Health Savings Account

The Health Savings Account (HSA), administered by The Nyhart Company, is a special tax-advantaged bank account that can be used to pay for IRS-qualified health expenses for you, your spouse, and your tax dependents. You can open an HSA only if you are enrolled in the Anthem PPO HDHP or IU Health HDHP plan.

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HSA Basics

Am I eligible for an HSA?

When you elect the Anthem PPO HDHP or IU Health HDHP, you are also eligible to elect an HSA. In order to be eligible to qualify for an HSA, you must meet the following requirements:

  • You must be covered under a high deductible health plan (HDHP)
  • You have a valid Social Security Number
  • You are not listed as a dependent on someone else's tax return
  • You are not enrolled in Medicare, Tricare, or have received VA medical services (other than preventive) in the last 3 months
  • You have no other medical coverage
In order to be eligible for tax-free contributions into an HSA, the IRS requires that you have no other medical coverage other than an IRS-qualified high deductible health plan. Your spouse may have other coverage but you cannot be covered on his/her non-HDHP medical plan, HRA or unrestricted FSA/TSB Healthcare plan and still be eligible for tax-free contributions to your HSA.

How it Works

  • Each pay period, you make pre-tax contributions to your account through payroll deduction. IU’s contribution is made in one lump sum.
  • Use your HSA to pay for eligible health expenses for you or any of your eligible dependents – even if they aren’t covered on your health plan.
  • Let the money in your account rollover and grow over time. Watch your money accumulate interest and increase in your account, or open an investment account and invest in a wide range of mutual funds.
  • When you enroll in Medicare, you are no longer eligible to make tax-free contributions to your HSA. However, you still have access to your funds to pay for your eligible health expenses.
  • The funds in your account are yours to keep until you spend them. You can continue to use them for your eligible health expenses even after you leave IU or retire. 

Eligible Expenses

Examples of qualified health care expenses include:

  • Out-of-pocket expenses such as your HDHP deductible and coinsurance
  • Prescriptions
  • Dental and orthodontia services
  • Vision services, like glasses or contacts
  • Medical equipment & supplies
  • Acupuncture
  • Disability aids
  • Hearing aids
  • Disposable face masks (with note from doctor)
  • Thermometers
  • Certain over-the-counter (OTC) medicines*
  • Menstrual care products*
  • Travel to and from medical services

Find a complete list of allowable expenses review IRS Publication 502 or search the Nyhart Eligible Healthcare Expenses Table.

*It may take time for vendors to update their systems to recognize these items as eligible expenses. Until then, these items can be purchased out-of-pocket then reimbursed with HSA funds.

How much can I contribute to my HSA?

You are required to make a minimum $300 annual contribution through payroll deductions on a pre-tax basis. You can make additional contributions up to the IRS-allowed maximum:

  • $3,600 for employee-only coverage level
  • $7,200 for all other coverage levels (employee w/spouse, employee w/child(ren), or family)
  • $1,000 catch up contribution for those who are or turn 55+ during the current tax year

The IRS maximum includes both the IU contribution + the employee contribution to the HSA.The maximums can be affected by a spouse’s HSA contributions, Archer MSA contributions, and/or the number of months you are covered under an HDHP. Details on the calculation of the IRS prorated maximum can be found in IRS publication 969.

How much does IU contribute to my HSA?

IU’s contribution is dependent on the plan and level of coverage you are enrolled in.


    • $1,300 for employee-only coverage
    • $2,600 for all other coverage levels.

IU Health HDHP

    • $1,600 for employee-only coverage
    • $3,200 for all other coverage levels.

IU’s annual contribution is deposited into your HSA as one lump sum and is not prorated. If you elect the HSA during Open Enrollment, IU’s contribution is made with your second paycheck in January. For mid-year elections (e.g. new hires, life event changes), IU’s contribution is typically made by the second payroll cycle after your election is made; however, the timing depends on when the election is made and on payroll deadlines. Access to those funds depends on when the HSA is established with Nyhart.

Mid-year enrollments or coverage changes on or after September 1 do not receive IU’s contribution (or an adjustment to IU’s contribution) for that year.


Below are answers to the most frequently asked questions regarding the Health Savings Account.

What type of health expenses can I use HSA funds for?

After you open an HSA, you can use funds to pay for covered expenses that apply toward the HDHP annual deductible and coinsurance costs (e.g. medical services, prescriptions, mental health services, etc). You can also pay for qualified health expenses that your health plan might not cover, such as vision care (eyeglasses and contact lenses), dental and orthodontic services. Detailed information about qualified expenses can be found on the Nyhart Eligible Healthcare Expenses Table, in IRS Publication 502, or by contacting Nyhart.

How do I login to my Nyhart account?

Mobile App: Nyhart IU HSA/TSB/ERIP Mobile for Apple or Android

Follow these instructions to create your initial web and/or mobile app accounts.

How do I access the funds in my HSA?

Once contributions are made to your account, you can access your funds in several different ways:

  • Use the IU Benefit Debit/Visa card at Healthcare Provider locations*. The IU Benefit debit/Visa card can be used at any healthcare provider, such as doctors’ offices, pharmacies, hospitals, labs, vision care providers, dental offices, chiropractor’s offices, etc.
    • Pay immediately by swiping your debit/Visa card at your provider’s office
    • Write the debit/Visa card number on the provider’s bill and return to your provider
  • Make an HSA Distribution online. Click on the Make an HSA Transaction button on the Welcome page.
    • Send yourself one-time or repeating checks to reimburse yourself for healthcare bills that you paid out of another account or with cash (a $10 fee is charged for each check distribution sent to yourself)
    • Send a payment to a provider directly from your account (No fees for payments made to providers)
    • Transfer funds directly from your HSA account to a personal bank account (no fees apply).

* Special rules apply to the use of the IU Benefit debit/Visa card when enrolled in both the HSA and the TSB Healthcare account.

How do I change my HSA contribution?

You may change, suspend, or stop HSA contributions at any time during the year by submitting an HSA Enrollment/Change Form (PDF) or by submitting the change online:

  1. Login to the Employee Center using your IU credentials
  2. Select the Benefit Details tile
  3. Click the Start Optional Benefit Changes button at the bottom of the screen
  4. Follow the prompts to request the change. Be sure to click Submit once your entry is complete.

Can I invest my HSA funds?

Yes! You can choose from a wide range of mutual funds. Your investment choices include a variety of funds - asset allocation, fixed income and equity mutual funds – all supporting a range of investment objectives and time horizons. You can review the HSA Investment Options, review investment prospecti online at or speak with a registered investment representative by contacting Nyhart at 800-284-8412.

Can I enroll in both the TSB Healthcare Account and the HSA?

Yes, however, when you are enrolled in both accounts, your TSB funds can only be used for dental and vision expenses until the HDHP deductible has been met for the year. Once the deductible is met for the year, the funds in the TSB can be then used for medical and prescription expenses.

Also, when you are enrolled in both accounts, your IU Benefits Card will be a “stacked card.” This means that when you use the card at a medical or pharmacy provider, the card will automatically draw from the HSA account. When used at a dental or vision provider, the card will automatically draw from TSB funds first, then the HSA once TSB funds have been exhausted.

What happens if I enroll in Medicare?

Enrolling in Medicare has a major impact on your ability to contribute to an HSA. It is important that you understand the consequences of Medicare enrollment. Review the Medicare & Health Savings Account FAQs for details.


Customer Service Contacts

The Nyhart Company

IU Human Resources