Horizon MyWay HSA

Horizon MyWay HSA pairs a high-deductible health plan with a Health Savings Account (HSA) to cover eligible medical expenses. Once the deductible is met, your health care expenses are paid according to the terms of your health plan. Unused HSA funds roll over from year to year and are portable. That means you can access your HSA funds regardless of employer, age, marital status changes, future medical coverage, or state of residence. What's more, your HSA funds are held in a money market fund and accrue tax-free interest.

Horizon MyWay HSA has three main components:

A high-deductible health plan, such as Horizon Direct Access® or Horizon PPO
A Health Savings Account
Tools and resources to help members make informed decisions about health care and related spending

HSAs were established by the Medicare Modernization Act of 2003 with an effective date of January 1, 2004. HSAs are available to individuals with a qualified, high-deductible health insurance plan. The health insurance plan is paired with a savings account to cover eligible medical expenses not covered by the health insurance plan.

How do you use your HSA funds?

HSA funds can be used for any of the following:

Save for future medical expenses.
Help bridge the gap to benefits until they meet the annual health plan deductible.

HSA funds are portable, which means that you can access your account regardless of a change of employer, age, marital-status changes, future medical coverage, or state of residence. HSA funds roll over from year to year.

Who Funds the HSA?

Both you and your employer can contribute to an HSA. Contributions to HSAs are 100 percent tax deductible. Although HSA contributions must stop when you enroll in Medicare, you can continue to access your HSA balances. Annually, your HSA can be funded up to the lower amount of the deductible or the maximum specified by law.

HSA Investment Option

Each HSA is held in an interest bearing account. Once the account reaches a balance determined by our financial institution, there is the option to invest the dollars in a variety of mutual funds.

Accessing HSA Funds

There are two convenient ways in which you can access HSA dollars:

A Horizon MyWay VISA/Debit Card
Checks

You can access your account information via the phone and the Web.

If you are covered by a qualified, high-deductible health plan, you are eligible to open a Horizon MyWay HSA.

If you are covered under another nonqualified, high-deductible health plan, you are not eligible. For example: If you are covered by your spouse’s plan that is not a qualified, high-deductible health plan, you are not eligible, even if your spouse’s group has its own qualified, high-deductible health plan.

Specified disease coverage, hospital indemnity, vision, dental, accident, and disability do not count as other coverage.

If you can be claimed as a dependent on another person’s tax return, you are not eligible.

If you are enrolled in Medicare, you are not eligible to contribute to an HSA. You can, however, still use accumulated funds.

What's Covered

Eligible health care expenses are defined by the IRS as amounts paid for the diagnosis, cure, mitigation or treatment of a disease and for treatments affecting any part or function of the body. The expenses must be primarily to alleviate a physical or mental defect or illness.

With this definition in mind, we have listed below many of the medical expenses eligible for payment under Horizon MyWay to the extent such expenses are not covered by your medical or dental insurance. This list is not meant to be all inclusive. Other expenses not specifically mentioned may also qualify. For additional information, please refer to Medical and Dental Expenses, or Section 213(d) of the Internal Revenue Code.

DENTAL SERVICES

Crowns/Bridges
Dental X-Rays
Dentures
Exams/Teeth Cleaning
Extractions
Fillings
Gum Treatment
Oral Surgery
Orthodontia/Braces

INSURANCE-RELATED ITEMS

Insurance Premiums
Pre-existing Condition Expenses (medical)
Private Hospital Room Differential

LAB EXAMS/TESTS

Blood Tests
Cardiographs
Diagnostics
Laboratory Fees
Metabolism Tests
Spinal Fluid Tests
Urine/Stool Analyses
X-Rays

MEDICATION

Insulin
Over-the-Counter Medicine (to treat illness or medical condition)
Prescribed Birth Control
Prescribed Vitamins (to treat a specific disease and not available over the counter)
Prescription Drugs*

OBSTETRIC SERVICES

Midwife Expenses
Ob/Gyn Exams
Ob/Gyn Prepaid Maternity Fees (reimbursable after date of birth)
Postnatal Treatment
Prenatal Treatment
Prescribed Prenatal Vitamins

PRACTITIONERS

Allergist
Chiropractor
Christian Science
Dermatologist
Homeopath
Naturopath
Osteopath
Physician
Psychiatrist
Psychologist

OTHER MEDICAL TREATMENTS/PROCEDURES

Acupuncture
Alcoholism (in patient treatment)
Biofeedback Therapy (in medically necessary situations)
Cosmetic Surgery (if medically necessary due to a congenital defect)
Drug Addiction
Hearing Exams
Hospital Services
Infertility
In-Vitro Fertilization
Norplant Insertion or Removal
Patterning Exercises
Physical Examination (not employment related)
Physical Therapy
Speech Therapy
Sterilization
Transplants (includes organ donor)
Vaccinations/Immunizations
Vasectomy and Vasectomy Reversal
Well Baby Care

OTHER MEDICAL EQUIPMENT, SUPPLIES AND SERVICES

Abdominal/Back Supports
Ambulance Services
Arches/Orthopedic Shoes
Contraceptives, Prescribed
Counseling
Crutches
Guide Dog (for visually/hearing impaired person)
Hearing Aids and Batteries
Hospital Bed
Lead Paint (if not capital expense and incurred for a child poisoned)
Learning Disability (special school/teacher)
Medic Alert Bracelet or Necklace
Oxygen Equipment
Prescribed Medical and Exercise Equipment
Prosthesis
Splints/Casts
Support Hose (if medically necessary)
Syringes
Transportation Expenses (essential to medical care)
Tuition Fee at Special School for Disabled Child
Wheelchair
Wigs (hair loss due to disease)

VISION SERVICES

Artificial Eyes
Contact Lenses
Contact Lens Solution
Eye Examinations
Eyeglasses
Laser Eye Surgeries
Ophthalmologist
Optometrist
Prescription Sunglasses
Radial Keratotomy/LASIK

INELIGIBLE EXPENSES

The following expenses are not allowed by the IRS to be reimbursed under Horizon MyWay to promote general health and are not eligible expenses unless prescribed by a physician for a specific medical ailment. This is not an all-inclusive list.

Baby-Sitting and Child Care
Calcium Supplements
Canceled Appointment Fees
Contact Lens Insurance
Cosmetic Surgery/Procedures
Dancing/Exercise Programs
Diaper Service
Discounts/Write-Offs
Electrolysis
Exercise Equipment*
Eyeglass Insurance
Fitness Programs*
Hair-Loss Medication
Hair Transplant
Health Club Dues
Herbs and Herbal Medicines
Homeopathic Drugs
Illegal Operations or Treatments
Interest Charges
Lamaze Classes
Marriage Counseling
Massage Therapy**
Maternity Clothes
Personal Trainer
Pregnancy Test (over the counter)
Prenatal Vitamins (over the counter)
Prescription Drug Discount Program Premiums
Retin A*
Rogaine*
Smoking Cessation Products (over the counter)
Special Foods* (cost difference of common product)
Student Health Fees
Supplements
Swimming Lessons
Teeth Whitening/Bleaching
Toiletries, Toothpaste, etc.
Vision Discount Program Premiums
Vitamins
Weight Loss Programs**

* Generally ineligible; in limited situations, eligible only with doctor's certification identifying a qualifying medical diagnosis, medical necessity and length of treatment program.

** Eligible only with doctor's certification identifying the physical nature of the medical condition and length of treatment program. Massage therapy for the sole purpose of tension/stress relief does not qualify as an eligible expense. Over-the-counter products/medications deemed for "medical care" will be considered reimbursable. "Medical care" includes amounts paid for the diagnosis, cure, mitigation, treatment or prevention of disease. Amounts paid for medicines and drugs are expenditures for medical care, but expenditures that are merely beneficial to the general health of an individual are not.

This list is subject to change. For an updated list, please check with the person in charge of benefits at your company.