BlueEdge^SM Individual HSA
(Health Savings Account)

Policy Form Number: PPO-BLUEEDGE-INDL-HSA-1

Options-BlueEdge Individual HSA
Gives You Choices

BlueEdge Individual HSA is a new kind of health plan-a consumer -centered plan. This plan allows you to decide how, when and where your health care dollars are spent. The BlueEdge Individual HSA health insurance plan has four important components:

• Preventive care and wellness visits for adults and children-up to $300 calendar year maximum per participant.
  
• Health Savings Account (HSA) funds can be used to pay for health care expenses. The account can be funded by you, your employer if on a list bill, or both. Qualified medical expenses deducted from the HSA count toward your annual deductible.
  
• PPO benefits begin after you meet the deductible. Your coinsurance level is determined by plan selection. You have the freedom to choose any doctor whenever you need care.
  
• Online decision tools help increase your awareness and knowledge of health issues and help you keep track of your health care expenses.

BlueEdge Individual HSA gives you the edge on health care!

Learn more about Health Savings Accounts (HSA)

Plan Highlights

BlueEdge HSA Provides:

• Affordable, cost sharing health coverage
• Freedom to choose doctors and hospitals
• Choice of deductibles
• Three-tier prescription drug program
• Prescription Drug Card

Plan Details

• Plan Overview
• General Benefits
• Preventive Care
• Prescription Drug Program
• View Outline of Coverage