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HSA Benefit Summaries

PW_A133903
Note: For HSA plan designs, the incentives for Fully Insured groups are available as gift cards only, so the benefit summary language is different. Please select the benefit summary under the correct funding arrangement. The benefit summaries with no incentives have the same language for both funding arrangements.  
Incentive Plans (Non-Embedded Deductible)  

Fully Insured Groups  
 
Self Funded Groups (ASO)  
 
PPO CDHP GHSA44 
PPO CDHP GHSA44 
PPO CDHP GHSA45 
PPO CDHP GHSA45 
PPO CDHP GHSA46 
PPO CDHP GHSA46 
PPO CDHP GHSA47 
PPO CDHP GHSA47 
PPO CDHP GHSA48 
PPO CDHP GHSA48 
PPO CDHP GHSA49 
PPO CDHP GHSA49 
PPO CDHP GHSA50 
PPO CDHP GHSA50 
 
Incentive Plans (Embedded Deductible)  

Fully Insured Groups  
 
Self Funded Groups (ASO)  
 
PPO CDHP GHSA58 
PPO CDHP GHSA58 
PPO CDHP GHSA59 
PPO CDHP GHSA59 
PPO CDHP GHSA60 
PPO CDHP GHSA60 
PPO CDHP GHSA61 
PPO CDHP GHSA61 
PPO CDHP GHSA62 
PPO CDHP GHSA62 
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.