How Much Will I Pay?

• Deductible
• Coinsurance
• How Do I Pay My Claims?
• Out-of-Pocket Limit
• Health Savings Account

Network vs. Non-network Costs

• Using Network Providers
• Using Non-network Providers
• Hospital-Based Providers

How Do I Pay My Claims?

To ensure you pay the correct amount, it's best to pay after claims are processed by the plan. Your provider should bill the plan first. When the plan processes a claim, it applies any applicable network provider discount, checks the benefits for the service, and confirms if you've met your deductible in order to calculate what you owe on the claim. Both you and your provider will receive an Explanation of Benefits (EOB) that provides the detail on what the plan pays and what amount, if any, is the member's responsibility. Your provider should then bill you the same amount that is shown in the "member responsibility" column on the EOB.

How to Use the Funds in Your HSA to Pay

When the plan processes your claim, it sends basic claim data to HealthEquity, including date of service, the provider name, and the amount you owe. You can log into your HealthEquity account, view your claims, and simply click to pay them. HealthEquity will send payment directly to the provider from your account.

There are other ways you can pay for medical expenses from your HSA, including using the debit card that you receive from HealthEquity when you enroll in the plan. You can also reimburse yourself from your account using electronic funds transfer directly into your bank account or by check. Visit HealthEquity at www.healthequity.com/pebb or call 1-877-873-8823.