Click or hover on the different elements throughout this interactive guide to reveal additional information.
Explore MoreLet’s face it, health care can be confusing. Here’s a quick explanation of some common terms you’ll see as you learn more about your Capital One medical plan options. Hover over each tile to see the definition.
When comparing medical plans, think about your total costs: what you pay for coverage from your paycheck and what you pay for the health care you receive.
Capital One offers you a choice of two Preferred Provider Organization (PPO) plans — the Basic PPO and the Enhanced PPO. Both of these plans help you care for your health while keeping out-of-pocket costs manageable and predictable — so you’ll be prepared, even if you need a lot of care. Hover over each card below to reveal more information.
Potentially higher paycheck contributions with lower health care costs
All our plan options cover in-network preventive care, such as checkups and vaccines, at no cost to you.
For non-preventive care — like treatment for an illness or injury — you’ll pay nothing for office visits with your primary care provider (PCP). If you need to see a specialist or fill a prescription, you’ll pay a fixed co-pay. The plan deductible ($1,000 individual/$2,000 family, in-network for the Basic PPO; $500 individual/$1,000 family, in-network for the Enhanced PPO) only applies to other medical care, like hospital services. After you meet the deductible, you’ll pay a small percentage of your medical costs through coinsurance, until you reach the out-of-pocket maximum.
Tax-free spending money
Using a Health Care FSA to pay for eligible expenses is like getting a discount on your health care. That’s because you won’t pay income tax on the money you contribute to a Health Care FSA. Spending your Health Care FSA money is as easy as swiping your debit card. Or, you can also submit your receipts to request reimbursement.
You even get Health Care FSA funding from Capital One. You’ll receive $500 if you enroll in a Health Care FSA and make the minimum $500 contribution.* This company money counts toward the annual IRS maximum contribution allowed for Health Care FSAs — $3,050 in 2024.
Stay healthy, reduce risk, save on taxes
If you’re expecting low to moderate health care needs and want predictable, manageable costs, the Basic PPO may be a good choice. If you’re expecting higher health care needs and want to limit your financial risk, the Enhanced PPO may be a good choice. Both PPOs pair nicely with a Health Care FSA, which includes a contribution from Capital One and tax savings.
Looking for more flexibility with your health care funds? Because the CDHP comes with a Health Savings Account (HSA), it gives you more flexibility over your health care spending and savings. An HSA is similar to a Health Care FSA but your account (and any unused balance) is yours for life compared to an FSA which is a “use it or lose it” account — you can even invest it and use the money in retirement. Learn more about the CDHP + HSA. Then, take a look at a side-by-side comparison of the CDHP and PPO plans to see how the plans cover expenses. Lastly, review a side-by-side comparison of the HSA and Health Care FSA to see how the savings and spending accounts differ.
*Contributions are prorated for mid-year enrollments. While enrolled in the FSA and/or HSA, Capital One will contribute $19.23 per pay period ($38.46 per pay period for HSA when covering dependents).
Keep in mind that both your contributions and Capital One’s contribution counts toward the IRS-mandated maximum contribution for Health Care FSAs ($3,050 for 2024).
You can stay healthy — and lower your medical bills — by keeping up with your preventive care.
It’s free as long as you stay in-network, so there’s no excuse to skip it. Hover over each tile for examples of services that are considered preventive care.
See a full list of fully covered preventive care services for adults and children.
Your PPO benefits keep your costs predictable and manageable. With fixed co-pays for doctor visits and prescriptions, you’ll know exactly what each appointment or trip to the pharmacy will cost you — and primary care visits won’t cost you anything. When you need other types of medical care, such as hospital services, you’ll pay in full until you meet the annual deductible, then coinsurance begins and the majority of the cost is covered by the plan.
Click on each person to see how their health care costs are covered with each of the PPO plans.
Treating a few minor illnesses
Having a planned procedure
Managing a chronic condition
See more Real Life Examples with a side-by-side comparison of how the three medical plan options cover everyday health care expenses, emergencies, and a chronic condition with a planned procedure. The CDHP + HSA Interactive Guide also has some real life examples.
What can you spend Health Care FSA money on? See a list of eligible expenses.
You can stretch your health care dollars by taking advantage of a Health Care Flexible Spending Account (FSA). With a Health Care FSA, you contribute pre-tax money directly from your paycheck, so you’re reducing the amount of income tax you pay. Unlike a Health Savings Account (HSA) which lets you carry over any used balance year after year, a Health Care FSA is meant to be used the same year you contribute to it. You also can’t take your funds with you, so if you leave Capital One, you’ll forfeit any remaining balance in your Health Care FSA.
Here’s an example. Let’s say Kim decides to set aside $2,000 in a Health Care FSA for the year. Normally, on that money, she’d pay $480 in federal income tax, $100 in state income tax, and $153 in payroll tax. So, by contributing that $2,000 to her Health Care FSA, she’ll get $733 in tax savings for the year. Plus, she’ll receive a $500 contribution from Capital One — that’s free money.
| Without a Health Care FSA, Kim would pay … | Savings with a Health Care FSA |
|---|---|
| 24% in federal income tax | $480 |
| 5% in state income tax | $100 |
| 7.65% in payroll tax | $153 |
| Her total tax savings for the year with a Health Care FSA | $733 |
This hypothetical illustration is for educational purposes only. Dollar amounts or savings will vary depending on income, state and city tax rules, and other factors. Please consult a tax, legal, or financial advisor about your own personal situation.
Your Health Care FSA allows you to save money by using pre-tax dollars to pay for eligible health care expenses for you and your dependents — but this money-saving benefit comes with some rules attached. Hover over the tiles to reveal the answers.
*Contributions are prorated for mid-year enrollments. While enrolled in the FSA and/or HSA, Capital One will contribute $19.23 per pay period ($38.46 per pay period for HSA when covering dependents).
Ask for a detailed receipt. When submitting documentation for an eligible Health Care FSA expense, it must show who the expense was for, where and when the service was provided, what the service or item was, and how much you paid.
Why overpay for health care and prescriptions? You’ll keep more money in your HSA if you know how to make cost-conscious health care decisions. Take charge of your spending with these money-saving tips.
Click on each tile to access money-saving tips.
when you need medical attention
to save on medical expenses
