H R A – “Health Reimbursement Arrangement”

Please Note:

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YOU HAVE UNTIL MARCH 31 OF THE FOLLOWING YEAR TO FILE FOR HRA REIMBURSEMENT ON OUT OF POCKET EXPENSE FOR THE PRIOR YEAR

The HRA Benefit Program Is a Standalone Benefit That Pays After Any Other Coverage Pays. You Must Submit Charges To Your Health, Dental Or Vision Plan First. The Following Is a Brief List Of Expenses That Can Be Reimbursed Under The HRA Program.
 Medical Plan Deductible  Dental Plan Deductible
 Pharmacy Plan Deductible  Vision Expenses Over Plan Limits
 Vision Expenses For Retirees  Dental Expenses Over Plan Limits
 Dental Expenses For Retirees  Orthodontic Expenses
 Hearing Aid Expenses  Pharmacy Co-Insurance
 Medical Plan Co-Insurance  Prescription Smoking Cessation Drugs
Currently. OTC Medications And Cosmetic Procedures Are Not Covered On The HRA Plan.

HRA Form Instructions

Click On The Link Above For The HRA Form Instructions Document.

Health Reimbursement Arrangement (HRA) Form

You have until March 31 of the following year to file for HRA reimbursement on out of pocket expense for the prior year.

Click The Link Above To Complete And Download An HRA Form.


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