About Health Reimbursement Accounts

About Health Reimbursement Accounts

Health Reimbursement Accounts, or HRAs, are individual health accounts that are used to help pay down your deductible and coinsurance. Once enrolled, Canon Medical Systems will establish a Health Reimbursement Account for you in your name. 

You cannot make employee contributions to an HRA.  Only CMSU is permitted to make HRA contributions, per IRS guidelines. An HRA account is considered to be minimum essential coverage under the Affordable Care Act (ACA). You should be aware that having minimum essential coverage will make you ineligible to receive any premium tax credits for health insurance coverage purchased through the ACA Marketplaces. You have the opportunity to opt-out of the HRA account on an annual basis. If you wish to opt-out of your HRA account, please contact the Benefits Department before the end of the Open Enrollment period. 

HRA highlights

• The HRA is entirely employer-funded because the IRS doesn't permit employee contributions to an HRA.
• The amount of your employer HRA contribution depends on your medical coverage tier, date of hire, and if you completed the wellness incentive.
• The HRA contribution is prorated for new hires. 
• Aetna will automatically deduct your HRA to satisfy your deductible and coinsurance amounts until it's depleted. Read the HRA FAQs for details.
• Your HRA isn't used for in-network preventive care—that's covered at 100%.
• Unused HRA balances roll over to the next year if you are still enrolled in the plan.
• The Company owns your account, so if you don't stay in the plan or if you leave the Company, you can't take your HRA with you.
• You can check your HRA balance and payments at aetna.com.

Company HRA contributions

Each January 1, the Company will deposit a Base Company contribution into your HRA account depending on the medical coverage tier you elect. The employer HRA contribution is an annual amount and will be deposited in a lump sum to your account.

In addition to the Base employer contribution, you have the opportunity to earn an additional employer contribution if you complete the annual wellness incentive.

If you join the plan after January 1, both the Base employer HRA contribution and the wellness incentive contribution are prorated. 

Visiting a doctor or facility

Here are tips for using your plan when visiting a doctor or facility:

• At the time of your visit, show your health plan member ID card to the office staff. The card gives the provider your group number and member number. 
• Pay nothing at the time of the visit. The doctor’s office will submit a claim on your behalf to Aetna. If your doctor is not in Aetna’s PPO network, he or she may want to bill you at the time of service, but ask that they bill Aetna first.
• Aetna will process the claim and send you an explanation of benefits (EOB), which will detail the cost of your visit, and your deductible and coinsurance. 
• Aetna will automatically deduct your HRA to satisfy your deductible and coinsurance amounts until it's depleted. 
• The doctor will send you a bill for any fees not paid by Aetna. Compare your bill to your EOB to be sure you are billed correctly. The total due on the doctor’s bill to should equal what is listed on your EOB. 
• You can view your HRA balance and payments at aetna.com.

Filling a prescription at a network retail pharmacy  

• Bring your Aetna Member ID card and your prescription to the pharmacy.
• The pharmacist will charge you for the copay or coinsurance at the time the prescription is filled.