PacifiCare of California SignatureOption HSA Plans
PacifiCare of California offers four high-deductible health plans (HDHP) that meet the federal guidelines that qualify as Health Savings Account plans. An HSA plan is allows holders of this type of medical insurance policy to make a tax-deferred deposit into a savings account. Funds can be withdrawn from this savings account to pay for eligible medical expenses in conjunction with the benefits offered under the high-deductible health plan. The monthly premiums for these high-deductible plans are less than most other health plans offered by PacifiCare, making them a logical choice for individuals or families looking for a solution to the ever increasing cost of health insurance. The amount that a family or individual may contribute into a Health Savings Account is $2,700 for individuals and $5,450 for families, but the federal government is considering an increase in these allowable deductible amounts in an attempt to encourage more people to obtain private health insurance. The federal government also regulates what types of medical treatments are eligible for the penalty-free withdrawals from a Health Savings Account. Withdrawals for non-eligible expenses are deducted from the deposit amount that can be claimed as a deduction on the individual's federal tax return the following year.
The PacifiCare HSA plans each have a $5 million policy maximum, which is the maximum amount of benefits that PacifiCare will pay during the life of the policy for all covered medical expenses. After the deductible has been met, there is a coinsurance for most covered medical benefits, up to a calendar year out-of-pocket maximum. Maternity benefits are not offered under any of these high-deductible health plans, and prescription drug benefits are covered the same as most other benefits.
PacifiCare of California SignatureOption 35/80-50/2700
PacifiCare of California SignatureOption 35/80-50/5400
These are basically the same plan, but the 2700 plan is available only to individuals and the 5400 plan is available only to families. The 2700 plan has an annual deductible of $2,700 with a $5,000 coinsurance maximum and the 5400 plan has a $5,400 family deductible with a family coinsurance maximum of $10,000. Under the 5400 family plan, the deductible and coinsurance amounts are accumulative and calculated for the family as a whole. No individual deductibles or maximums are applicable. If only one family member receives medical care during the calendar year, that one family member must meet the $5,400 family deductible, and also pay the coinsurance amount up to the $10,000 out-of-pocket family maximum. For both the individual and family plans, the insured must pay a 20% coinsurance after the deductible has been met. Once the deductible, combined with the paid coinsurance, reaches the coinsurance maximum, all insured members under the plan are covered in full for the rest of the calendar year. Preventive health care benefits are available without having to meet the calendar year deductible for a $35 copayment, but are limited to a combined benefit maximum of $400 per year. Emergency room visits are charged an additional $100 deductible per visit and the coinsurance for ambulance services is 40%.
PacifiCare of California SignatureOption 100-50/5000
PacifiCare of California SignatureOption 100-50/10000
The plan 5000 is only available to individuals and the plan 10000 is for families. The 5000 HSA plan has a $5,000 annual deductible and a $5,000 coinsurance maximum. The 10000 plan has a $10,000 deductible and a $10,000 coinsurance maximum. Since the deductible equals the coinsurance maximum, there is no coinsurance required for most covered services after you have met the annual deductible. The deductible is waived for the network wellness benefits, providing full coverage and first dollar benefits for these preventive health care services. For adults, the wellness benefits are limited to $400 per calendar year per member.
The information provided on this page is subject to change and my not be current. Check with the insurance company or your insurance agent for verification of details. The information provided is for comparison purposes only and is not legally binding. Always review the plan brochure or your policy details for complete and accurate details about this policy.