Health Savings Account (HSA)

A Health Savings Account (HSA) is a tax-advantaged account you can use to pay for eligible medical expenses, save for future healthcare needs, and lower your taxes. You don’t automatically get an HSA through HealthEquity—it’s only available when you enroll in the High Deductible Health Plan (HDHP). Keep reading to find out how it works, and if it’s a good choice for you.

Contribute Pre-Tax	Employer Contribution	Access Your Funds	The Money Is Yours
Invest money into an HSA before taxes to lower taxable income. Contributions, plus any earnings, are tax-free when used for qualified medical expenses.	TOI adds money to your HSA each payroll, that you can use now or in the future. The amount is prorated based on when you start coverage during the year.	Use your HSA debit card to easily and conveniently pay for eligible medical, dental, and vision expenses directly from your account; no need for reimbursement.	HSA funds roll over year to year and stay with you, even if you change jobs or plans. You can also save your funds for the future, even into retirement.

HSA Contributions

Your HSA balance grows in two ways: with contributions from TOI and with any pre-tax money you choose to add from your paycheck. TOI’s contributions are deposited each pay period, giving you a head start, and your own contributions help you save even more—all tax-free. Together, these funds can be used to pay for eligible healthcare expenses now or in the future. The one catch: you have to keep the annual contributions (yours and TOI’s combined) under the IRS annual contribution limit.

Coverage Type	2026 Maximum Contribution Limit	TOI HSA Contribution	Maximum Teammate Contribution	Age 55+ Catch-up Contribution
Teammate Only	$4,400	$750	$3,650	Additional $1,000
Teammate + Spouse or Child(ren)	$8,750	$1,000	$7,750
Family Coverage	$8,750	$1,200	$7,550

Paying for Care with the HDHP (and HSA!)

1. Preventive Care: In-network preventive care (well visits, immunizations, screenings, etc.) is always covered at 100%—meaning it’s completely free for you!
2. Pay for Medical Care: You pay 100% of your medical care until you meet the deductible ($3,300 / $6,600). You can use funds from your HSA, including the money that TOI contributes to your account, to pay for this care.
3. Share the Cost: Once you meet the deductible, you and Aetna share the cost for care through coinsurance. You pay 20% and Aetna pays 80%. You can continue to use funds from your HSA, or save the money, if the bills are manageable.
4. Plan Pays 100%: If you reach the annual out-of-pocket max ($6,000 / $12,000) Aetna pays 100% of your cost for care for the rest of the plan year. 

Eligibility Requirements

• You must be enrolled in the PPO Plus HSA plan.
• You cannot be covered under another non-qualified health plan, including your spouse’s Health Care Flexible Spending Account.
• You cannot be enrolled in Medicare or Tricare.
• You cannot be claimed as a dependent on someone else’s tax return.
• You MUST elect the plan in TBX – Enrollment in the HSA isn’t automatic.

*State taxes may still apply in CA and NJ. For detailed tax implications of an HSA, please contact your professional tax advisor.