Using Your Cigna High Deductible Health Plan

1
Using Your Cigna High Deductible Health Plan JP
Morgan Chase Health Savings Account

• Episcopal Diocese of Texas
• Clergy and Diocesan Staff
• February 2008

2
Going to a Provider

• Provide your new insurance information when you
  call to make the appointment.
• No payment at time of service. Your provider
  will code the visit and bill it to insurance
  (reminder to providers on the back of your Cigna
  ID card).
• Cigna will send you an Explanation of Benefits
  (EOB) advising the negotiated rate.
• Preventive care paid at 100 in-network all
  other services subject to the deductible and
  co-insurance.

3
How to Pay the Provider
Visit Provider
Provider files claim with Cigna
Cigna sends you Explanation of Benefits (EOB)
You have Automatic Claims Forwarding (ACF), so
Cigna withdraws funds from HSA to pay provider
You pay provider in one of the following ways
HSA Checkbook
HSA Debit Card
Personal Funds
To request ACF, download form at www.mycigna.com
4
Prescription Benefits

• Prescriptions are the only item you should pay
  for at time of service.
• You will be paying the negotiated rate there
  are no co-pays with this plan.
• Co-insurance amounts take effect once you have
  met your deductible.
• If you pay out of pocket, you can reimburse
  yourself for the cost of the prescription with
  your HSA check book or debit card.
• It is important to keep your receipts.

5
Purchasing Prescriptions
Retail Prescriptions
Mail Order Prescriptions
Visit www.medco.com or pharmacy websites for
price comparisons
Visit www.medco.com or pharmacy websites for
price comparisons
Submit prescription
Submit prescription
Pay for Prescription three ways
Set up payment for Prescription two ways
HSA Checkbook
HSA Debit Card
Personal Funds
HSA Debit Card
Personal Credit Card
6
Your Health Savings Account

• Diocese contributes 80 of deductible for 2008.
• Initial funding equals one quarter of the
  diocesan contribution and the remaining funding
  is paid out monthly starting in February.
• Employee has the option to fund the remaining IRS
  limit ( 5800 Family, 2900 Single) into the HSA
  through payroll deduction or a personal or Church
  check made out to the Diocese of Texas.

7
Tax Information

• JP Morgan Chase will provide you and the IRS the
  following annually
• Form 5498-SA reports HSA contributions made by
  your employer and you
• Form 1099-SA reports all HSA distributions
• You will be responsible for completing Form 8889
  along with your Form 1040
• KEEP YOUR RECEIPTS!

8
HDHP/HSA Contact Information