All information is shown for example purposes only as a way to explain some general rules about how HRA arrangements work. It does not necessarily reflect actual charges, plan or account rules, or the arrangement your employer will offer you. Your experience may be different. The illustration is based on a hypothetical health plan with:
AN HRA EXAMPLE
| Employee | |
| HRA contribution | $750 |
| No hospital deductible expenses — $750 HRA funds roll over to next year |
| Employee | |
| HRA rollover from Year 1 | $750 |
| HRA contribution Year 2 | $750 |
| Total available HRA funds | $1,500 |
| Hospital admission expenses | $8,500 |
| Deductible — paid by HRA | $1,500 |
| Plan pays | $7,000 |
| No HRA funds roll over to next year |
| Employee | |
| No rollover from Year 2 | $0 |
| HRA contribution Year 3 | $750 |
| Total available HRA funds | $750 |
In the first year, the individual has no qualified medical expenses for which the HRA is used, so the employer’s entire $750 HRA contribution rolls over to the second year.
The second year begins with an HRA balance of $1,500—the $750 rollover amount combined with another annual employer HRA contribution of $750. The individual is admitted to the hospital and is responsible for the $1,500 plan deductible. This amount is paid with the HRA, leaving no funds to roll over to the next year.
The third year begins with $750 in available HRA funds, following the employer’s annual contribution.
Note: If available HRA funds are less than the health care expenses subject to the deductible, you must pay the balance of the deductible amount out of your own pocket. Your employer decides how much money to put in the HRA, and you must pay any health care expenses which exceed the amount available in the HRA at any time.