Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)

7.8 Reimbursable Expenses

An HRA Account may be used to reimburse eligible health care expenses incurred by the Participant or his/her spouse or his/her eligible dependents which would otherwise be only partially covered or excluded from coverage by the Plan and any other health plan.

Reimbursable expenses are those that constitute medical care under Section 213 of the Internal Revenue Code. An HRA Account may be used to reimburse the Participant for Plan deductibles, co-payments, and other non-covered expenses for medical, prescription drug, dental, vision and psychiatric services. An HRA Account may also be used to pay for self-pay premiums, COBRA premiums, other medical plan coverage, Medicare supplemental coverage, and long-term care insurance premiums.

To be eligible for reimbursement, the Participant must be eligible for Health Plan coverage under the rules of the Plan, and the expenses must be incurred on or after September 1, 2017. Examples of eligible expenses are as follows:

  1. Co-payments, co-insurance and deductibles
  2. Acupuncture
  3. Chiropractic visits
  4. Crutches
  5. Dental expenses
  6. Durable medical equipment
  7. Expenses that exceed medical, hospital, dental or vision plan limits
  8. Eye exams, glasses and contact lenses
  9. Hearing aids
  10. Orthodontia
  11. Orthotics
  12. Physical therapy
  13. Prescription drugs and non-prescription drugs prescribed by a physician
  14. Physiotherapy
  15. Transportation expenses related to medical care
  16. Well baby and well child care

Examples of ineligible expenses are as follows:

  1. Cosmetic services
  2. Expenses claimed on an income tax return
  3. Expenses that are actually reimbursed or subject to reimbursement by any other source such as an insurance policy, an employer, Medicare or any other government health program
  4. Fees for exercise or health clubs, unless medically necessary
  5. Hair transplants
  6. Weight loss programs that are not medically necessary
  7. Medical expenses that are experimental or not medically necessary