexibility to choose any provider in the Signature network. They also help members save for future health care needs via a tax-advantaged health savings account. Members can keep this account even if they change employers. 

HSA Qualified plans offer:

  • Provider choice in or out of the Providence Signature Network
  • Lower premiums with most services subject to the deductible
  • In-network preventive care and routine vision services that are covered before the deductible
  • Deductible waived on diabetic supplies
  • Integrated health savings account administration, available through HealthEquity, to simplify employee account setup and contributions
  • A seamless member experience for tracking and paying HSA Qualified plan expenses through integrated claims processing with HealthEquity
  • Pediatric dental coverage
  • Adult vision exam coverage
  • Up to 10 combined chiropractic manipulation and acupuncture visits per year; deductible applies

Cost-sharing ranges for in-network benefits

PCP Coinsurance  30% - 50%
Coinsurance 30% - 50%
OOP Maximum $6,650
Deductible $1,700 - $6,650
Rx Preferred Generic 30% - 50%
Rx Non-Preferred Generic 30% - 50%
Rx Preferred Brand 30% - 50%
Rx Non-Preferred Brand 30% - 50%
Preferred Rx Specialty 50% with a $200 per script cap
Non-preferred Rx Specialty 50%

Benefit highlights

View the plan details for all five HSA qualified plan options.

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