2022 Medical Plan Options

You have two options: the Traditional PPO or the SavingsPlus HSA.

How the SavingsPlus HSA and Traditional PPO are Similar

  • You can visit any provider you choose. The plan pays more when you receive care in network.
  • Most in-network preventive care is covered at 100% and is not subject to the deductible.
  • Once you reach the deductible, the plan pays a percentage of eligible expenses (coinsurance) until you reach the out-of-pocket maximum, then it pays 100% of eligible in-network expenses and formulary drug costs for the rest of the year.

How the SavingsPlus HSA Differs from the Traditional PPO

  • You’ll have more control – With lower monthly contributions, you may decide to set aside more in the HSA. You can use your HSA to pay for qualified healthcare expenses or save funds for later. Money in your account is yours to keep even if you change plans or leave Sanofi. No “use it or lose it” rule applies.
  • Sanofi will help fund your HSA – You can use your HSA dollars to help pay for medical expenses now or in the future. Unused HSA dollars roll over from year to year.
  • Tax advantaged savings – The HSA is a powerful savings vehicle. Contributions, investment earnings, and qualified distributions all are exempt from federal income tax, FICA (Social Security and Medicare) tax and state income tax (except in New Jersey and California).

SavingsPlus HSA and Traditional PPO Comparison Chart

 

SavingsPlus HSA

Traditional PPO

 

In-Network

Out-of-Network

In-Network

Out-of-Network

Deductible (Individual / Family)

$1,500 / $3,000

$3,000 / $6,000

$200 / $400

$700 / $1,400

Out-of-Pocket maximum (Individual / Family; Includes Deductible)

$3,500 / $7,000

$7,000 / $14,000

$2,500 / $5,000

$5,000 / $10,000

Coinsurance

10%

30%

10%

25%

HSA Account Funding (provided by Sanofi US)

$750 / $1,500

Not eligible

HSA Annual Maximum Contribution

$3,600 / $7,200, plus $1,000 catch up if age 55 or over

N/A

Office Visits

       
  • Preventive
  • $0

 

 

Deductible & coinsurance

  • $0

 

 

Deductible & coinsurance

  • Primary Care
  • Deductible & coinsurance
  • $20
  • Specialist
  • Deductible & coinsurance
  • $40

Hospital Facility

  • Inpatient
  • Outpatient

 

Deductible & coinsurance

 

Deductible & coinsurance

 

  • 10%
  • Deductible & coinsurance

 

  • 25%
  • Deductible & coinsurance

Hospital Physician

Deductible & coinsurance

Emergency Room

Mental Health

 

Substance Abuse

 

Other Services

Telemedicine (through HorizonCare Online)*

   
  • Medical
  • Mental Health
  • $59 copay
  • $79-$175 copay, depending on type of visit
  • $10 copay
  • $10 copay
 

SavingsPlus HSA

Traditional PPO

Pre-tax savings opportunity

HSA

(SavingsPlus HSA only)

Healthcare FSA

 
  • Sanofi will help fund your HSA, and you can make additional pre-tax contributions.
  • Any unused balance in the HSA can be rolled over into the next plan year and is yours to keep. You can even use the funds to supplement your post-65 retirement income.
  • Only available if you are in the SavingsPlus HSA.
  • No help from Sanofi. You are responsible for funding your Healthcare FSA on a pre-tax basis.
  • “Use it or lose it” – If you don’t use all the funds in your Healthcare FSA by the end of the grace period, you forfeit the balance.
  • Available if you are in the PPO. Also available if you do not elect medical coverage through Sanofi. (Not available if you’re in the SavingsPlus HSA.)
 

Limited Purpose FSA

(SavingsPlus HSA only)

 
  • Can be used for dental and vision expenses.
  • “Use it or lose it” – If you don’t use all the funds in your Healthcare FSA by the end of the grace period, you forfeit the balance.
  • Only available if you are in the SavingsPlus HSA.

* Virtual visits offered by your provider may be billed at higher rates.

For a more in-depth comparison, use the Health Plan Evaluator tool on Thrive portal, available once Open Enrollment begins.

Important note about the Healthcare FSA and the SavingsPlus HSA option

If you elect the SavingsPlus HSA option for your medical coverage, you will no longer be able to use the Healthcare FSA. You’ll still have a 2.5-month grace period, meaning you can incur new claims against your account through March 15. Funds remaining in your account after the claim submission deadline will be forfeited. However, until your FSA is closed, you will not be able to open an HSA or receive Sanofi contributions to your HSA. However, once you do open the HSA the full company contribution will still be made.

The claims submission deadline for 2020 claims is December 31, 2021. The claims submission deadline for 2021 claims is December 31, 2022. The claims submission deadline for 2022 claims will be June 30, 2023. The claims submission deadline is different from the date you can incur new claims against your account, which is March 15 of each year.

Contact Horizion BCBS: 888-567-5999 | www.horizonblue.com/sanofi

For more information about the SavingsPlus HSA, go to the SavingsPlus HSA page.