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Health Reimbursement Account information
Click here to read the Health Reimbursement Allowance (HRA) Plan
document (Amended and Restated May 2007).
Click here to read Amendment 1 (February 2008) to the above
HRA Plan document.
Manley is our claims processing company for benefits for our Flexible Spending Account
(FSA) and our Health Reimbursement Account (HRA).
The FSA account is a ‘use it or lose it’ account, the HRA
account is a ‘don’t use it keep it’ account. When you submit a claim the
transaction amount is automatically deducted from the appropriate spending
account. If you have an FSA account it will use funds from that account before
using the funds in your HRA account.
The benefit card (or "Benny" card), when used at the point of service, means no
out of pocket expenses. There is no waiting for reimbursement because the funds
are automatically deducted from your account through Manley. You can use the Benny
card at pharmacies, hospitals, eye clinics and dentist offices. When you use
your Benny card at a self-service merchant terminal, be sure to select the
‘credit’ option. DO NOT select ‘debit’ as there is no PIN number to enter.
Your card will not work at ATM locations.
If you have an FSA account, save your receipts throughout the
year for anything you would purchase in a pharmacy, i.e., bandaids, over the
counter medicines, cough drops etc. If, at the end of the year, you haven’t
used up the funds in your FSA account, you can fill out an FSA reimbursement
form, available online, to use up the rest of the money you have in that
account.
Supporting Documentation
When you receive supporting documentation requests you may fax or mail the letter requesting the information along with the supporting documentation, which will include:
Overcharges
If your doctor overcharges your Benny card, ask the doctor’s office to refund your HRA account with your Benny card. Otherwise you would have to send a check
for the overcharged amount to Manley to put back into the account it was taken out
of. The doctor’s office would send you a check to reimburse you the overcharged
amount.
Eligible Healthcare Expenses
If you use the Benny card to pay for eligible healthcare expenses, you are limited to your maximum annual election. If you use the Benny card to pay for
eligible dependent care or commuter expenses, the provider of service cannot
swipe more than your current account balance or the transaction will be denied.
You need to inform your provider the maximum amount they can swipe from your
Benny card.
For those covered by the High Deductible Health Plan (HDHP)/HRA, Douglas County fronted
the entire amount for 2008 in January, so if you elected Single HRA you have $900 in
your account. If you eleced HDHP/HRA Family, you have $1800.
If you terminate before the year is up, and you have money in the account, you
will only be able to keep the amount for the time you actually worked. Manley
will reimburse the County for the remainder of the year. For example, if you
terminated in July and you haven’t used anything in your account, the single
account will have a balance of $450, the family account will have $900. This
account is yours to use until the funds have been exhausted.
Rules
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Funds cannot be moved from the FSA account to the HRA account, nor can it be moved
from the HRA to the FSA.
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Participation reduces the amount of Social Security you will be entitled to.
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Can only change medical/dental plans with a qualifying event; marriage, divorce,
new baby, adoption.
Services available online at
www.pacificsource.com
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Using Your Benefits Card (Debit Card)
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Maximum Limits
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Eligible Expenses
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Qualified Locations
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Healthcare Expenses Covered By Your Health Plan
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Request For Supporting Documentation
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Appropriate Supporting Documentation
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Failure To Submit Supporting Documentation
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Reimbursement of Ineligible Expenses
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Lost or Stolen Cards
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Request a Dependent Benefits Card
Lost or Stolen Benefit Card
For lost, stolen or fraudulent use of a benny card, notify PacificSource Customer Service
immediately at 800-422-7038.
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