Gold Plan Payout - Individual

ExpensesIndividual / HSA PaysTrust Fund Pays
$0 - $5,000100%0%
$5,000 - $20,000 10%90%
$20,000 and Up *0%100%

Gold Plan Payout - Family

ExpensesFamily / HSA PaysTrust Fund Pays
$0 - $6,000100%0%
$6,000 - $21,000 10%90%
$21,000 and Up *0%100%

Silver Plan Payout - Individual

ExpensesIndividual / HSA PaysTrust Fund Pays
$0 - $3,000100%0%
$3,000 - $20,500 20%80%
$20,500 and Up *0%100%

Silver Plan Payout - Family

ExpensesFamily / HSA PaysTrust Fund Pays
$0 - $4,000100%0%
$4,000 - $21,500 20%80%
$21,500 and Up *0%100%

Bronze Plan Payout - Individual

ExpensesIndividual / HSA PaysTrust Fund Pays
$0 - $1,000100%0%
$1,000 - $19,400 30%70%
$19,400 and Up *0%100%

Bronze Plan Payout - Family

ExpensesFamily / HSA PaysTrust Fund Pays
$0 - $2,000100%0%
$2,000 - $20,400 30%70%
$20,400 and Up *0%100%

Individual Plan Notes

Expenses are actual expenses after prices are negotiated.

Typically hospital expenses will be between 25-30% of the billed prices.

For example a $200,000 hospital bill would typically be reduced to about $50,000.

*Maximum payout from the trust fund is $50,000.

Family Plan Notes

If all expenses in a family are from one family member, the amount paid from the trust fund follows the individual schedules.

If expenses are from multiple family members, the family schedules apply.

*Maximum payout from the trust fund is $50,000.