GuideStone's Qualified High Deductible Health Plan (HDHP)

Participants in GuideStone’s Health Saver 2800 medical plan may qualify to open a Health Savings Account (HSA).  Below is a highlight of the plan's benefits:

Health Saver 2800 plan benefits:

In-network Benefits Health Saver 2800 Medical Plan
Deductible for individual coverage $2,8001
Deductible for family coverage $5,600
Plan coverage Plan pays 80%2
Annual out-of-pocket maximums: individual/family $3,000/$6,000 (after deductible)
Primary care physician office visit/specialist office visit Plan pays 80%2
Hospital admission and outpatient surgery Plan pays 80%2
Wellness and preventive care Plan pays 100% (no deductible)
Emergency room Plan pays 80%2
Chiropractic services (limited to 20 visits) Plan pays 80%2
Mental health — inpatient 80% (30 days annually)2
Mental health — outpatient 80%2
Maternity (after deductible) Plan pays 80%2
Lifetime maximum benefit Unlimited

1Deductible for individual coverage applies only to persons with no dependents on their coverage.
2 Your deductible is met by both medical and prescription drug expenses. Plan deductible must be met before benefits are paid.

Health Saver 2800 prescription benefits:

$2,800/$5,600 Plan Deductible1 Retail (30-day supply) Home Delivery (90-day supply)
Generic drug Plan pays 80% after deductible Plan pays 80% after deductible
Preferred drug2 Plan pays 80% after deductible Plan pays 80% after deductible
Non-preferred drug2 Plan pays 80% after deductible Plan pays 80% after deductible
Specialty drug2 Not available Plan pays 80% after deductible (30-day supply only)

1The individual and family deductible is combined for both medical and prescription drug expenses. Plan deductible must be met before benefits are paid.
2 If a preferred or non-preferred drug is purchased when a generic is available, the cost difference between the cost of the preferred/non-preferred drug and the drug cost of its generic equivalent will not apply to the participant's deductible or out-of-pocket expenses. After the deductible is met, the participant must pay the cost difference between the preferred/non-preferred drug and its generic equivalent.

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