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Insert Name of Audience
Overview of Your Health Reimbursement Account (HRA)
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Instructions to Presenter
 There are a number of items in this presentation that need to be customized for
your audience.
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Slide 6 – Update with the name of the health plan associated with the HRA
Slide 11 – Update with whether the plan allows rollovers
Slide 12 – Update with the plan design – are FSA or HRA dollars used first?
Slide 17 – Remove if no debit card
Slide 20 – Update with any additional training available with the company.
Slide 21 – Update with whether there is a debit card.
 As always, remove slides as needed based on level of customer knowledge and
time available
 In addition, when printing the notes, you can see the script more easily if you select
File/Send to/Microsoft Word, and choose “Notes below the text”. That way, longer
scripts will flow to the next page.
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Agenda
 Introduction to
OptumHealth Financial Services
 HRA Overview
 How to Make the Most of Your
Coverage
 Using an HRA
 What You Need to Know
 Comparison of FSAs and HRAs
 Managing Your HRA
 Common Questions
Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth.
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OptumHealth Financial Services
Focuses on
health care
financial
services
Serves
thousands of
employers
nationwide
Serves
thousands of
employees
nationwide
Offers
comprehensive
claims
processing
OptumHealth
Financial
Services is the
custodian for
over 2.2 million
health
accounts
We service
employers of
all sizes, from
2 to over
100,000
employees
We manage
over 535,000
HRA accounts
We process
over 230
million claims
a year
Health Accounts and Administration – All In One Place
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You Can Expect
 Responsiveness
 Access to highly trained
HRA specialists
 Online account management
 Fast, accurate processing of
claims
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HRA Overview
Financial
account
Used to
reimburse
eligible outof-pocket
expenses
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Funded by
employer
Often tied to
an HDHP
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Advantages of an HRA
Reduction of
out-of-pocket
expenses
Funds carry
over from year
to year
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Tax advantages
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How You Can Make the Most of Your Coverage
Health Care Consumerism
Make informed choices
Look for ways to lower
health care costs
Own your health care decisions
Understand your medical coverage
Maintain a healthy lifestyle
Use your preventive care coverage
to catch health issues early
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How Do You Use an HRA?
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Barbara’s employer creates an HRA for
eligible employees and contributes $500 to
every account.
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Barbara pays for eligible expenses out-ofpocket then files claims for reimbursement
from her HRA.
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Barbara
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Reimbursements are deposited directly to
her account.
During the year, Barbara uses $350 of her
employer’s $500 contribution.
At year-end, the remaining $150 carries over
to Barbara’s HRA for use in the future.
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What You Need to Know About Your HRA
An HRA is not health insurance
Can be used to reimburse eligible
expenses incurred by you, your
spouse and dependents
No “use it or lose it” requirement
HRA contributions are owned by
your employer
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Comparison of FSAs and HRAs
FSA
HRA
 Funded by the employee
 Funded by the employer
 All funds must be used
by the end of the runout
period
 Funds automatically
rollover to the next plan
year
 Health care and
dependent care
expenses may be
reimbursed
 Only health care
expenses are
reimbursed
 Eligible expenses
determined by IRS and
employer
 Eligible expenses
determined by IRS &
employer
 Automatic enrollment
 Annual enrollment
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Using your HRA with an FSA
Your employer offers both an HRA
and an FSA
The two accounts work together
These two accounts allow you to
reduce the majority of your annual
out-of-pocket heath care
expenses
Funds will be taken out of your
XXX first
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How to Manage Your HRA: Automated Account Enrollment
Employer decides who is eligible.
You’re enrolled in the HRA
automatically.
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How to Manage Your HRA: Welcome Kit
All of the information you need:
Overview of your HRA plan
List of qualified expenses
Reimbursement options/schedules
Claims forms and envelopes
Direct deposit enrollment forms
Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth.
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How to Manage Your HRA: Experienced Customer Support
Highly trained service specialists
Familiar with your employer’s plan
Available from 7:00 am to 7:00 pm
CST
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How to Manage Your HRA: Online Benefit Management
Secure Web site allows you to:
View your current balance
View your monthly statements
Check reimbursement status
Review qualified expenses
Access extensive resources
www.ohfsbenefitaccess.com
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How to Manage Your HRA: Paying For Qualified Expenses
Automatically receive a debit card
linked to your HRA
Use it at point-of-sale or point-ofservice
Certain claims do not require you
to submit receipts, including:
• Costs at providers that match
your co-pay amount or a
multiple up to five times that
amount
• Orthodontists (as part of a
monthly schedule)
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Save your receipts or other
documentation
Other uses require you to submit
receipts to substantiate the claim
was used for eligible expenses
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How to Manage Your HRA: Paying For Qualified Expenses
Pay for a qualified expense out-ofpocket, at point-of-sale, or point-of
service using cash, credit card or
check
Retain your receipt or other form
of documentation that supports
your purchase
Be sure the receipt includes the
date the service was provided,
the name of the service provider
or clinic, explanation of the
service provided
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How to Manage Your HRA: Claims Reimbursement
Streamlined claims submission:
paper, online, fax
Choose the option that works best
for you
Claims are processed according to
a schedule set by your employer
Direct deposit or paper checks
mailed to your home
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Learn About Your HRA Online
A series of short, online
training sessions on
HRAs are available at
any time
You can access all
Health Accounts SelfGuided Tours at the site
below.
Access all Self-Guided Tours at:
www.openenrollment123.com/self-guided-tours/
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Common Questions
How do I enroll?
• Employer decides who is eligible.
• Eligibility may be tied to a medical plan.
• Eligible employees are enrolled
automatically.
Can I take the funds in my HRA
with me if I leave the company?
No. Funds belong to your employer and stay
with the company, including accumulated
funds. Employer decides what will happen to
excess funds if you retire.
Can I add my own contributions
to my HRA?
No. You cannot contribute to your HRA. Only
your employer can fund an HRA as outlined in
the Summary Plan Description.
How do I access the funds in
my account?
• Pay for an expense out-of-pocket.
• Submit a claim by mail, fax or email.
• Manage your HRA through OptumHealth’s
secure Web site.
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What If I Have More Questions?
 Visit www.ohfsbenefitaccess.com to find an answer
 Call the appropriate toll-free customer support area listed on the website
 Talk to your employer
Health Reimbursement Accounts are administered by OptumHealth Financial Services and are subject to eligibility and
restrictions. This communication is not intended as legal or tax advice. Please contact a competent legal or tax professional
for personal advice on eligibility, tax treatment and restrictions. Federal and state regulations are subject to change.
Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth.
OptumHealth Financial Services | www.optumhealthfinancial.com
© 2011 OptumHealth Financial Services. All Rights Reserved.
Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth.
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