Health Reimbursement Accounts (HRA)

Health Reimbursement Accounts (HRA's) are offered to Non-Medicare eligible retirees of the Town of Wellesley who choose a Benchmark health insurance plan.  The HRA plan is administered by Cafeteria Plan Advisors and has two different reimbursement categories: one category of reimbursement will be specifically for co-pays (HRA #1) and the other category will be specifically for expenses contributing toward the deductible (HRA #2). 

*Please note:  HRA accounts cannot be used in conjunction with a High Deductible Health Plan (HDHP).  Retirees choosing a HDHP are ineligible for reimbursement through an HRA.  


FY19 Non-Medicare Eligible Retiree HRA Plan Summary

FY19 Non-Medicare Eligible Retiree HRA Claim Form


HRA #1 Reimburseable Maximums and Expenses

Maximum HRA Co-pay Reimbursement Amounts

Individual
$200
Family
$300


Reimburseable Co-pay Expenses
Amount reimbursed
Specialist Care  ($35 or more)
$25
Urgent Care
$10
Inpatient Admission
$200/$400 (for co-pay in excess of $500)/admission
Same-day surgery
$100
Diagnostic Imaging
$50
Mail Order Prescription ($75+)
$25 per prescription


HRA #2 :  Deductible Expense Reimbursement  Maximums

Maximum HRA Deductible Reimbursement Amounts

Individual
$150
Family
$450