Before You Go ..............................................3 How Your Medical Plan Works . . . . . . . . . . . . . . . 4 ID Cards and HSA Debit Card . . . . . . . . . . . . . . . 5 Find the Right Doctor . . . . . . . . . . . . . . . . . . . . . . . 8 Prepare for Your Doctor’s Visit . . . . . . . . . . . . . . . 9 KnowWhattoAskYourDoctor. . . . . . . . . . . . . . 9 Know What to Do After Your Visit. . . . . . . . . . . 10 Know Where to Get the Right Care . . . . . . . . . . 11 How You Pay for Care..............................12 100%-Paid Preventive Care . . . . . . . . . . . . . . . . 13 AnnualDeductible.........................14 Know When Your Deductible Applies . . . . 14 Out-of-Pocket Maximum . . . . . . . . . . . . . . . . . . . 15 Paying for Prescription Drugs . . . . . . . . . . . . . . . 16 100%-Paid Prescription Drugs . . . . . . . . . . 17 UsingtheHSAPlan........................18 First,FundYourHSA....................18 Then,UseIttoPayforCare.. . . . . . . . . . . . . 19 Eligible Out-of-Pocket Expenses . . . . . . . . 19 Your HSA in Action: How It Works . . . . . . . 20 Changing Your HSA Contribution Amount . . . 22 Special Programs and Services.........23 Teladoc Health Telemedicine . . . . . . . . . . . . . . . . 24 Teladoc Health Mental Health . . . . . . . . . . . . . . . 25 2nd.MD...................................26 AccessHope...............................26 Transcarent Surgery Care.. . . . . . . . . . . . . . . . . . 28 Blue Cross of Idaho Programs.. . . . . . . . . . . . . . 29 CareManagement......................29 SmartShopper . . . . . . . . . . . . . . . . . . . . . . . . . 30 Resources for Mental and Emotional Health . . 31 Employee Assistance Program . . . . . . . . . . . 31 Benefits Through Blue Cross of Idaho ....32 RethinkCare............................33 Learn More..................................................34 Making Benefit Changes (QualifyingLifeEvents).. . . . . . . . . . . . . . . . . . . . 35 COBRA Continuation Coverage . . . . . . . . . . . . . 36 myACI Benefits Resources Page ............37 MyACI-Benefits.com Website ...............38 U seful Mobile Apps (Blue Cross of Idaho, Teladoc, MedImpact, Fidelity, myStrength) . . . 38 ContactInformation........................39 2 of 39 How to Use This Guide This booklet offers you practical guidance for making the most of the Health Savings Account (HSA) Plan. In these pages, you will find: • Basic information like how to find a doctor, how to prepare for and access the right care and care follow-up • How much you can expect to pay for care with important definitions and helpful examples • Descriptions of special programs and services for a variety of health conditions and care delivery • Instructions for making changes to your plan, continuing coverage when you leave Albertsons or become ineligible, accessing myACI-Benefits.com, available mobile apps and more For medical plan details, as well as information about ALEX (your interactive benefits counselor), please refer to the 2025 Benefits Guide. See page 37 for more on myACI benefits resources. Table of Contents
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