HEALTH REIMBURSEMENT ACCOUNT

The Health Reimbursement Account (HRA) is a feature of both the Blue Plan and the Gold Plan. (You are not eligible for an HRA if you elect the Green Plan.)

Here’s how it works.

  • Children’s Mercy puts money in your HRA – $500 to $1,000, depending on your coverage level. You can use the money to automatically pay for eligible medical expenses before you pay anything out of your pocket, or you can choose to pay for the eligible expenses out of your pocket and save your HRA dollars for future eligible medical expenses under your Children’s Mercy medical plan. Read more about using your HRA dollars below.
  • You cannot make contributions to your HRA; only Children’s Mercy contributes.
  • Unless you owe a copay for a medical service, you do not pay anything at the time of your visit. If you have money in your HRA, it can be used automatically to pay for your service when your claim is processed or you can pay out of your pocket and save your HRA dollars for future eligible medical expenses under your Children’s Mercy plan. You will receive an Explanation of Benefits from Cigna, which will clearly state any remaining amount you owe after receiving medical care.
  • Any unused dollars in your HRA at the end of the plan year will roll over for you to use in the next plan year. Log in to your myCIGNA account to check your HRA balance throughout the year.
  • If you leave Children’s Mercy, retire or discontinue coverage of the Blue Plan or Gold Plan, any remaining dollars in your HRA are forfeited.
  • If you enroll in the Green Plan, HRA dollars are forfeited. Due to regulations related to high deductible health plans with Health Savings Accounts (HSAs), the dollars cannot transfer between plans. If you enroll in the Green Plan and then later re-enroll in the Gold Plan or Blue Plan in the future, your HRA balance will start over at $0 at that time.
  • When you and/or your covered spouse complete well-being activities, you earn points, which convert to dollars in your HRA on July 1 if you complete the health screening and health assessment by the communicated deadline. To learn more, call (833) 724-2453 or visit Virgin Pulse online today. To activate your Virgin Pulse account, you will need your date of birth and employee ID number.
  • You must enroll in the Children’s Mercy Blue Plan or Gold Plan for the 2021–2022 plan year to have an HRA.

Review the chart to understand the HRA contributions.

Employee Only Employee + Child(ren) Employee + Spouse Family
Automatic contribution from CM* $500 $750 $750 $1,000
Additional contributions by completing well-being activities by deadlines $400 $400 $400 employee + $400 spouse = $800 $400 employee + $400 spouse = $800
Total eligible contributions $900 $1,150 $1,550 $1,800

*Amounts shown assume medical coverage begins July 1. If your coverage starts after that date, amounts will be prorated.

USING YOUR HRA DOLLARS TO PAY FOR ELIGIBLE EXPENSES

Children’s Mercy offers choice for how and when you use your HRA dollars to pay for eligible medical expenses through Cigna’s MyClaimPay tool. This easy-to-use, online bill pay tool works seamlessly with the AutoPay feature, which is the default when your HRA is established. You can turn off AutoPay, which then allows you to choose when to use your HRA dollars to pay for eligible medical expenses. If you turn off AutoPay, HRA dollars will not be used automatically to pay for eligible expenses. Instead, you can:

  • Pay out of your Health Care Flexible Spending Account and/or your spouse’s HSA, if applicable, or
  • Pay out of your pocket.

In either case, you will save your HRA dollars for future eligible medical expenses you incur under your Children’s Mercy medical plan.