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HEALTH REIMBURSEMENT ACCOUNTS
A L L A B O U T
(HRAs)
HRA BASICS
"A healthy outside starts from the inside."
A U S T I N B E N E F I T S . C O M
-Robert Urich
WHAT IS A
HEALTH
REIMBURSEMENT
ACCOUNT
(HRA)?
HRAs provide a tax-free,
employer-funded amount
of money for health care
expenses.
HRAs are a way to pay for out-
of-pocket health care expenses
while working to meet your plan
deductible.
A U S T I N B E N E F I T S . C O M
A U S T I N B E N E F I T S . C O M
TAX SAVINGS
Your employer’s contributions to your
HRA can be excluded from your gross
income, meaning you don’t pay taxes on
that money.
Reimbursements from your HRA are tax-
free when used to pay for qualified
medical expenses (which are the only
expenses they can be used for).  
H R A
A D V A N T A G E S
A U S T I N B E N E F I T S . C O M
OUT-OF-POCKET
EXPENSE REDUCTION
Often paired with an HDHP,
reimbursement from your HRA will
make it much easier to meet your
deductible while taking advantage
of a health plan with lower
premiums. 
H R A
A D V A N T A G E S
A U S T I N B E N E F I T S . C O M
ACCRUED BALANCE
•Depending on your employer’s
plan, unused amounts in the HRA
may be carried forward for
reimbursements in later years.
H R A
A D V A N T A G E S
ELIGIBILITY
You may be eligible for an HRA if your employer sponsors an HRA and you
meet any eligibility requirements established by your employer. 
HRAs typically must be offered with other health plan coverage, such as HDHP
coverage, to satisfy certain requirements under the ACA, but not in all cases.
You may be required to be enrolled in other group health plan coverage in
order to participate in the HRA. 
A U S T I N B E N E F I T S . C O M
HRAs are funded completely by
employer contributions. 
Different from HSAs or health FSAs,
employees cannot make contributions
to an HRA. 
CONTRIBUTIONS
A U S T I N B E N E F I T S . C O M
A U S T I N B E N E F I T S . C O M
The contribution amount is
typically less than your deductible. 
The employer may choose to allow
a rollover, which means unused
funds from your HRA can be
carried over and used in
subsequent years.
CONTRIBUTIONS
MAXIMUM
REIMBURSEMENT AMOUNT
Your employer will set the maximum reimbursement amount under the
HRA, which may vary for different groups of employees.
For example, an employer may decide to have one maximum limit for
employees with self-only health plan coverage, and another maximum
limit for employees with family health plan coverage. 
A U S T I N B E N E F I T S . C O M
However, employers are generally prohibited from basing contributions on
an employee’s age, length of service or compensation.
USING YOUR HRA
"Health and intellect are the two blessings of life."
A U S T I N B E N E F I T S . C O M
-Menander
THE
DETAILS
A U S T I N B E N E F I T S . C O M
You can use your HRA funds to get
reimbursed for your own eligible
medical expenses, as well as your
spouse’s and dependents’ eligible
medical expenses. 
Note: Your HRA coverage must be in effect
at the time the qualified medical expense is
incurred in order to receive reimbursement.
HEALTH PAYMENT CARDS
A U S T I N B E N E F I T S . C O M
Some employers may provide you with a healthcare payment card and you
can pay for eligible medical services or products by swiping the card as you
would a debit or credit card. The money will then be deducted from your HRA
account. 
Health care payment cards may be used only on eligible medical expenses
that are not reimbursed or covered by another source.
REQUESTING
REIMBURSEMENT
A U S T I N B E N E F I T S . C O M
Another way to pay for eligible medical expenses with your HRA funds is to
pay out-of-pocket and then submit receipts for reimbursement. 
Your account will have specific instructions for how to do this. When
submitting for reimbursement, you will need your receipts and proof that
what you paid for was an eligible expense; this is one of the reasons it is
important to keep all receipts and related paperwork from your health care
provider.
HRA
ELIGIBLE EXPENSES
You may use your HRA to pay for qualified medical expenses incurred by you or
your spouse and dependents, as long as the expense is not reimbursed from
another source, such as other group health coverage. 
Expenses cannot be reimbursed through an HRA if you are taking a tax
deduction for those expenses. 
Your employer may cover all qualified medical expenses, or it may choose to
limit what the HRA will cover to a more exclusive list.
A U S T I N B E N E F I T S . C O M
EXAMPLES*
A U S T I N B E N E F I T S . C O M
Most medical care that is subject to
your deductible (copays, coinsurance,
doctor visits, inpatient or outpatient
treatment, etc.)
Prescription drugs 
Insulin (with or without a prescription)
Dental and vision care
Hearing exams and hearing aids
WHAT HAPPENS
IF I TERMINATE
EMPLOYMENT
OR DROP MY
HEALTH PLAN?
You can still be reimbursed for any medical
care expenses incurred prior to the termination
date of your HRA, up to your account balance
in the HRA. An unused HRA balance cannot be
cashed out. If you are eligible for and elect
COBRA coverage, your HRA may continue;
check your plan for details.
You may no longer be eligible for an HRA.
Contact us for help or questions
about Health Reimbursement
Accounts (HRAs) for you or your
business.
38500 Woodward Avenue Suite 360
Bloomfield Hills, MI 48304
248.594.5550 | austinbenefits.com

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All About Health Reimbursement Accounts (HRAs)

  • 1. HEALTH REIMBURSEMENT ACCOUNTS A L L A B O U T (HRAs)
  • 2. HRA BASICS "A healthy outside starts from the inside." A U S T I N B E N E F I T S . C O M -Robert Urich
  • 3. WHAT IS A HEALTH REIMBURSEMENT ACCOUNT (HRA)? HRAs provide a tax-free, employer-funded amount of money for health care expenses. HRAs are a way to pay for out- of-pocket health care expenses while working to meet your plan deductible. A U S T I N B E N E F I T S . C O M
  • 4. A U S T I N B E N E F I T S . C O M TAX SAVINGS Your employer’s contributions to your HRA can be excluded from your gross income, meaning you don’t pay taxes on that money. Reimbursements from your HRA are tax- free when used to pay for qualified medical expenses (which are the only expenses they can be used for).   H R A A D V A N T A G E S
  • 5. A U S T I N B E N E F I T S . C O M OUT-OF-POCKET EXPENSE REDUCTION Often paired with an HDHP, reimbursement from your HRA will make it much easier to meet your deductible while taking advantage of a health plan with lower premiums.  H R A A D V A N T A G E S
  • 6. A U S T I N B E N E F I T S . C O M ACCRUED BALANCE •Depending on your employer’s plan, unused amounts in the HRA may be carried forward for reimbursements in later years. H R A A D V A N T A G E S
  • 7. ELIGIBILITY You may be eligible for an HRA if your employer sponsors an HRA and you meet any eligibility requirements established by your employer.  HRAs typically must be offered with other health plan coverage, such as HDHP coverage, to satisfy certain requirements under the ACA, but not in all cases. You may be required to be enrolled in other group health plan coverage in order to participate in the HRA.  A U S T I N B E N E F I T S . C O M
  • 8. HRAs are funded completely by employer contributions.  Different from HSAs or health FSAs, employees cannot make contributions to an HRA.  CONTRIBUTIONS A U S T I N B E N E F I T S . C O M
  • 9. A U S T I N B E N E F I T S . C O M The contribution amount is typically less than your deductible.  The employer may choose to allow a rollover, which means unused funds from your HRA can be carried over and used in subsequent years. CONTRIBUTIONS
  • 10. MAXIMUM REIMBURSEMENT AMOUNT Your employer will set the maximum reimbursement amount under the HRA, which may vary for different groups of employees. For example, an employer may decide to have one maximum limit for employees with self-only health plan coverage, and another maximum limit for employees with family health plan coverage.  A U S T I N B E N E F I T S . C O M However, employers are generally prohibited from basing contributions on an employee’s age, length of service or compensation.
  • 11. USING YOUR HRA "Health and intellect are the two blessings of life." A U S T I N B E N E F I T S . C O M -Menander
  • 12. THE DETAILS A U S T I N B E N E F I T S . C O M You can use your HRA funds to get reimbursed for your own eligible medical expenses, as well as your spouse’s and dependents’ eligible medical expenses.  Note: Your HRA coverage must be in effect at the time the qualified medical expense is incurred in order to receive reimbursement.
  • 13. HEALTH PAYMENT CARDS A U S T I N B E N E F I T S . C O M Some employers may provide you with a healthcare payment card and you can pay for eligible medical services or products by swiping the card as you would a debit or credit card. The money will then be deducted from your HRA account.  Health care payment cards may be used only on eligible medical expenses that are not reimbursed or covered by another source.
  • 14. REQUESTING REIMBURSEMENT A U S T I N B E N E F I T S . C O M Another way to pay for eligible medical expenses with your HRA funds is to pay out-of-pocket and then submit receipts for reimbursement.  Your account will have specific instructions for how to do this. When submitting for reimbursement, you will need your receipts and proof that what you paid for was an eligible expense; this is one of the reasons it is important to keep all receipts and related paperwork from your health care provider.
  • 15. HRA ELIGIBLE EXPENSES You may use your HRA to pay for qualified medical expenses incurred by you or your spouse and dependents, as long as the expense is not reimbursed from another source, such as other group health coverage.  Expenses cannot be reimbursed through an HRA if you are taking a tax deduction for those expenses.  Your employer may cover all qualified medical expenses, or it may choose to limit what the HRA will cover to a more exclusive list. A U S T I N B E N E F I T S . C O M
  • 16. EXAMPLES* A U S T I N B E N E F I T S . C O M Most medical care that is subject to your deductible (copays, coinsurance, doctor visits, inpatient or outpatient treatment, etc.) Prescription drugs  Insulin (with or without a prescription) Dental and vision care Hearing exams and hearing aids
  • 17. WHAT HAPPENS IF I TERMINATE EMPLOYMENT OR DROP MY HEALTH PLAN? You can still be reimbursed for any medical care expenses incurred prior to the termination date of your HRA, up to your account balance in the HRA. An unused HRA balance cannot be cashed out. If you are eligible for and elect COBRA coverage, your HRA may continue; check your plan for details. You may no longer be eligible for an HRA.
  • 18. Contact us for help or questions about Health Reimbursement Accounts (HRAs) for you or your business. 38500 Woodward Avenue Suite 360 Bloomfield Hills, MI 48304 248.594.5550 | austinbenefits.com