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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.
Individual Coverage Health Reimbursement Arrangements allow employers to reimburse employees for some or all of their individual health insurance premiums through three basic steps:
HRAs and HSAs aren't one in the same, but both help you save for healthcare expenses.
Health insurance premiums are generally not HSA eligible, except for some specific cases such as COBRA premiums, premiums while on unemployment, certain Medicare expenses, and long-term care insurance premiums. According to the IRS, insurance premiums are not considered qualified medical expenses, with some exceptions like long-term care insurance.
Self-funding involves a transfer of risk from the employee and his/her dependents to the employer directly. Self-funded health plans pay health claims out of plan assets; there is no element of traditional insurance on these programs, and the employer assumes all additional liability for claims that have not been paid by plan (trust) assets.
The expected-benefit health reimbursement arrangement (the amount that your employer can contribute to your savings account) is $2,150 in 2025, up from $2,100 in 2024. Changes to what defines a ...
These plans are linked to health savings accounts (HSAs), health reimbursement accounts (HRAs), or similar medical payment accounts. Users keep any unused balance or "rollover" at the end of the year to increase future balances or to invest for future expenses.
HSAs are tax-exempt accounts that individuals with HDHPs fund in order to pay for future medical expenses/costs for which they are now responsible. "Introduced in 2003 as a part of the Medicare prescription drug benefit legislation, the HSA is a less-restrictive medical savings account, owned by the employee, and open to anyone enrolled in a ...