Your Benefits, Explained More information and specific plan details will be provided at the Open Enrollment Informational Meetings. FSA (Flexible Spending Account) An FSA allows for you to have pre-taxed funds from payroll placed on a debit card that can be used for approved medical expenses. This include doctor bills, pharmacy, dentist and other expenses. You must use these funds though the calendar year. Available for Gold & Silver. There is also a Dependent Care reimbursement account to help cover the costs of day care, after school programs and elder care. In-Network vs. Out-of-Network In-network providers have agreements with the insurance company to offer services at reduced rates, while out-of-network providers do not, often resulting in higher costs for employees. Open Enrollment Open Enrollment is the time during which employees can enroll in or make changes to their benefits for the upcoming year. You may not enroll in or change your benefits any other time, unless you experience a Qualifying Event like having a baby or getting married. Deductible The amount an employee must pay out-of- pocket before the insurance plan starts to cover healthcare costs. Out-of-Pocket Maximum The maximum amount an employee will pay in a year, including deductibles, copays, and coinsurance, after which the insurance covers 100% of covered services. Coinsurance The percentage of costs an employee pays after meeting their deductible, with the insurance covering the rest. HSA (Health Savings Account) Available for the Bronze Plan Only. Aesop provides $600 annually on the HSA debit card to allow for annual medical expenses. Employees can contribute through payroll; the funds remain available and roll over. RSI (Debit Card Provider) Available for the Gold & Silver plans only. RSI will provide a preloaded debit card to cover all medical expenses up to the plans amount. Employees are encouraged to use the debit card before using FSA funds.