Select Your HMA® Plan
| Product Option | Participant Monthly Contribution (Individual) | Participant 35-Month Total Contribution (Individual) | HMA 35-Month Medical Benefits Matched | 35-Month Target Medical Benefit Cap | Sign Up |
|---|---|---|---|---|---|
| HMA® 2500 | $40 | $1,400.00 | $1,100.00 | $2,500 | SIGN UP |
| HMA® 5000 | $84 | $2,940.00 | $2,060.00 | $5,000 | SIGN UP |
| HMA® 7500 | $113.50 | $3,972.50 | $3,527.50 | $7,500 | SIGN UP |
| HMA® 10000 | $140 | $4,900.00 | $5,100.00 | $10,000 | SIGN UP |
| HMA® 15000 | $198 | $6,930.00 | $8,070.00 | $15,000 | SIGN UP |
| HMA® 20000 | $251 | $8,785.00 | $11,215.00 | $20,000 | SIGN UP |
| HMA® 25000 | $303 | $10,605.00 | $14,395.00 | $25,000 | SIGN UP |
| HMA® 30000 | $370 | $12,950.00 | $17,050.00 | $30,000 | SIGN UP |
| HMA® 40000 | $485 | $16,975.00 | $23,025.00 | $40,000 | SIGN UP |
| HMA® 50000 | $605 | $21,175.00 | $28,825.00 | $50,000 | SIGN UP |
| HMA® 60000 | $725 | $25,375.00 | $34,625.00 | $60,000 | SIGN UP |
The HMA® is not health insurance.
Total contribution amounts assume no prior medical expenses paid for with your HMA® Medical Reimbursement Card. Monthly contribution amounts vary based on the contribution and number of family members on the plan. The HMA® 2500 and the HMA® 5000 have no additional charges, but starting at the HMA® 7500 level additional charges applied are $5 per month for the first dependent and $10 additional per month for the second or more dependents. Both spouses of a household are permitted to purchase their own individual HMA® plans, but if they wish to have their children under age 26 covered as well, they need to be added during enrollment on one of the plans.
■ Select Your HMA® Product: Each product option represents the target medical benefit cap that you will be building your plan up to ranging from $2,500 to $60,000. For example, if you select the HMA® 10000 product, you can contribute as little as $140 per month or $4,900 over 35 months and accumulate $10,000 of HMA® medical benefits to pay for your out-of-pocket, medical expenses by swiping your HMA® Medical Reimbursement Visa® Prepaid Card at the point of service
■ Monthly Contribution Amount: Sample, monthly contribution amounts are listed beside each product option with final pricing determined as you continue in the enrollment process
■ Flexible Payment Arrangements: Product options can fit any individual or family budget with the ability to scale up your monthly contribution amount and target medical benefit cap as needed on a monthly basis by contacting our customer service department
■ Paid-Up Medical Benefits!: No further monthly, participant contribution once the total amount of your HMA® medical benefits reaches its target cap (only monthly maintenance fees will be required to maintain your benefits)
■ What Medical Services Are Covered?: Your HMA® will pay for most of your 213 (d) medical expenses as well as most elective procedures (with MD surgeons only) including fertility procedures, lasik and plastic surgery among other highly sought after procedures. Click here to view a list of covered medical expenses.
The HMA® is not health insurance.
The HMA® Medical Reimbursement Visa® Prepaid Commercial Credit Cards are issued by Celtic Bank.