Health Reimbursement Account (HRA) Implementation · 2017-11-07 · Medicare Secondary Payer...
Transcript of Health Reimbursement Account (HRA) Implementation · 2017-11-07 · Medicare Secondary Payer...
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Health Reimbursement Account (HRA)
Implementation
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HRA Plan Overview
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What is an HRA?• An HRA is an employer–sponsored benefit program, under which
participants and their eligible dependents may receive reimbursement for eligible medical expenses
• Funded solely by the employer
• Employer contributions are excludable from income, and are not part of the employee’s tax burden
• Contributions are set by the employer
• No contributions limits set by the IRS
• HRAs do NOT cover non-medical expenses
• Leftover HRA balances may be rolled over fromyear to year
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Standard HRA Capabilities
• Perpetual or annual plans
• No contributions limits are set by the IRS. Limit may be set by the employer.
• An HRA may also be offered alongside a Health Care FSA. In most cases, the FSA will be setup to pay first, with the HRA paying out after the FSA funds have been exhausted.
• If plan permits, upon the death of an account holder, the account may continue to be used by a spouse or eligible dependents for the reimbursement of eligible expenses.
Custom HRA*
As the Employer, you can decide on very specific, or general terms, the purpose of the account.
• Percentage payment
• Medical and prescription HRA
• Deductible only
• HSA Compatible (Limited)
• Rx only
*Debit card limitations may apply
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HRA Capabilities
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What is an Integrated HRA?
Integrated HRA
• An Integrated HRA is funded by the employer and linked with a group health plan that meets the ACA’s market reforms for employers with >50 employees
• Unless the HRA is a retiree-only plan, it MUST be offered in conjunction with an employer-sponsored, ACA compliant group medical plan. This is called an integrated HRA.
• When an employer moves to a health plan offering with a higher deductible than the employee group is used to, an HRA may be provided to ease the transition to the higher out of pocket costs
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HRA Payment Options
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• File a claim and upload a picture of receipt
• Supports iPhone and Android smart phones
• Online bill payment for HC / DC expenses
• Ideal for co-insurance, day care, orthodontic and dental.
• Proprietary debit card84% auto-adjudication rate
• Recurring expenses, co-payments, deductibles
• IIAS only or full MCC
*Note: Custom HRA expenses cannot be supported on the WageWorks Health Care Card.
• Mail, fax, online
• Daily reimbursement
• 48-hour claims turn-around
• Check and Direct Deposit
Pay My Provider Pay By Card* Pay Me BackEZ Receipts®
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Medicare Secondary Payer Reporting
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Medicare Secondary Payer Reporting
• Medicare Secondary Payer Reporting (MSP)
• MSP Reporting is required for all Employer funded HRAs that cover working employees, their spouses and dependents over the age of 45 and for HRA balances of $5,000 or more
• Once an HRA balance reaches $5,000, it must be reported, until coverage ends (Even if the balance falls below $5,000 in future months)
• If the HRA account has a cap of $4999.99, MSP reporting is not required
* Confirm that WageWorks will be reporting MSP for HRA plan
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Communications
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Effective Communications
• Get the word out via multiple channels
• Increase awareness and understanding of the new benefits
• Deliver a smooth transition for you and your employees
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Communications
• Communications Link
• Visible online through the OE Kit
• https://www.wageworks.com/employers/open-enrollment/media-gallery.aspx
• WageWorks Materials and Support Options
• Pre-Enrollment
• Flyers, Brochures, Posters
• Sample Email Templates
• Videos
• Post Enrollment
• Quick Start Guide
• Email Reminders
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Participant Experience
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Online Account Access
Participant login at www.wageworks.com
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Online Account Registration
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Online Features & Functionality• One online view of all activity for all plan types is always
available
• Claim/reimbursement notices can be sent when claim submitted, approved/denied, and paid out
• Employees can also select to receive text message notifications
• Reimbursement notice mailed if participant does not have email address on file.
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EZ Receipts® App
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Check balances, request funds and submit claims using a
smartphone or tablet.
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Customer Service
• Participants may call for account information at: 1-877-WAGEWORKS (877-924-3967)
• Customer Service Representatives are available Monday thru Friday, 8 a.m. to 8 p.m. Eastern Time (excluding holidays)
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Thank you.
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