Health Savings Account Member Guide i
Table of Contents Medica ONESource Debit Card... 4 What are the advantages of the debit card?...4 What expenses are eligible?...4 How does the card work?...4 Medica ONESource Website Overview... 5 Log in to view your account...5 Home...6 Accounts...6 Profile...6 Statements & Notifications...7 Tools & Support...7 Dashboard...8 Common Requests... 9 Add an HSA Beneficiary...9 Order Additional Debit Cards...10 Direct Deposit...10 Make an HSA Transaction...11 Distributions...11 Contributions...13 Update Your Profile...16 ii
Welcome to your Medica ONESource account! This guide explains how your debit card works and how to use the Medica ONESource website. You can pay for your medical expenses with your debit card so you don t have to pay out-of-pocket. And you can manage your account 24/7 using the website. Following are some features you may want to take advantage of: Checking balances and account activity Ordering additional debit cards Viewing account statements and other notifications Creating an HSA transaction Setting up direct deposit Updating your profile If you have questions about your HSA, contact Medica ONESource: Phone: 800-918-6152 Fax: 844-730-0715 Email: Mail: MedicaONESource4me@healthaccountservices.com Medica ONESource PO Box 2804 Fargo, ND 58108-2804 3
Medica ONESource Debit Card What are the advantages of the debit card? Pay directly from your HSA at the time of service No waiting for reimbursement Charges are paid directly to the provider What expenses are eligible? The IRS determines what expenses you can pay for with an HSA. For more information, see IRS Publication 502 on irs.gov. How does the card work? You don t need to submit documentation to Medica for any purchases. But you do need to keep copies of your receipts for debit card transactions and distributions from your HSA for your records. 4
Medica ONESource Website Overview Log in to view your account To access the Medica ONESource site, log in to mymedica.com, choose the Claims & Accounts tab, then choose Health Savings Account. The first time you visit the Medica ONESource site you will be asked to read and agree to the terms and conditions for your Health Savings Account. You can also view the Fee Schedule and interest information. You will be asked to answer three security questions. This helps keep your information secure. Once you set up your security questions and accept the Terms & Conditions, you will be logged in to the site. 5
Home After you log in, you ll see your home page. The Home Page provides tabs for easy navigation. Accounts The Accounts Tab lets you view your account summary details, review payment history information and see investment details. Profile The Profile Tab shows your personal information. 6
Statements & Notifications The Statements & Notifications Tab shows your account statements and any reminders you received. Tools & Support The Tools & Support Tab provides forms, plan summaries and Customer Service contact information. 7
Dashboard The Dashboard Tab provides a detailed overview of your account. 8
Common Requests Add an HSA Beneficiary You may designate a beneficiary for your HSA. The designated beneficiary would receive your HSA assets in the event of your death. From the Profile tab, select Add Beneficiary. If you are married, you must designate your spouse as your primary beneficiary. Or you can name someone other than your spouse by submitting a notarized Beneficiary Change Form with your spouse's signature of consent. Complete the required fields and click Submit. 9
Order Additional Debit Cards You will receive two debit cards for your account. To order additional debit cards: Select the Profile Tab, then Banking/Cards. Your debit card information will display on the right side of the screen. Select Order Replacement. Please note, all debit cards for your account will have the same number and be issued in the accountholder s name. The card(s) will be mailed to your home in 7-10 business days. Direct Deposit To set up direct deposit, select the Profile Tab, and then select Banking/Cards. Select Add Bank Account. Complete the required fields and select Submit. 10
Review the pop-up message and click Submit. A deposit will be made to your account in the next 3 business days. Once you confirm the deposited amount, the account will be activated and available for use. You can confirm the deposited amount by visiting the Medica ONESource website. After logging in, click on the link under the Message Center section of the home page. The link will read "One or more bank accounts require activation." Follow the instructions to activate the account. The direct deposit feature will be successfully added once you correctly answer your security question. Make an HSA Transaction Distributions You can take a distribution (also called a withdrawal) from your HSA using the website or by submitting an HSA Distribution Request form, available under Tools & Support. From the home page, select Make HSA Transaction. To create a distribution, select From: My HSA. Choose whether you want the distribution sent to yourself or to someone else, via check. Click Next. 11
Complete the information to issue the payment. In the example below, a payment is being made to Someone Else. Click Next. Once the distribution details have been added, you can choose to set up a recurring distribution on a schedule. If you do not need the distribution to recurr, select One-time. 12
Complete the remaining information for the transaction, including the amount, and click Next. You will be prompted to read and agree to the disclaimers regarding the distribution from your HSA. Once you check the box and click Submit, your distribution will be processed. Contributions You can contribute to your HSA outside of your payroll through the website or by submitting an HSA Contribution Request form, available under Tools & Support. You can also contribute by selecting Make HSA Transaction from the Home tab of the website. To ensure you don t go over the annual contribution limit set by the IRS, be sure to factor in any payroll contributions you ll make during the year. 13
To contribute to your HSA you must first provide your bank account information. If you have not added your bank account, select Add Bank Account and follow the steps outlined later in this guide. Once a bank account is added, select From: your bank account, and To: My HSA. Click Next. You can choose to set up a recurring contribution on a schedule. If you do not need the contribution to recurr, select One-time. 14
Enter the amount of the contribution and indicate the tax year. You will be prompted to read and agree to the disclaimers regarding the contribution to your HSA. Once you check the box and click Submit, your contribution will be initiated. 15
Member Guide Update Your Profile If you want to change your email address (for example, from your work email to your personal address) or your home/mailing address, select the Profile Tab and choose Update Profile. Please note: Be sure to tell your employer if your mailing address or name changes so they can update it for your Medica health insurance plan. Update the information as needed and select Submit. 2015 Medica. Medica is a registered service mark of Medica Health Plans. Medica refers to the family of health plan businesses that includes Medica Health Plans, Medica Health Plans of Wisconsin, Medica Insurance Company, Medica Self-Insured, and Medica Health Management, LLC. COM11233-1-00415 16