You may contribute to a health savings account hsa when you elect the ppo plus hsa plan. Wageworks software and services help employees easily manage health savings accounts and save the tax dollars they deserve. Healthequity administers health savings accounts hsas and other. This will help you better control your health care costs and meet your health care needs. Please complete a separate form for each hsa to be transferred. Contributions to the account are taxdeductible on the federal and most state tax returns, and withdrawals are taxfree if they are used for medical expenses. If you are already registered, please enter your username and password. You can find fsa reimbursement formshsa claim forms here. Hsa interest or investment earnings accrue taxdeferred. For information to claim orthodontia expenses, refer to the guide located at. This letter includes important information and might require action by may 11, 2020. Hsa funds can be used to reimburse yourself for eligible healthrelated expenses. Hsaqualified medical expenses are defined by irs code, section 2d and include amounts paid for the diagnosis, cure, mitigation, treatment or prevention of disease for the purpose of affecting any structure or function of the body.
Patients name the name of the person who received the service. You should receive form 5498sa, hsa, archer msa, or medicare advantage msa information, from the trustee showing the amount contributed to your hsa during the year. You can use your account to pay for a variety of healthcare products and services for you, your spouse, and your dependents. Wage is a leader in administering consumerdirected benefits cdbs. Comparison of health reimbursement account hra, health savings account hsa and health care flexible spending account fsa 2020 hra hsa fsa eligibility requirements enrolled in the health account plan enrolled in the basic or core plan and you must meet specific governmentregulated eligibility requirements in irs publication.
Health savings account hsa interest rates wageworks. But, like many things, the card comes with its own set of unique rules and responsibilities. Wageworks health savings account election form october 1, 2019 through september 30, 2020 plan year. Mail the completed form, a copy of a current account statement and a new account application, if applicable, to the address on page 2. Use this form to change an existingalready established health savings account hsa. The wageworks healthcare card makes it quick and easy to pay for eligible healthcare expenses. An hsa is a triple federal taxadvantaged account when paired with an irs qualified highdeductible health plan e.
An hsa is an account you put money into to pay for eligible health care expenses. In addition, you can find helpful fsa and commuter. Form health savings account direct transfer wageworks 120417. However, they have unique rules, restrictions and tax implications. Once enrolled in a wageworks hsa, your employees can set aside pretax money to pay for eligible healthcare. Am i eligible for the hp highdeductible ppo plan, including the health savings account, if i am covered under medicare. For assistance, contact wageworks customer service at 1877wageworks.
Account information change wageworks 121020 hsa bank. Watch the hdhp with hsa video to learn more about health savings accounts. Hsa eligible expenses the irs determines which expenses are eligible for reimbursement. A health flexible spending account fsa is part of your benefits package. Here is a list of healthcare forms, commuter forms, dependent care forms, cobra forms, eligible expenses forms, and more. The irs determines which expenses are eligible for reimbursement. Combined with your companys highdeductible health plan, a wageworks hsa gives you an easy, safe way to lower your healthcare costs today while saving money for future healthcare expenses. Wageworks shall be liable for the acts or omissions of its subcontractors.
Wageworks, the custodian of your hsa, was recently acquired by healthequity. Certain expenses require additional information in order to determine if they. You can view a comprehensive list of eligible expenses by logging into your wageworks account. As a result, any hsa with wageworks will transition to the new healthequity system. Tcwwerwebsiteguide may 20 page 3 of 63 new user the take care by wageworks employer website is a secure site, designed to assist you in managing. The following information was filed by wageworks, inc. Unauthorized use of this system is prohibited and may result in revocation of access, disciplinary action andor legal action.
Insperity hsa program insperitys hdhp high deductible health plan is coupled with a wageworks flexreserve hsa health savings account. Health savings account direct transfer request form important information. Wageworks health savings account westlake chemical. This site uses secure connections to protect your personal information. As a result, if you retained an individual hsa account with wageworks, the funds in your hsa will transition to healthequity effective march 20, 2020. This plan lets you use pretax dollars to pay for eligible health care expenses for you, your spouse, and your eligible dependents. Health savings accountsfor participants in qualified healthflex.
Health savings account hsa account holder fees wageworks. We are writing to notify you of an important change to your health savings account hsa offered through wageworks. A health savings account hsa is a special account which is used in conjunction with a high deductible health plan. Eligible expenses include health plan copayments, dental work and orthodontia, eyeglasses and contact lenses, and prescriptions. Wageworks and your hsa for many people, using an hsa can seem confusing. An hsa is designed to work with a qualifying highdeductible health plan hdhp. Please sendfax your hsa claim under a separate submission after this hdhp form has been submitted to ensure appropriate claims handling. Health flexible spending account frequently asked questions what is a health flexible spending account. Since our founding in 2000, wageworks has built a comprehensive portfolio of consumerdirected benefits. Call 18883033006 to report a lost card order additional visa debit cards online via the wageworks portal. Congratulations on enrolling in a health savings account hsa compatible. Contact wageworks for help, if you have trouble accessing the forms or have questions. An hdhp is a high deductible health insurance plan that allows you to contribute to an hsa.
A wageworks health savings account hsa is like a 401k for healthcare. Wageworks will process your request and mail your reimbursement check to you or direct deposit your funds into the account of your choice. Starting in 2011, a prescription will be required to be reimbursed for claim forms eligible dependents below is a listing of items that are typically covered. Health savings accounts hsas city of fort worth, texas. Health savings account hsa healthcare flexible spending account hsacompatible flexible spending account. The money goes in taxfree, grows income taxfree and comes out income taxfree when you use it for qualified medical expenses. The card works seamlessly with the ez receipts mobile app to support payments from the following wageworks healthcare benefits. Faq for wageworksbny mellon transition to healthequity wageworks, nationwides current administrator for the health savings account program hsa program, was recently acquired by healthequity. Hsa eligible expensesqualified hsa expenses wageworks. Important information about your wageworks health care card. Combined with your companys hsaqualified highdeductible health plan, a wageworks hsa gives you an easy, safe way to lower your healthcare costs today while saving money for future healthcare expenses. Wageworks hsa participants enjoy the benefits of the account with virtually no fees.
This document has a lot of information but there are always unique questions, so you shouldnt hesitate to contact us. This quick reference guide will give you the information you need to pay for. Comparison of health reimbursement account hra, health. Health savings account hsa members faq healthpartners. When accessing this site for the first time, you will be required to complete our registration process. Wageworks makes it easy to set up your hsa and start saving on health care costs. Money is set aside from your paycheck before taxes are. Publication 969 2019, health savings accounts and other tax. Providers name the provider that delivered the service.
Massachusetts data security regulations 201 cmr 17. Health savings account a wageworks health savings account hsa is like a 401k for healthcare. Health care hsa transfer of assests form use this form to transfer assets from an existing hsa to your hsa through wageworks. Hsa contributions are deductible from gross income. Health savings accounts hsa for participants in healthflex. The following information is collected at time of enrollment for cip. Hp high deductible ppo plus hsa information human resources. Your employers contributions will also be shown in box 12 of form w2, with code w. Funds in the hsa can be used to pay for eligible medical, dental and vision expenses, and longterm care insurance premiums. You must have made a pay me back election prior to filing a claim.
Youll love the swipeandgo convenience of this preloaded debit card. Wageworks is headquartered in san mateo, california, with offices in major locations throughout the united states. Wageworks utilizes subcontractors to perform certain services. A wageworks health savings account hsa is like a 401 k for healthcare.
Industry leadership wageworks leads many industry groups, and takes an active advocacy role in lobbying and educating legislators and regulatory agencies about consumerdirected programs and benefits. Wageworks healthcare flexible spending account fsa. Plans including iras and other taxfavored accounts for more information. For clarification, hsa custodians andor trustees are not subcontractors of wageworks. Knowing a little bit about the card and how it works can help you unlock its full potential. A wageworks health savings account hsa brings together competitive interest rates, low fees. Click on the wageworks logo above and enter calculate savings card use verification cuv. Benefit tips, guides, video tutorials, and faqs at important information. Wageworks is solely dedicated to administering cdbs, including pretax spending accounts, such as health savings accounts hsas, health and dependent care flexible spending accounts fsas, health reimbursement arrangements hras, as well as. If you have previously used other websites, you must complete this registration process for security purposes. Submit a claim pdf with an itemized statement from the dependent care provider. You have no pay me back elections in your activity history. Or, you may have the ability to use your wageworks spending account card, and have instant access to your medical reimbursement funds see page 9 for more information on the wageworks spending account card. Claims administrator, po box 14053, lexington, ky 40512 account holder information last name first name id code last 4 digits employer program sponsors name zip code birth date mmdd email address complete only if new instructions 1.
Wageworks makes it easier to understand and take advantage of consumerdirected benefits for approximately 45,000 employers and over 4 million people. Health flexible spending account frequently asked questions. Frequently asked questions for hsas health savings accounts. We recommend you speak with your tax advisor and rely on the irs, aetna and wageworks via their websites for updates and additional information. Annual percentage rates of interest as of may 1, 2017 are as follows. For quick processing, make sure receipts include the following five pieces of information. Jan 04, 2018 the health flexible spending account, administered for uc by wageworks login required, formerly conexis, is a voluntary program established under internal revenue code irc section 105 that lets you pay for eligible health care expenses not covered by your insurance through pretax salary reductions.
146 1336 328 215 1332 298 1153 373 1430 984 47 929 964 347 410 1171 765 613 967 36 309 767 1379 444 944 753 516 655 58 895 265 811 1520 180 1144 611 169 958 816 582 351 1089 1199 1283 655 65