The HRA filing deadline for your 2023 claims is 4/15/2024
You may check the status of your HRA claims by logging into the Member’s Login.
YOU HAVE UNTIL APRIL 15th TO FILE FOR HRA REIMBURSEMENT FOR THE PRIOR YEAR
The HRA Benefit Program Is a Standalone Benefit That Pays After Any Other Coverage Pays. You Must Submit Charges To Your Health, Dental Or Vision Plan First. The Following Is a Brief List Of Expenses That Can Be Reimbursed Under The HRA Program.
| Medical Plan Deductible | Dental Plan Deductible |
| Pharmacy Plan Deductible | Vision Expenses Over Plan Limits |
| Vision Expenses For Retirees | Dental Expenses Over Plan Limits |
| Dental Expenses For Retirees | Orthodontic Expenses |
| Hearing Aid Expenses | Pharmacy Co-Insurance |
| Medical Plan Co-Insurance | Prescription Smoking Cessation Drugs |
Currently, OTC Medications And Cosmetic Procedures Are Not Covered On The HRA Plan.
HRA Form Instructions
Click On The Link Above For The HRA Form Instructions Document.
Health Reimbursement Arrangement (HRA) Form
You have until April 15th to file for HRA reimbursement for the prior year.
Click The Link Above To Complete And Download An HRA Form.
HRA Authorization Agreement For Automatic Deposits
To View, Print Or Edit The Forms On This Website, You Must Have Adobe Acrobat Reader Installed. If you Do Not Then Click The Link Above To Download.
