Western NY Seal
High Deductible Health Plans

High Deductible Health Plans in Western NY

At TPS Group Medical, we understand that choosing the right health plan for you and your family can be overwhelming. That's why we offer High Deductible Health Plans (HDHPs) that combine traditional medical coverage with a Health Savings Account (HSA) or a Health Reimbursement Arrangement (HRA) to help you save for future medical expenses while providing flexibility and discretion over how you use your healthcare dollars today.

With an HDHP, the annual deductible must be met before plan benefits are paid for services other than in-network preventive care services, which are fully covered. HDHPs also protect you against catastrophic out-of-pocket expenses for covered services.

At TPS Group Medical Western NY, we recognize that finding the perfect health plan for you and your family can be daunting. That's why, for our Western NY community, we provide High Deductible Health Plans (HDHPs) that blend conventional medical coverage with a Health Savings Account (HSA) or a Health Reimbursement Arrangement (HRA) to assist you in saving for future medical costs while granting you the flexibility and discretion to manage your healthcare spending today.

HDHPs, tailored to suit the Western NY, Maryland area, feature higher annual deductibles and out-of-pocket maximum limits compared to other health plan types. With an HDHP, the yearly deductible must be satisfied before the plan covers services beyond in-network preventive care services, which are fully paid for. HDHPs also shield you from catastrophic out-of-pocket expenses for covered services. Once your annual out-of-pocket expenses for covered services from in-network providers, including deductibles, copayments, and coinsurance, hit the pre-set catastrophic limit, the plan covers 100% of the allowable amount for the rest of the calendar year. This ensures that Western NY residents won't face additional out-of-pocket medical expenses for in-network care, such as doctor visit copayments and prescriptions, which are sometimes excluded from traditional plan's catastrophic limits.

One of the primary advantages of our Western NY-centric HDHPs is the HSA. An HSA enables you to cover current health costs and save for future qualified medical expenses on a pre-tax basis. Funds deposited into an HSA are not taxed, the balance and interest in the HSA accumulate tax-free, and that amount can be used tax-free to cover your qualified medical expenses, including your copays, coinsurance, and deductible. When you enroll in an HDHP, the health plan determines your eligibility for an HSA or an HRA based on the information you provide.

To be eligible for an HSA, Western NY residents must be enrolled in an HDHP and not covered by another health plan (including a spouse's health plan, but excluding specific injury insurance and accident, disability, dental care, vision care, or long-term care coverage).

You also must not be enrolled in Medicare, not have received VA or Indian Health Service (IHS) medical benefits within the last three months, not be covered by your own or your spouse's flexible spending account (FSA), and not be claimed as a dependent on someone else's tax return.

With an HDHP and an HSA tailored to Western NY, you can make extra voluntary tax-deductible contributions to your HSA, up to an allowable amount determined by IRS rules. Your HSA dollars earn tax-free interest. When you need preventive care, your plan will provide it at no cost to you when you use participating plan providers. For non-preventive health care, you pay the full cost of that care with funds from your HSA or out-of-pocket, up to your plan's high deductible. Health plans negotiate discounts with providers who participate in their health plan network, which is especially beneficial for the Western NY community. It's advisable to obtain your Explanation of Benefits (EoB) to know your cost share before paying your provider.

At TPS Group Medical Western NY, we believe that HDHPs with HSAs are an effective way to help you manage your healthcare costs while still providing access to quality care for our Western NY community. Our knowledgeable team is ready to answer any questions you may have about our HDHP options and how they can benefit you and your family.

Related to: Group Medical Consultants in Western NY, Employee Group Benefits in Western NY, Group Life & Health Insurance in Western NY

Reviews

We look forward to working with TPS Group next year

We look forward to working with TPS Group next year

As another year ends, I want to express my sincere gratitude and appreciation to you and TPS Group for assigning us Krista Blier. Krista provides exceptional customer service and has been a major asset to me and Lynch, Traub, Keefe & Errante, P.C. She is extremely knowledgeable and always accessible. Always on top of the RMD’s, giving me an explanation on form 5500-SF to present to Mr. Keefe & keeping us updated with any account changes as well as specifics. It is a relief knowing I have full faith in Krista and can turn a blind eye to our account. I cannot tell you how many vendors/brokers I have to stay on top of and babysit to make sure our deadlines are met and to perform their job duties. Krista is a pleasure to work with and we look forward to working with her and TPS Group next year.

- Michael Panela

Highly impressed with their level of expertise and outstanding customer service.

Highly impressed with their level of expertise and outstanding customer service.

I highly recommend TPS Group and their quality third-party administration for our 403(b) plan. During our long relationship with TPS Group, we have never failed to be impressed with their level of expertise and outstanding customer service. They keep their promises and it’s easy to work with them. Having our own rep Lauren McNabb is a plus!

- Don Senecal

"Extremely Helpful to Our Business"

"Extremely Helpful to Our Business"

Malinda deserves special recognition. She is prompt, courteous, and professional. We find her to be extremely helpful to our business.

- Angela Simino

"Wonderful To Work With"

"Wonderful To Work With"

My go to professional is Des. A wonderful person to work with. We can count on him to handle all of our needs.

- Andrea Blakeslee

"Answers All Of My Questions In A Clear Manner"

"Answers All Of My Questions In A Clear Manner"

Our case administrator, Susan, has been absolutely wonderful and is a joy to work with. She is very knowledgeable, patient, answers all of my questions in a clear manner, and is professional.

- Kathy Townsend

Extremely Valuable to Myself and Our Company

Extremely Valuable to Myself and Our Company

Kathleen has helped me gather info and understand text so many times and is extremely valuable to myself and our company.

- Elizabeth Robison

Very Responsive And Clear To Requests And Questions

Our service representative, Carol, is outstanding and very responsive and clear to requests and questions. Very professional yet pleasant.

- Jane Surmecewicz

They are a pleasure to work with and we highly recommend their services.

They are a pleasure to work with and we highly recommend their services.

For many years we’ve relied on TPS Group’s extensive knowledge and industry expertise to keep us in compliance with state and federal regulations as well as changes in the law. Their attention to detail is just what we need to keep our business operations running smoothly. They are a pleasure to work with and we highly recommend their services.

- Dan Neal

TPS filled in the gaps within our small HR department

Working with Kim and her talented team helped us fill in the gaps within our small HR department. I strongly recommend TPS for HR tasks that don’t warrant hiring a full-time team. Thanks again Kim!

- Jake F

Knowledge and Expertise

Excellent customer service can be hard to find, but not with TPS Group! I know when I do business with Phil Coco, I can expect a quick response. I rely on his knowledge and expertise, and highly recommend TPS Group for their pension services.

- Mark Catullo

Dependable, experienced, and professional

Dependable, experienced, and professional

Dependable, experienced, and professional, our TPS Group recruiter was an invaluable resource, helping us locate and vet quality talent.

- Tyler R. Vunk

Contact us about High Deductible Health Plans in Western NY

Sign Up for Future Updates