The Internal Revenue Service (IRS) lengthened the list of preventive care that could be covered under a high deductible health plan (HDHP), specifically for individuals diagnosed with chronic conditions. Because these services are now provided under an HDHP, they can be paid for using HSA dollars.
It’s important to note that the IRS did not require these services be provided without cost sharing. Nor does it suggest the same characteristics could be used to expand the scope of preventive care beyond the defined list.
It remains to be seen how fully insured carriers will respond to the expansion of preventive care. It’s possible fully insured individuals needing these services will continue to pay-out-of-pocket and be reimbursed through available HSA funds. Sponsors of self-insured plans have the latitude to include these services without any or partial cost-sharing.
The additional care is considered preventive care for those diagnosed with the corresponding chronic condition. This includes items ranging from prescription drugs to purchasable health care items and medical services.
The following items are now listed by the IRS as preventive care.
|Preventive Care for Specified Conditions||For Individuals Diagnosed with|
|Angiotensin Converting Enzyme (ACE) inhibitors||Congestive heart failure, diabetes, and/or coronary artery disease|
|Anti-resorptive therapy||Osteoporosis and/or osteopenia|
|Beta-blockers||Congestive heart failure and/or coronary artery disease|
|Blood pressure monitor||Hypertension|
|Insulin and other glucose lowering agents||Diabetes|
|Peak flow meter||Asthma|
|Hemoglobin A1c testing||Diabetes|
|International Normalized Ratio (INR) testing||Liver disease and/or bleeding disorders|
|Low-density Lipoprotein (LDL) testing||Heart disease|
|Selective Serotonin Reuptake Inhibitors (SSRIs)||Depression|
|Statins||Heart disease and/or diabetes|
All care previously considered preventive care is still qualified as preventive care. If you have any questions about these additions or are interested in establishing an HSA, please call us at 855.890.7239.