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A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums. [2]
The Affordable Care Act has had huge ramifications on self-funded health plans; market reforms have invalidated many plan designs that were previously used, and now that employees are required to have health insurance and many employers are required to offer health benefits as well, [3] the self-funded industry has enlarged.
To qualify for an HDHP in 2023, an individual plan must have a deductible of at least $1,500 and family plans must have a deductible of at least $3,000. [15] An HDHP's total yearly out-of-pocket expenses (including deductibles, copayments, and coinsurance) can't be more than $7,500 for an individual or $15,000 for a family. [15]
The experience rating approach uses an individual's or group’s historic data as a proxy for future risk, and insurers adjust and set insurance premiums and plans accordingly. [1] Each year, a newer year's data is added to the three year window of experience used in the calculation, and the oldest year from the prior calculation is dropped off.
According to proponents, HSAs encourage saving for future health care expenses, allow the patient to receive needed care without a gatekeeper to determine what benefits are allowed, and make consumers more responsible for their own health care choices through the required high-deductible health plan. [1]
This type of insurance helps cover the costs associated with end-of-life expenses, providing financial peace of mind to individuals and their families. Final expense insurance ensures that healthcare-related costs, such as medical bills and funeral expenses, do not become a burden during an already challenging time. [150]
Supplement a primary medical expense plan by paying for expenses that are excluded or subject to the primary plan's cost-sharing requirements (e.g., co-payments, deductibles, etc.); Cover related expenses such as dental or vision care; Assist with additional expenses that may be associated with a serious illness or injury. [25]
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