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Overview

The HSA plan is a great medical combo—a consumer-directed health plan coupled with a Health Savings Account (or HSA). This plan comes with good coverage at a lower cost than most associates are paying today. It allows you to save pre-tax dollars to pay for your care and you keep your leftover dollars to pay for care in future years or in retirement.

Helping You Save

Sysco contributes $250 for individual and $500 for family coverage to your Health Savings Account in January to help you lower your out-of-pocket costs and save more. And, you can make pre-tax contributions from your paycheck to build your savings to pay for healthcare now or in the future.

The insurance portion of the plan is administered by BCBS and your HSA is managed by Fidelity.

IRS Requirements

To be eligible to open an HSA, the Internal Revenue Service requires you to be enrolled in a High Deductible Health Plan (HDHP). The Sysco HSA plan qualifies as an HDHP. In addition, you cannot:

  • Be enrolled in Medicare.
  • Receive health benefits under TRICARE.
  • Have received Veterans Administration (VA) benefits within the past three months.
  • Be claimed as a dependent on another person’s tax return.
  • Use a general use health care flexible spending account (FSA) or health reimbursement account (HRA). Alternative plan designs, such as a Limited Use FSA or HRA, are permitted.

Sysco’s contributions to your HSA, plus any contributions you make may not exceed the yearly maximum. Be sure to plan your contributions accordingly. Visit IRS.gov to see HSA contribution limits for the current year.

You may use your HSA to pay for medical expenses for your legal spouse or legal IRS dependents, even if they are not covered under your HDHP. The IRS defines legal dependents as those who are not yet age 23, in most cases. Please note this is a different age limit than the eligibility for other benefits.

Here are a few highlights of the HSA plan.

  • Portability: If you should leave Sysco, you may take your HSA with you.
  • Lower taxes: You can save for your medical future while cutting your tax bill. Your contributions are tax-free.
  • Build your savings: Any money left in your HSA at the end of the year rolls over to the next year.

How the Plan Works

The HSA plan offers free preventive care. When you need other medical care, you can use your HSA dollars or pay out of pocket, so your savings can continue to invest as you direct. The deductible in the HSA plan works differently than it does in the other Sysco medical plans. You'll have either a deductible for Associate Only coverage or a deductible for Associate plus spouse/dependent coverage, and you must meet this deductible before the plan begins to pay for care. Once you’ve met your deductible, your coinsurance benefits begin. You’ll pay just 10% for your in-network covered medical services. If you reach your out-of-pocket maximum, you won’t pay anything for covered services for the rest of the year.

Understanding the HSA Plan Deductible

If you choose Associate Only coverage, you'll have a $2,000 in-network deductible. If you choose to cover dependents, everyone’s costs count toward the $4,000 in-network family deductible. Everyone pays 100% of their costs for care until the family deductible is met. In-network services do not apply to your out-of-network deductible and out-of-network services do not apply toward your in-network deductible.

The HSA medical option is sometimes overlooked because it is less familiar to associates than more traditional plans. You owe it to yourself and your family to understand how it works. On SyscoBenefits.com, check out the “Taste of HSA” video, which explains the plan in simple terms and the “Take Another Look at the HSA” video to bust some common myths about the HSA.
Plan Summary
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What You Pay in the HSA Plan

In-Network Out-of-Network
Sysco’s Contribution to Your Health Savings Account $250 You Only
$500 All other coverage levels
Deductible* $2,000 Individual
$4,000 Family
$4,000 Individual
$8,000 Family
Coinsurance Plan pays 90% after deductible
You pay 10% after deductible
Plan pays 65% after deductible
You pay 35% after deductible
Out-of-Pocket Maximum $5,500 Individual
$11,000 Family
$10,000 Individual
$20,000 Family
Preventive Care Covered at 100% (no deductible) You meet your deductible, then pay 35% coinsurance.
Telehealth $4 copay after deductible, up to a maximum $44 allowance 35% coinsurance after deductible
Primary Care Office Visit You meet your deductible, then pay 10% coinsurance. You meet your deductible, then pay 35% coinsurance.
Specialist Office Visit
Urgent Care
Emergency Room
Hospitalization
Lab, X-Ray, Imaging You meet your deductible, then pay 10% coinsurance. You meet your deductible, then pay 35% coinsurance.
Mental Health See the Mental Health section for more information.
Prescription Drugs** – You meet your deductible, then pay applicable copays or coinsurance.
Pharmacy-Filled Generic
(30-day supply)
$12 copay after deductible You meet your deductible, then pay 50% coinsurance ($50 minimum) of the reasonable and customary charges.
Pharmacy-Filled Formulary
(30-day supply)
30% after deductible
($40 min. / $80 max.)
Pharmacy-Filled Non-formulary
(30-day supply)
50% after deductible
($80 min. / $160 max.)
Mail Ordered Generic
(90-day supply)
$30 copay after deductible N/A
Mail Ordered Formulary
(90-day supply)
30% after deductible
($80 min / $160 max.)
Mail Ordered Non-formulary
(90-day supply)
50% after deductible
($180 min / $350 max.)

*In-network and out-of-network deductibles are separate. Only in-network services apply toward your in-network deductible, and only out-of-network services apply to your out-of-network deductible.  

**If you (as a plan participant) receive a brand name drug in place of a generic in either of the situations below, the plan will only cover the cost of the generic drug, requiring you to pay the cost difference between the generic drug and the brand name drug:

  • The doctor writes a prescription for a brand name drug and indicates the patient (plan participant) should not be switched to the generic.
  • The patient (plan participant) tells the pharmacist that they are only to have the brand name drug and that they do not want to be switched to a generic.