BNY Mellon Benefits Guide
Using Your HSA Plan During the Year
Meet Your Deductible
The deductibles for both HSA Plans are listed in
Medical and Prescription Drug. Your deductible applies to medical services other than preventive care and preventive prescriptions. So, if you go to your doctor for an illness or a medical condition before you meet the deductible, you pay the full cost of the office visit.
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IN-NETWORK AND OUT-OF-NETWORKI
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Employee Only
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Just covering yourself? You'll need to meet the individual deductible before you start paying coinsurance
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Family*
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Covering yourself and one or more family members? You'll need to meet the family deductible before any family member can begin to pay the coinsurance amount. When any combination of family members meets the family deductible, the entire covered family will begin paying the coinsurance amount.
For example:
You cover your spouse and three children under the Lower Deductible HSA Plan, which has a $2,700 family deductible for in-network services. During the year, you pay $1,500 for medical services for you, $700 for your spouse and $500 for one of your kids because you haven't met the family deductible. The total cost of medical services for the three of you is $2,700, so the family deductible is now met. BNY Mellon and the whole family of five will begin paying the coinsurance amount until the out-of-pocket maximum is met.
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* For the HSA plan family coverage, if only one family member incurs medical expenses in a plan year, that person must meet the family deductible before BNY Mellon begins paying and the plan reimburses for benefits.
