BlueAccount combines a Highmark health plan with a Healthcare Savings Account (HSA) to give you more choices when paying for healthcare. Safety net Your Highmark BlueAccount health plan covers eligible costs once you've met your deductible. BlueAccount also helps you stay well by covering eligible preventive care, even if you haven't met your deductible. Payment choices If you haven't met your deductible, you choose how to pay for care. You can pay out of pocket or use HSA money contributed by your employer. Unused HSA money can roll over to next year. HSA money isn't transferable if you change employers or health plans.