Coinsurance
Cost-sharing for which you pay a percentage of the cost to cover medical services as an out-of-pocket payment to your provider. A sample arrangement requires you to meet your deductible and also pay 10% of the cost of a health service. Your p plan pays the remaining 90%. You have an out-of-pocket maximum on the amount you are required to pay per benefit period. When out-of-pocket maximum is met, the plan’s payment increases to 100% for services covered.

Contributions
Money that you or someone else puts into your HSA plan. Contributions can usually be made on an ongoing basis through payroll deduction or in lump-sum payments. Contributions are usually pre-tax or tax deductible, but subject to annual limitations.

Deductible
The amount of expense for covered services that you incur before your insurance benefits apply for all or part of the remaining cost of covered services.

Distributions
The money you withdraw from your HSA plan.

Enhanced preventive care
First dollar (pre-deductible) coverage for a defined list of preventive care services determined by Blue Cross and Blue Shield of North Carolina® of North Carolina (BCBSNC®) will be an available option for Blue Options^SM HSA plans. Refer to your Benefit Book for the defined list.

Family (aggregate) deductible
The deductible that has to be met before benefits are payable for any given member in a family. Under a family deductible, services for all family members who are covered under the plan get applied to the same deductible. Flexible spending account (FSA) used to cover qualified medical expenses and dependent day care expenses. You pre-determine the amount you will contribute at the beginning of the benefit period. Contributions to your FSA are tax- free and are made through salary reduction. Funds not used by the end of the benefit period may be forfeited, depending on the terms of your FSA. This is known as the “use it or lose it” rule. FSAs can be offered in tandem with an HSA only under limited circumstances. For further details, see the “HSA eligibility requirements” section.

Health reimbursement account (HRA)
A specific type of fund account employers can offer that can be combined with your health care plan to allow reimbursement for approved out-of-pocket medical expenses.

Health savings account (HSA)
An HSA is a tax-free way to help pay for current or future "out-of-pocket" health care expenses. To be eligible to open an HSA and begin saving money for medical expenses tax-free, you have to be covered by a high deductible health plan. An HSA can be established through a custodian or trustee and used with your high deductible health plan to pay for out-of-pocket expenses. Money that is not used in a given year roll over into the next year and are transferrable should you change jobs or switch health coverage.

High deductible health plan (HDHP)
A health plan product when combined with an HSA, provides insurance coverage and a tax- advantaged way to help save for future medical expenses. HDHPs have a higher annual deductible than traditional health plans and must meet other specific federal guidelines.

HSA trustee or custodian
The bank or financial institution responsible for managing the funds in an HSA. The trustee or custodian may also handle any necessary IRS reporting. An HSA can be established through a qualified trustee or custodian who is different from the plan provider.