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Health Reimbursement Arrangement

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Presentation on theme: "Health Reimbursement Arrangement"— Presentation transcript:

1 Health Reimbursement Arrangement
Invest in your health with an Health Reimbursement Arrangement Proprietary and confidential

2 Proprietary and confidential
Your Health Reimbursement Arrangement (HRA) Helping you pay for health care Your employer owns it They fund the account for you You never add your own money Use it to pay for qualified medical expenses for anyone covered by your health plan The money you use is tax-free Use it or lose it1 1 Depending on how your employer sets up the account, money may be forfeited at the end of the plan year or grace period Proprietary and confidential

3 Proprietary and confidential
How your HRA works All the money is available day one See your doctor and have a qualified medical expense Doctor bills your health plan Funds in your HRA will pay the expenses first Once the funds are exhausted, you pay the rest until your deductible is met and your health plan covers the costs Remove HRA type text box in red, or delete slide before use Employer pays 1st/HP Proprietary and confidential

4 Your employer pays first
Employer funds the HRA Your employer decides how much to fund the HRA and what it will cover. Funds are available day one. You see your doctor You see your doctor and have a qualified medical expense. They bill your health plan The doctor’s office sends the bill (claim) to your health plan. Your HRA pays bills first The health plan processes the claim, then sends it to your HRA for payment first. Remove HRA type text box in red, or delete slide before use Once the funds are exhausted you are responsible for the bills until you reach your deductible. You pay the rest Employer pays 1st/HP Proprietary and confidential

5 Proprietary and confidential
How your HRA works Funds are available as deposited. See your doctor and have a qualified medical expense Doctor bills your health plan You pay the health care bills first Once you’ve reached your portion of the deductible, HRA funds will automatically pay the next portion until your deductible is met and your health plan covers the costs. Remove HRA type text box in red, or delete slide before use Employee pays 1st/HP Proprietary and confidential

6 You pay first Employee pays 1st/HP Employer funds the HRA
You see your doctor You pay the bills first Your HRA pays the last They bill your health plan Your employer decides how much to fund the HRA and what it will cover; Funds are available as deposited. You see your doctor and have a qualified medical expense. The doctor’s office sends the bill (claim) to your health plan. You pay the first expenses out-of-pocket until your share of the deductible is met. Remove HRA type text box in red, or delete slide before use Once you’ve reached your share of the deductible, your HRA covers the rest or until funds are exhausted. Employee pays 1st/HP Proprietary and confidential

7 Proprietary and confidential
Meet the Robinson’s Two parent family with two school-age children Health plan deductible $3000 Employer HRA contribution $1,200 HRA pays last portion of the health care deductible Your deductible with an HRA $1800 Remove HRA type text box in red, or delete slide before use HRA Case 2: Meet the Robinsons. (Employee pays first) Isiah and Michelle have a growing family with two school-age children. Isiah’s employer offers a Health Reimbursement Arrangement (HRA) with their health plan that allows him to pay for the last $1200 of his family’s qualified health care costs up to his deductible, once he has paid for the first out-of-pocket costs of his deductible. Isiah knows that the withdrawals from the HRA are tax-free as long as he uses it for qualified health care costs. Once the $1200 is exhausted Isiah knows he will be responsible for any remaining costs up to the deductible. HRA Employer contribution: $1,200 Pays last health care deductible costs: $1,200 HRA account: $1,200 Tax Savings using HRA fund (vs. their own funds) $300 (assuming a 25% tax rate) The Robinsons’ story is a hypothetical example for purposes of illustration only. 1 Assumes that the Robinson’s pay 25% of their income in federal, State and social security taxes. Actual tax savings will depend on applicable State tax rates and your personal tax situation. Please consult your tax adviser for details. The Robinson’s story is a hypothetical example for purposes of illustration only. Employee pays 1st/HP Proprietary and confidential

8 Proprietary and confidential
How your HRA works Funds are available once deposited. See your doctor and have a qualified medical expense Doctor bills your health plan Use available funds in your HRA to pay the shared portion of your health care bills until the funds are exhausted  You pay your shared portion of any remaining health care bills until your deductible is met and your health plan covers the costs Remove HRA type text box in red, or delete slide before use Shared payments/HP Proprietary and confidential

9 Proprietary and confidential
You and your employer share payment Employer funds the HRA Your employer decides how much to fund the HRA and what it will cover; Funds are available as deposited. You see your doctor You see your doctor and have a qualified medical expense. They bill your HP The doctor’s office sends the bill (claim) to your health plan. You pay your share You pay your share of the bill based on the shared percentage. Remove HRA type text box in red, or delete slide before use Once you’ve reached your share of the deductible, the HRA covers theirs until the funds are exhausted. Your HRA pays theirs Shared payments/HP Proprietary and confidential

10 Proprietary and confidential
Meet the Robinson’s Two parent family with two school-age children Health plan deductible $3000 Employer HRA contribution $1,200 You each pay a share of the out-of-pocket deductible Your deductible with an HRA $1800 Remove HRA type text box in red, or delete slide before use HRA Case 2: Meet the Robinsons. (Employee pays first) Isiah and Michelle have a growing family with two school-age children. Isiah’s employer offers a Health Reimbursement Arrangement (HRA) with their health plan that allows him to pay for the last $1200 of his family’s qualified health care costs up to his deductible, once he has paid for the first out-of-pocket costs of his deductible. Isiah knows that the withdrawals from the HRA are tax-free as long as he uses it for qualified health care costs. Once the $1200 is exhausted Isiah knows he will be responsible for any remaining costs up to the deductible. HRA Employer contribution: $1,200 Pays last health care deductible costs: $1,200 HRA account: $1,200 Tax Savings using HRA fund (vs. their own funds) $300 (assuming a 25% tax rate) The Robinsons’ story is a hypothetical example for purposes of illustration only. 1 Assumes that the Robinson’s pay 25% of their income in federal, State and social security taxes. Actual tax savings will depend on applicable State tax rates and your personal tax situation. Please consult your tax adviser for details. The Robinson’s story is a hypothetical example for purposes of illustration only. Shared payments/HP Proprietary and confidential

11 Proprietary and confidential
How your HRA works All the funds are available day one See your doctor and have a qualified medical expense Doctor bills your health plan Funds in your HRA will pay the bill first Use your SelectAccount debit card to pay the bill, or get reimbursed Once the funds are exhausted, you pay the rest until your deductible is met and your health plan covers the costs Remove HRA type text box in red, or delete slide before use Employer pays 1st/No HP Proprietary and confidential

12 Your employer pays first
Employer funds the HRA Your employer decides how much to fund the HRA and what it will cover; Funds are available day one. You see your doctor You see your doctor and have a qualified medical expense. Use your SA debit card if applicable. They bill your HP The doctor’s office sends the bill (claim) to your health plan. HP sends to HRA to pay first The health plan processes the claim, then sends it to your HRA for payment first. Remove HRA type text box in red, or delete slide before use Once the funds are exhausted you are responsible for the bills until you reach your deductible. You pay the rest Employer pays 1st/No HP Proprietary and confidential

13 Proprietary and confidential
How your HRA works Funds are available once deposited. See your doctor and have a qualified medical expense Doctor bills your health plan You pay the health care bills first Once you’ve paid your share of the deductible, use funds in your HRA to reimburse yourself until the funds are exhausted, your deductible is met and your health plan covers the costs. Remove HRA type text box in red, or delete slide before use Employee pays 1st/No HP Proprietary and confidential

14 You pay first Employee pays 1st/No HP Employer funds the HRA
Your employer decides how much money to put into your HRA; money is when it’s deposited. You see your doctor You see your doctor and have a qualified medical expense. They bill your HP The doctor’s office sends the bill (claim) to your health plan. You pay the bills first You are responsible for the first portion of your expenses. Remove HRA type text box in red, or delete slide before use Once you’ve reached your share of the deductible, your HRA covers rest up to the deductible or until funds are exhausted. Your HRA pays the bills last Employee pays 1st/No HP Proprietary and confidential

15 Proprietary and confidential
How your HRA works Funds are available once deposited. See your doctor and have a qualified medical expense Doctor bills your health plan Pay your portion of the medical expense out of pocket first Submit your receipts with your Explanation of Benefits (EOB) to verify expenses Employer’s portion will direct deposit into the HRA to reimburse you for expenses until your funds are exhausted, your deductible is met and your health plan covers the costs Remove HRA type text box in red, or delete slide before use Shared payments/No HP Proprietary and confidential

16 Proprietary and confidential
You and your employer share payment Employer funds the HRA Your employer decides how much to fund the HRA and what it will cover; Funds are available as deposited. You see your doctor You see your doctor and have a qualified medical expense. They bill your HP The doctor’s office sends the bill (claim) to your health plan. You pay your share You pay your share of the bill and the HRA pays the employer’s share. Remove HRA type text box in red, or delete slide before use Once you’ve reached your share of the deductible, and the HRA covers theirs up to the deductible or until funds are exhausted. Your HRA pays theirs Shared payments/No HP Proprietary and confidential

17 Proprietary and confidential
Qualified HRA Expenses Expenses you can pay for: These you can’t pay for: Generally covers the same expenses covered by your health plan. In-network doctor visits Inpatient or outpatient hospital care Diagnostic exams Prescription medications Family or marriage counseling Cosmetic surgery and procedures; teeth whitening Personal items such as toothpaste, lotions, makeup, soaps, or shaving supplies Supplements Fitness programs and exercise equipment Always save your receipts to ensure proper validation of expenses, as required by the IRS. Proprietary and confidential

18 Proprietary and confidential
After you’re enrolled Receive your SelectAccount I.D. by mail Register at SelectAccount.com Get the mobile app Pay providers and submit claims for reimbursement Proprietary and confidential

19 Proprietary and confidential
Manage your account at SelectAccount.com View account activity and check balances Download forms and upload receipts Proprietary and confidential

20 Proprietary and confidential
Monday thru Friday 7 a.m. to 8 p.m. CST Let’s get started Our expert service team is ready to help. SelectAccount.com Adjust times to the appropriate time zone in which you are presenting Proprietary and confidential

21 Proprietary and confidential
Thank You! Proprietary and confidential

22 Employer pays 1st/No HP – has SA debit card
After you’re enrolled Receive your SelectAccount I.D. by mail Register at SelectAccount.com Receive your debit card by mail Get the mobile app Pay providers with your debit card or submit claims for reimbursement Use these slides for Employer pays first with no crossover HP, or delete Employer pays 1st/No HP – has SA debit card Proprietary and confidential

23 Employer pays 1st/No HP – has SA debit card
Manage your account at SelectAccount.com View account activity and check balances Download forms and upload receipts Request additional debit cards Use these slides for Employer pays first with no crossover HP, or delete Employer pays 1st/No HP – has SA debit card Proprietary and confidential


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