I’ve recently moved to the USA from Australia and my new employer is offering the following insurance plan. I understand what a HRA is (thanks to this sub!), but I’m having trouble understanding when my employer would reimburse expenses. Do I pay the first $2500? Then they cover 80%? Could someone ELI5? The more I read, the more confused I get!
—-
Medical Mutual SuperMed HAS 5000/20 Plan
Deductible: Individual $5,000* Family $10,000*
HRA – *HRA reimburses the remaining deductible after employee pays the first $2,500 for the single plan and up to $5,000 after the family plan has reached $2700.
Out of Pocket Maximum (Includes the deductible): Individual $6,750 Family $13,500
As part of the HRA agreement, [the employer] will continue to reimburse you for portions of your deductible. Once you have met $2,500 of the individual deductible. Once you reach $2,700 of eligible medical expenses up to $5,200, or $2,500 per person and capped at $5,000 per family.
Once one person reaches their $5,000 deductible, inpatient and outpatient expenses are paid at 80% for that person. The difference of 20% will be applied until person reaches out of pocket max of $6,750 for that same person. With the HRA, the maximum out of pockets is $4,250 per person, capped at $8,500 per family.
To receive any of these subsides, you can submit your EOB from MMO showing you have reached the deductible limits and Chard Snyder will provide reimbursement.
submitted by /u/ultra-rotten
[link] [comments]
I’ve recently moved to the USA from Australia and my new employer is offering the following insurance plan. I understand what a HRA is (thanks to this sub!), but I’m having trouble understanding when my employer would reimburse expenses. Do I pay the first $2500? Then they cover 80%? Could someone ELI5? The more I read, the more confused I get! —- Medical Mutual SuperMed HAS 5000/20 Plan Deductible: Individual $5,000* Family $10,000* HRA – *HRA reimburses the remaining deductible after employee pays the first $2,500 for the single plan and up to $5,000 after the family plan has reached $2700. Out of Pocket Maximum (Includes the deductible): Individual $6,750 Family $13,500 As part of the HRA agreement, [the employer] will continue to reimburse you for portions of your deductible. Once you have met $2,500 of the individual deductible. Once you reach $2,700 of eligible medical expenses up to $5,200, or $2,500 per person and capped at $5,000 per family. Once one person reaches their $5,000 deductible, inpatient and outpatient expenses are paid at 80% for that person. The difference of 20% will be applied until person reaches out of pocket max of $6,750 for that same person. With the HRA, the maximum out of pockets is $4,250 per person, capped at $8,500 per family. To receive any of these subsides, you can submit your EOB from MMO showing you have reached the deductible limits and Chard Snyder will provide reimbursement.
submitted by /u/ultra-rotten [link] [comments]Read Morer/HealthInsurance