Health Reimbursement Accounts (HRA’s) are offered to Non-Medicare eligible retirees of the Town of Wellesley who choose a Benchmark health insurance plan. The HRA plan is administered by Cafeteria Plan Advisors and has two different reimbursement categories: one category of reimbursement will be specifically for co-pays (HRA #1) and the other category will be specifically for expenses contributing toward the deductible (HRA #2).
*Please note: HRA accounts cannot be used in conjunction with a High Deductible Health Plan (HDHP). Retirees choosing a HDHP are ineligible for reimbursement through an HRA.
HRA #1 Reimburseable Maximums and Expenses
Maximum HRA Co-pay Reimbursement Amounts
|
|
|---|
Individual
| $200
|
Family
| $300
|
Reimburseable Co-pay Expenses
| Amount reimbursed
|
|---|
Specialist Care ($35 or more)
| $30
|
Urgent Care
| $20
|
Inpatient Admission
| $200/$400 (for co-pay in excess of $500)/admission
|
Same-day surgery
| $100
|
Diagnostic Imaging
| $50
|
Mail Order Prescription ($75+)
| $25 per prescription
|
HRA #2 : Deductible Expense Reimbursement Maximums
Maximum HRA Deductible Reimbursement Amounts
|
|
|---|
Individual
| $150
|
Family
| $450
|