SECTION8. HIGH-DEDUCTIBLEHEALTHPLANSWITHSAVINGSOPTION Section8 High-DeductibleHealthPlanswithSavings Option Tohelpcoverout-of-pocketexpensesnotcoveredbyahealthplan,somefirmsofferhighdeductibleplansthatarepaired withanaccountthatallowsenrolleestousetax-preferredsavingstopayplancostsharingandotherout-of-pocketmedical expenses. Thetwomostcommonarehealthreimbursementarrangements(HRAs)andhealthsavingsaccounts(HSAs). HRAs andHSAsarefinancialaccountsthatworkersortheirfamilymemberscanusetopayforhealthcareservices. Thesesavings arrangementsareoften(or,inthecaseofHSAs,always)pairedwithhealthplanswithhighdeductibles. Thesurveytreats high-deductibleplanspairedwithasavingsoptionasadistinctplantype-High-DeductibleHealthPlanwithSavingsOption (HDHP/SO)-eveniftheplanwouldotherwisebeconsideredaPPO,HMO,POSplan,orconventionalhealthplan. Specifically for the survey, HDHP/SOsaredefinedas(1)healthplanswithadeductibleofatleast$1,000forsinglecoverageand$2,000for 1 familycoverage offeredwithanHRA(referredtoasHDHP/HRAs);or(2)high-deductiblehealthplansthatmeetthefederal 2 legal requirementstopermitanenrolleetoestablishandcontributetoanHSA(referredtoasHSA-qualifiedHDHPs). PERCENTAGEOFFIRMSOFFERINGHDHP/HRASANDHSA-QUALIFIEDHDHPS • Twenty-fourpercentoffirmsofferinghealthbenefitsofferanHDHP/HRA,anHSA-qualifiedHDHP,orboth. Amongfirms offeringhealthbenefits,9%offeranHDHP/HRAand17%offeranHSA-qualifiedHDHP[Figure8.1]. Thepercentageof firmsofferinganHDHP/SOissimilartolastyear. – Largefirms(200ormoreworkers)aremorelikelythansmallfirms(3-199workers)toofferanHDHP/SO(53% vs. 23%). [Figure 8.3]. 1 ThereisnolegalrequirementfortheminimumdeductibleinaplanofferedwithanHRA.Thesurveydefinesahigh-deductibleHRAplanasaplanwitha deductibleofatleast$1,000forsinglecoverageand$2,000forfamilycoverage. Federallawrequiresadeductibleofatleast$1,300forsinglecoverageand $2,600forfamilycoverageforHSA-qualifiedHDHPsin2017. SeetheTextBoxformoreinformationonHDHP/HRAsandHSA-qualifiedHDHPs. 2 ThedefinitionsofHDHP/SOsdonotincludeotherconsumer-drivenplanoptions,suchasarrangementsthatcombineanHRAwithalower-deductiblehealth planorarrangementsinwhichaninsurer(ratherthantheemployerasinthecaseofHRAsortheenrolleeasinthecaseofHSAs)establishesanaccountfor eachenrollee. Otherarrangementsmaybeincludedinfuturesurveysasthemarketevolves. The Kaiser Family Foundation and Health Research & Educational Trust / Page 131