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Quick Hits
- Due to the expiration of certain relief that allowed pre-deductible coverage of telehealth, employers offering HDHPs with first-dollar telehealth coverage may need to amend their plans by January 1, 2025 (for calendar year plans) to ensure employees remain eligible to contribute to their HSAs.
- In connection with this change, plan sponsors may also need to update their HDHP participant communications to reflect changes in cost sharing for telehealth services.
As mentioned in our December 3, 2024, article on HDHP plan amendments, the CARES Act of 2020, which was extended through the Consolidated Appropriations Act, 2023, allowed, but did not require, HDHPs to provide first-dollar coverage of telehealth without negatively affecting participants’ HSA eligibility. The extension expired at the end of the 2024 plan year (December 31, 2024, for calendar year plans), and Congress’s year-end spending bill, the American Relief Act, 2025, did not include an extension of the HDHP telehealth relief.
Accordingly, an employer that provides HDHP health plan coverage will need to amend its HDHP if it includes first-dollar telehealth coverage. Since the prior relief was not extended, individuals who are covered by an HDHP that covers telehealth services before the deductible will not be eligible to contribute to an HSA for some or all of 2025.
Effective January 1, 2025 (for a calendar year plan), to preserve employees’ HSA eligibility, an HDHP that covers telehealth services may not cover such services until the employee has met the annual deductible. Employers with non–calendar year plans will have until the end of the plan year that began in 2024 to make the change. In either case, employers will want to confirm that their plan documents, summary plan descriptions, and summaries of benefits and coverage are updated to reflect any changes to participant cost sharing for telehealth services.
Ogletree Deakins’ Employee Benefits and Executive Compensation Practice Group will continue to monitor developments and will provide updates on the Employee Benefits and Executive Compensation blog as additional information becomes available.
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