XIII. HEALTH REIMBURSEMENT ARRANGEMENT



XIII. HEALTH REIMBURSEMENT ARRANGEMENTGeneral InformationA Health Reimbursement Arrangement (HRA) is an IRS-approved, tax-favored benefit that reimburses you for certain health care expenses not covered or reimbursed by your health benefits. Typical expenses for which you can use your HRA funds include copayments, deductibles, prescription drugs, dental work, vision expenses such as eyeglasses or contact lenses, and over-the-counter medicines (with prescription).Here’s How It Works1) The Commonwealth of Pennsylvania will contribute money to your HRA per the following schedule:DateContribution AmountJanuary 1, 2009 January 1, 2010January 1, 2011January 1, 2012$300.00$300.00$300.00$300.002) If you incur eligible health care expenses and pay for them out-of-pocket from your personal bank account, save the documentation. 3) Submit a reimbursement claim for eligible health care expenses, including appropriate documentation showing that the item(s) or service(s) was a valid health care expense. 4) The administrator, WageWorks, will process your claim within a few business days and reimburse your out-of-pocket expenses from your HRA once the total amount you have submitted for reimbursement reaches a minimum of $25.5) Unused money at the end of the year will carry over to the next year. 6) Upon termination of employment for reasons other than disciplinary discharge, former members may continue to submit claims until all unused balances in their HRA are used. Note: The plan year runs from January 1 through December 31. You have until March 31st to submit claims from the previous plan year. Accessing Your Account You can view your personal account information by visiting . You can also check the status of your claims, get additional claim forms, and sign up for direct deposit. For a member to log-in to the website, they must first register. In order to register you will reference the last four of your SSN, which will be your WageWorks unique ID number. For more information on your online account, please visit WageWorks’ QuickLinks on the left-hand side of the screen.If you have further questions about your HRA, contact the HR Service Center.Who is CoveredYou can use the HRA to pay eligible health care expenses for yourself, your spouse and your eligible dependents, as long as the dependent was covered by your health and/or supplemental benefits at the time the claim was incurred. Eligible ExpensesEligible expenses include, but are not limited to, the following:Copayments, coinsurance and deductibles (but not premiums)AcupunctureBirth control pillsChild birth classesChiropractic visitsDental careDiabetic suppliesEye exams, glasses and contactsHearing aidsLaser eye surgeryOrthodontiaOver-the-counter drugs and medical suppliesPhysical therapyPrescription drugsPsychotherapySmoking cessation programsSpeech therapySterilization surgeryWell-baby and well-child careIneligible ExpensesThe following Over-the-counter items are not eligible for reimbursement under the HRA. These items are primarily for general health.Toothpaste, toothbrushes, dental flossMake-up, lipstick, eye creamFace cream, moisturizersPerfume, body sprays, deodorantsShampoos and soapsAcne treatmentsFoot-care products like corn padsHair-loss treatmentsDietary supplements and replacements (vitamins)Dual-Purpose Over the Counter (OTC) DrugsSome OTC drugs have both a medical purpose and a general health purpose. In order for the OTC expense to be reimbursed, you will need to obtain a medical practitioner’s note stating that you have a specific medical condition and that the OTC drug is recommended to treat the condition. For information available through the Internet, please visit the following website: ................
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