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To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. www.bcbsm.com/som, State High Deductible HealthPlan (HDHP) withHealth Savings Account (HSA)- HDHP administered by Blue Cross Blue Shield of Michigan (BCBSM),HSA administered by HealthEquity. .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? 13 151 0000005259 00000 n 0000007100 00000 n This copay does not apply to the out of pocket maximum for the HSA Plan, so Mary will be responsible for this copay each time she or a family member visits the ER, after the deductible is met. %PDF-1.6 % For the HSA Plus Plan because Mary met her deductible and a portion of her service costs are paid at the 20% co-insurance, she would be responsible for $3,006 out of pocket to use this plan. 500 Renaissance Center. 0000024839 00000 n Michigan Auto Insurance & Coordination of Benefits Explained 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. And he pay $2,280 annually to have the HSA Plus Plan. [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. 0000042215 00000 n The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. Thank you for viewing. The state will make an annual HSA contribution of $750 for an eligible individual employee enrolled in the State HDHP or $1,500 for an eligible employee who enrolls with one or more eligible dependents in the State HDHP,* effective January 1. 119 0 obj 0000008243 00000 n 0000009647 00000 n (MSPTA-represented only) An HSA is a smart way to save for your future qualified health expenses, including those that may come up in retirement. Employees can also make pre-tax HSA contributions by payroll deductions. Simply Blue.