At the doctor's office…
1. Receive services
With an HSA-powered plan, no copay is required at the time of service. Be sure to present your insurance ID card. If your health care provider requires a deposit, it will be applied to your invoice.
Your health plan has a network of providers that it recommends, however you can use HSA funds to pay any qualified medical expense even if it is not covered by your insurance. This provides significant tax savings on out-of-network services.
2. Provider bills health plan
Provider submits a claim to your health plan for services rendered.
3. Health plan sends EOB
An explanation of benefits (EOB) is sent to you outlining the negotiated/allowed charges and summarizing your year-to-date deductible and co-insurance totals. In some cases, your health plan may send a copy of your claim to HealthEquity, which will appear in the member portal.
4. Provider sends invoice
The provider sends you an invoice, or statement, reflecting the allowed charges. Make sure the amount matches the EOB sent to you by your health plan, if not, contact your health plan.
5. Pay invoice with HSA
You can pay with your HSA debit card or set up an online payment that is sent directly to the provider or as a reimbursement to you.
HealthEquity
