Health Savings Account Plans
Aggregate Deductible Plans**
| Health Plan # | Ded In/Out Individual | Ded In/Out Family | Office Copay | Coins % In/Out | Out of Pocket Maximum* Indiv/Family | Pharmacy |
|---|---|---|---|---|---|---|
| RSH4 | $1500/3000 | $3000/$6000 | Ded & Coins | 80% / 60% | $4500/$9000 | 80% after cal year deductible |
| RSH5 | $3000/$6000 | $6000/$12000 | Ded & Coins | 100% / 70% | $3000/$6000 | 100% after cal year deductible |
* Deductible plus Coinsurance Stoploss equals Out of Pocket Maximum
** If "family" coverage is selected, the family deductible amount must be satisfied before any benefits are available under the HSA plan. The family deductible amount may be satisfied by one participant or a combination of two or more participants.
