HEALTH REIMBURSEMENT ARRANGEMENT ( HRA ) CONT .
When you visit your provider , in most cases , your provider will submit a claim to your health plan for you . If your provider does not submit a claim , you ’ ll need to do so to make sure your expenses are properly paid through your medical plan .
When your health plan processes your claim , they apply any network discounts . Money from your HRA will automatically pay for eligible expenses to your provider . You will receive an Explanation of Benefits ( EOB ) showing what the HRA paid , any amounts you may owe and any remaining balance available in your HRA . If you owe money for the services provided , you will receive a bill from the provider .
Participants whose only coverage is with The Suquamish Tribe Employee Health Plan do not need to submit for reimbursement , it will be processed for you automatically and then the reimbursement will be deposited in to your account via payroll .
If you or your eligible dependents are also covered under another health plan , which is secondary to The Suquamish Tribe Employee Health Plan , you must also submit an Explanation of Benefits from your other insurance carrier along with your reimbursement form . This information is required to substantiate your claim entitlement under the HRA program .
Claims submission deadline is up to 90 days after the end of the plan year for dates of service within 2024 . Claims submitted after 90 days following the end of the plan year cannot be reimbursed .
WHAT IF I DON ’ T USE ALL THE MONEY IN THE HRA ?
If you have any money you have not used in the HRA at the end of the year , those dollars will be forfeited .
Also , HRAs are not portable . If you leave The Suquamish Tribe , any unused money in the HRA ( after all claims have been paid ) will stay with The Suquamish Tribe .
Prepared by Gallagher for the Employees of The Suquamish Tribe 9