Lion Advantage HSA Plan

The Lion Advantage HSA plan is a high deductible health plan option with a lower employee contribution. This plan is automatically paired with a Health Savings Account (HSA), for which Penn State will provide employer seed funding to your HSA as applicable in January.

Important guidelines for participation in this plan:

While all full-time, benefits-eligible employees are eligible, the EMPLOYEE:

  • CANNOT be enrolled in Medicare or be collecting Social Security benefits. It is recommended that employees, who are returning from retirement, consult with their financial advisor regarding implications of dis-enrolling from Medicare to be eligible for the HSA, as they will not be able to collect Social Security benefits unless they are enrolled in Medicare. Once an individual dis-enrolls from Medicare, that person can contribute to the HSA.
    • If you are enrolled in Medicare, or plan to be during the next benefit plan year, you may want to consider different health plan options as to avoid issues with your HSA enrollment.
  • CANNOT be enrolled in another health plan (including Tricare).
    • If you are enrolled in another health plan, or plan to be during the next benefit plan year, you may want to consider different health plan options as to avoid issues with your HSA enrollment.
  • CANNOT have a balance in a Health Care Flexible Spending Account (FSA).
    • Due to IRS regulations, Lion Advantage HSA plan members are not eligible to enroll in the Health Care Flexible Spending Account (FSA). If an employee currently has money in an FSA - either through themselves or through a spouse - that person must use all the money in the FSA before enrolling in the Lion Advantage HSA plan.
    • If two Penn State employees are married and have elected family coverage under the Lion Advantage HSA plan, a Health Care FSA cannot be opened under either employee. In addition, if you are the Penn State employee and your spouse is employed elsewhere and enrolled in a high-deductible health plan with an HSA, a Health Care FSA cannot be opened by either employee. The IRS does not permit use of a Health Care FSA when contributing to an HSA.
  • CANNOT have a J or F Visa; these Visa holders are eligible for the Lion Traditional plan only.
  • CANNOT be classified as a Postdoctoral Fellow; Postdoctoral Fellows are eligible for the Lion Traditional plan only.

Below are details regarding the plan design.

For more information regarding payroll contributions examples, please visit the Premium Comparison page and use the Health Care Contribution Calculator.

Health Savings Account Penn State Contribution

Applies to all employees
Salary Range Less than $45,000 $45,001 - $60,000 $60,001 - $90,000 Greater than $90,000
Individual $800 $600 $400 $200
Family $1,600 $1,200 $800 $400

Deductible, Coinsurance, Out-of-Pocket Maximum, & Cost Sharing

Deductible

  Individual Coverage Family Coverage
Deductible $1,650 $3,300

 

Coinsurance Out-of-Pocket Maximum

  Individual Coverage Family Coverage
Coinsurance Maximum $1,975 $3,950
Member Coinsurance (after deductible) 10% 10%

 

Total Out-of-Pocket Maximum

  Individual Coverage Family Coverage
Total Out-of-Pocket Maximum $3,625 $7,250

 

Cost Sharing

  Coverage
Preventive Care Covered at 100%
Office Visit Deductible and Coinsurance apply
Well360 Virtual Health Telemedicine $0 after Deductible
Specialist Deductible and Coinsurance apply
Urgent Care Deductible and Coinsurance apply
Emergency Room (waive if admitted) Deductible and Coinsurance apply

Prescription Coverage

Medication Type Generic Medications Preferred Brand Medications Non-Preferred Brand Medications
Preventive Medications 10% Coinsurance 20% Coinsurance 40% Coinsurance
Retail (30-day supply) 10% Coinsurance 20% Coinsurance 40% Coinsurance
Mail (90-day supply) 10% Coinsurance 20% Coinsurance 40% Coinsurance
Specialty Medications
Preferred Brand Medications 20% Coinsurance, $65 Minimum
Non-Preferred Brand Medications 40% Coinsurance, $100 Minimum
Preferred Brand Medications Integrated with Medical