Forms
Here you’ll find all of the forms that you need, so you can start taking advantage of all that your new health care plan has to offer.
Don't forget to open a Health Savings Account
Health Savings Account (HSA) – A tax-advantaged savings account for use with a High-Deductible Health Plan that allows you to set aside money to pay for uncovered medical expenses. The money can be invested and earn interest, and it can be left in the account for use in future years. You can withdraw money from the HSA at any time to pay for qualified medical expenses.
after you have been accepted into one of ConnectiCare® SOLO's high-deductible health plans
High-Deductible Health Plan (HDHP) – Plans that feature a set dollar amount that you must spend before the plan begins to cover your health expenses. These plans offer greater predictability, because once you have reached the deductible, your eligible health care expenses are covered for the remainder of the policy year (copayment and coinsurance may apply depending on the plan).
.A Health Savings Account
Health Savings Account (HSA) – A tax-advantaged savings account for use with a High-Deductible Health Plan that allows you to set aside money to pay for uncovered medical expenses. The money can be invested and earn interest, and it can be left in the account for use in future years. You can withdraw money from the HSA at any time to pay for qualified medical expenses.
, or "HSA," is a tax-free fund that you set up in combination with your ConnectiCare SOLO plan. ConnectiCare has selected First HSA, one of the nation's leading administrators of HSAs, as a preferred administrator. First HSA can manage, administer and service your account.Please note that you are free to choose your own HSA administrator if you prefer. See the Member Guidebook to learn more about HSAs.
Also see the quick reference:
