You have two options: the Traditional PPO or the SavingsPlus HSA.
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 |
$3,650 / $7,300, plus $1,000 catch up if age 55 or over |
N/A |
||
Office Visits |
||||
|
|
|
|
Deductible & coinsurance |
|
|
|
||
|
|
|
||
Hospital Facility
|
Deductible & coinsurance |
Deductible & coinsurance |
|
|
Hospital Physician |
Deductible & coinsurance |
|||
Emergency Room |
||||
Mental Health
|
||||
Substance Abuse
|
||||
Other Services |
||||
Telemedicine (through HorizonCare Online)* |
||||
|
|
|
||
SavingsPlus HSA |
Traditional PPO |
|||
Pre-tax savings opportunity |
HSA (SavingsPlus HSA only) |
Healthcare FSA |
||
|
|
|||
Limited Purpose FSA (SavingsPlus HSA only) |
||||
|
* 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 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 Horizon BCBS: 888-567-5999 | www.horizonblue.com/sanofi
For more information about the SavingsPlus HSA, go to the SavingsPlus HSA page.
Deductible – The annual amount you are responsible for paying before your insurance company pays a claim.
Coinsurance – The share of the payment made against a claim. With coinsurance, you and the insurance company share the costs.
Preventive care – Free check-ups, screenings, and counseling that help you and your covered dependents avoid preventable diseases and illness.
Out-of-pocket maximum – The most you and your covered dependents will pay for covered services in a plan year.