125 Plans/Health Reimbursement Arrangement: How do HRAs work?

There are different types of HRA plan designs:

HRA for First Dollar Deductible Coverage

In this type of plan design your HRA covers your healthcare deductible expenses right away. As you go to providers that are subject to your deductible, your HRA will cover those expenses with no need for you to pay anything out-of-pocket until your HRA is exhausted.

HRA after a portion of your deductible is met

In this type of plan design your health insurance plan comes with a deductible which applies to certain healthcare services. Your HRA is intended to help you pay for deductible expenses after you meet a portion of your deductible. At that point, your HRA will cover future deductible expenses with no need for you to pay out-of-pocket until your HRA is exhausted.

HRA Percent-Based Reimbursement – Deductible Only

In this type of plan design your HRA has been designed to reimburse you for a percentage of your healthcare expenses. Every time you see a healthcare provider and the service is subject to your deductible, your HRA will reimburse you for the percentage specified in your summary plan document. Once your HRA is exhausted, you will be responsible for 100% of your out-of-pocket expenses up to your health plan’s out-of-pocket maximum.

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