These include all in-network medical services covered under your health plan, up to the amount available in your account. Your employer funds your HRA up to a predetermined amount for the calendar year, and available funds are withdrawn as available and as needed to reimburse you for services you paid for out-of-pocket.
Reimbursement of eligible expenses is generally done automatically by the HRA administrator, so you may not need to file the claims.
By using participating providers for covered services, you take advantage of ConnectiCare’s negotiated network discounts. This helps your HRA funds go further. Participating providers must accept our discounts, which are generally greater than discounts for Preferred Provider Organization (PPO) or fee-for-service health plans, as payment in full for covered services. Participating providers cannot bill you for any remaining balance.
(Your employer may choose to fund the HRA on a periodic basis throughout the year, rather than once at the beginning of the year, which may affect the amount available to reimburse you for expenses.)
The funds in the HRA are controlled by your employer, who has the discretion to allow annual rollover of unused HRA funds, and to set specific limits. Based on how the HRA is set up, your employer also determines whether or not you may:
(See your benefits manager for details about your HRA.)