Health Savings Medical Plan

The Health Savings Medical Plan is administered through Anthem Blue Cross Blue Shield (BCBS) or UnitedHealthcare (UHC) and offers you more control over your healthcare costs. With Anthem BCBS and UHC national provider networks, in-network care is available almost anywhere in the USA. Please note: In 2027, the Health Savings Medical Plan will only be offered through Anthem Blue Cross Blue Shield.

In addition, you’ll receive extra support through a Health Savings Account (HSA)—a tax-free account that Siemens Healthineers helps fund. Siemens Healthineers gives you money to fund this account: $400 for individual coverage, $800 if you cover dependents. You can earn more by completing wellness activities. If you join after January 1, the amount is adjusted based on when you enroll.

Compare medical plan options

See how the medical plan options compare.

How the plan works

You’ll cover the full cost of care (including prescriptions) until you meet your deductible—$2,000 for individuals or $4,000 for families.
Then you share costs: After the deductible, you pay coinsurance of 15% and Siemens Healthineers pays 85% for in-network care, until you reach your out-of-pocket max—$4,500 for individuals or $9,000 for families.
After that, it’s covered: Once you hit the out-of-pocket max, the plan pays 100% of eligible costs for the rest of the year.
Preventive care is free: Annual checkups and recommended screenings are covered at no cost when you stay in-network.
Out-of-network costs are higher: You pay more out of pocket, and the deductible is $3,000 for individuals or $6,000 for families. After that, you pay 35% and Siemens Healthineers pays 65%, up to a higher out-of-pocket max.

Health Savings Medical Plan at-a-glance

You can see any doctor—no referral or primary care physician needed. In-network providers usually cost less, offer better coverage, and fully cover most preventive care. Here’s a look at coverage if you receive care in-network or out-of-network:

Plan provision	In-network	Out-of-network
Annual deductible Medical and prescription drug combined	$2,000 individual $4,000 family¹	$3,000 individual $6,000 family¹
Automatic Siemens Healthineers HSA contribution	$400 HSA contribution plus an additional $400 if you cover one or more dependents The company will fund HSA contributions at the beginning of the year You can earn additional company contributions called Healthy Rewards
Preventive care	100% covered for most services	You pay 35% after the deductible is met
Coinsurance	You pay 15% after the deductible is met	You pay 35% after the deductible is met
Out-of-pocket maximum Medical and prescription drug combined	$4,500 individual $9,000 family²	$7,000 individual $14,000 family²

You are subject to the entire family deductible even if a family member has met the individual deductible.
If you elect family coverage, the in-network out-of-pocket maximum cost for any one person is $7,350.

Extra protection—at no cost to you

You automatically receive company-paid* Critical Illness coverage through Voya—no action needed.

$5,000 benefit for you and your covered spouse
50% benefit for covered children
Coverage for serious conditions like heart attack, stroke, cancer, organ transplant, and more
$50 wellness reward each year when you or your dependents complete a qualified health screening

* Siemens Healthineers will pay the full cost of the premiums for this coverage—employees will be taxed on the value of the premiums paid on their behalf via an imputed income charge through payroll.
For more information about this program, watch this Voya’s website.

Extra protection—at no cost to you

You automatically receive company-paid* Critical Illness coverage through Voya—no action needed.

$5,000 benefit for you and your covered spouse
50% benefit for covered children
Coverage for serious conditions like heart attack, stroke, cancer, organ transplant, and more
$50 wellness reward each year when you or your dependents complete a qualified health screening

For more information about this program, watch this video. To file a claim, visit Voya’s website.

Other Coverage Highlights

Fertility Services

The Health Savings Medical Plan will pay benefits for fertility services when provided by or under the direction of a physician, with or without a diagnosis of infertility. Fertility services fall within the Health Savings Medical Plan’s deductible, coinsurance and out-of-pocket maximum. In addition, these services will be limited to a lifetime maximum of $25,000 (in and out of network combined) for medical and prescription drug benefits. Services for the diagnosis and treatment of an underlying cause of infertility are covered as described in the Summary Plan Description and are not subject to the fertility lifetime maximum benefit.

Gender Dysphoria

Siemens Healthineers medical and prescription drug benefit plans cover certain services for the treatment of gender dysphoria. Go here to learn more.

HSA information and tips for you

The HSA (Health Savings Account) is paired with the Health Savings Medical Plan and is a savings and investment account that works like a 401(k) plan, allowing you to set aside before-tax money, which you can use to pay for healthcare today or in the future. Siemens Healthineers contributes to the account, and so can you. You can always change your contribution during the year. And the money in the HSA is yours to keep, even if you leave the company.

Tip #1: Get the most value from an HSA.

Tip #2: How the HSA works.

Tip #3: Open your HSA to receive your company contributions.

Make sure you understand the advantages of an HSA so you can maximize your healthcare dollars—today and in the future.

You have several tax advantages.
- Before-tax contributions: Money that goes into your account (your contribution and the company contribution) is not taxed as income.
- Tax-free distribution: Money used on eligible healthcare expenses is not taxed.
- Tax-free earnings: Interest and investment earnings on your account are not taxed.
You’re in control. You decide how much to contribute and when to spend (or save) your HSA dollars. You can change your contribution at any time during the year (e.g., increase contributions to maximize your future savings or if you are incurring more healthcare costs than expected).
Use it…or save it. Any money you don’t use stays in your account.
Invest your balance. If your balance is greater than $2,000, you can grow your HSA balance by investing in mutual funds available through Optum Bank.
It’s portable. If you leave Siemens Healthineers, you take your HSA funds with you and can use them for qualified healthcare expenses in the future.

To be eligible to participate in the HSA, you:

Must be enrolled in the Health Savings Medical Plan; and
Cannot participate in any other health plan that duplicates benefits covered under the Health Savings Medical Plan—such as your spouse’s or domestic partner’s medical plan or Healthcare Flexible Spending Account (FSA) or Health Reimbursement Account (HRA)—unless it’s a Limited-Use FSA or HRA; and
Cannot be enrolled in Medicare* (Parts A, B, C, D, or Medigap); and
Do not receive health benefits under TRICARE or TRICARE for Life; and
Have not received Veterans Administration (VA) benefits within the past three months; and
Cannot be claimed as a dependent on another person’s tax return.

To confirm that you qualify for a Health Savings Account, you should consult IRS Publication 969 and the Optum Bank website to review the HSA eligibility requirements.

Know your eligible expenses! Review the list of eligible expenses available on the IRS website, under Publication 969.

*Once you are enrolled in any part of Medicare, you can no longer make contributions to your HSA, and you can no longer receive tax-free contributions from Siemens Healthineers.

If you don’t open your HSA, you will not receive a contribution from Siemens Healthineers and will not be able to start saving for your future (through your before-tax payroll contributions). Here’s how to open the account:

Go to mySHSBenefits.com during New Hire enrollment:

Select Enroll in your Benefits on the home page.
From the New Hire Welcome page, select Continue.
Follow the instructions to Add Your Dependents.
Select either Personalize Estimates or No Thanks, depending on your preference.
Select Continue to choose the plan you want to enroll in.
Select Choose this Plan, as applicable.
Check the box that applies to you on the HSA Eligibility page.
Select Continue; then, enter your annual HSA contribution amount and agree to Optum Bank’s terms and conditions, which allows the company to open an account on your behalf at Optum Bank.

Catch-up contributions

If you are, or will be, age 55 or older during the year you are enrolled in the HSA, you can make an additional $1,000 in catch-up contributions to the HSA, on a before-tax basis, at any time on mySHSBenefits.com.

Eligible healthcare expenses

Please refer to the Siemens Medical Solutions USA, Inc. Group Insurance and Flexible Benefits Summary Plan Description (SPD)

Expenses not eligible under your medical plan option; amounts above the Reasonable and Customary charges or Maximum Allowed Amount; as well as payroll contributions are not eligible for reimbursement under the HSA.

Earn additional company contributions with Healthy Rewards.

It’s as easy as 1, 2, 3! Participate in certain wellness activities and receive additional company contributions deposited into your HSA.