What Health Insurance Premiums Can an HRA Reimburse?

February 10, 2020
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Health Reimbursement Arrangements (HRAs) are federally regulated, employer-sponsored health benefit plans that allow participants to receive reimbursement for eligible out-of-pocket health-care expenses (including certain health insurance premiums). Reimbursements for eligible medical expenses made via an HRA are 100 percent employer funded, and are generally excluded from federal, state, and Social Security taxes.

What Health Insurance Premiums Can an HRA Reimburse?

HRAs can reimburse many health care products and services, including the following types of insurance premiums, provided they were not already paid with pre-tax dollars:

  • Major medical individual health insurance premiums
  • Dental care and vision care premiums 
  • Qualified ancillary premiums (e.g., accident policies)
  • Medicare Part A or B, Medicare HMO, and employer-sponsored health insurance premiums
  • Medicare Advantage and Supplement premiums
  • COBRA premiums

What Other Medical Expenses Can an HRA Reimburse?

An eligible expense is any health-care expense incurred by a participant, their spouse, or dependent, that is approved by the IRS and eligible for reimbursement under your specific company plan.

Please note that expenses reimbursed through the plan cannot be itemized and resubmitted through an income tax return or any other benefit plan per IRS regulations.

The following is a sampling of HRA-eligible expenses:

Acupuncture Hearing Aids Medications
Ambulance Home Care Nursing Services
Birth Control Hospital Services Operations
Chiropractor Insurance Premiums Psychologist
Eye Exams Lab Fees Transplants

You can find more information on HRA eligible medical expenses here.

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