Read the Exchange Health Reimbursement Arrangement
(Exchange HRA) Plan Document
Extend Health HRA Claim Form
Using Your Extend Health HRA for
Guide for Accessing the Extend Health HRA
Participant Website Portal
What is an Exchange Health Reimbursement Arrangement?
An Exchange Health
Reimbursement Arrangement or Exchange HRA is a tax-exempt account that retirees
enrolled in a plan through Extend Health can use to pay premiums for medical,
dental, prescription drug and vision plans as well as for reimbursement of
qualifying health care expenses such as copayments and deductibles.
Here's how it works:
Exchange HRA Reimbursements for
Qualifying Health Care Expenses
1. You pay premiums and
You pay the full
premiums directly to your insurance provider (ask Extend Health
about the auto-reimbursement option for premiums). You also pay your
provider any required out-of-pocket expenses.
2. You submit
You submit your
claim to Extend Health for your premiums and out-of-pocket health
3. Extend Health
administers your account and will reimburse you from your Exchange HRA if
funds are available.
Medicare retirees receive a contribution to their
Exchange HRA based
upon their years of service. The monthly tax-exempt contribution amount is
$11 per month per year of service beginning with a minimum of five years ($55) to
a maximum of twenty
years of service ($220). Individuals who retired before January 1, 1994 will
receive a flat $165 per month to the Exchange HRA. Dependents and survivors
selecting a plan through Extend Health are not eligible for an Exchange
HRA. Medicare retirees can use their Exchange HRA to pay for the premiums
or out-of-pocket expenses incurred by their Medicare eligible dependent who
also selects a plan through Extend Health.
Exchange HRA Contribution
for Retirees Enrolled in an Extend
- Participants who retired before January 1, 1994,
receive15-year ($165) base contribution.
- Participants who retired on or after
January 1, 1994, the contribution is $11 per month, per year of
service beginning with a minimum of 5 years or $55 to a maximum of 20 years
- Spouses/domestic partners and surviving spouses/domestic
partners enrolled in the exchange are not eligible for an Exchange HRA
- Retirees on the exchange who were hired on or after January
1, 2010 do not receive an Exchange HRA contribution unless he or
she has more than 15 years of service.
|Years of Service
Exchange HRA Claim Reimbursement
Retirees enrolled in a medical plan through
Extend Health can check the status of Exchange HRA claim reimbursements
Extend Health or by calling (888) 598-7545.