PriorityHRA: Help with your deductible
PriorityHRASM is a health reimbursement arrangement (HRA). It's an account that your employer funds to help pay part of your deductible and/or your coinsurance when you have a high-deductible medical plan.
- The dollars in an HRA belong to your employer.
- Priority Health automatically pays health care claims from your HRA, and tracks the balance of your deductible, without paperwork from you.
- At the end of your plan year, your employer may decide to "roll over" any unused HRA dollars into the next year's HRA, but it's not required.
- If you leave the company, you may receive COBRA benefits from the HRA.
Paying for care
Your Priority Health medical plan entitles you to a discount at health care providers in your plan's network.
You don't have to meet your deductible before your plan will pay for preventive care like immunizations, mammograms and routine physicals. Just go to the doctor and pay your plan's office visit copayment. Your copayment won't apply to your deductible.
You will have to "meet your deductible" before your medical plan begins to pay for medical costs that are covered by the plan. "Meeting your deductible" means you pay 100% of your medical costs up to the dollar amount of your deductible. You'll use your own money plus the money in the HRA to meet your deductible.
Depending on how your employer sets up your HRA:
- Sometimes the HRA pays first. The HRA pays for your medical costs until it runs out, then you have to pay for your health care until the amount you pay meets the amount of your deductible. Then your medical plan begins to pay for your medical costs.
- Sometimes you pay first. You pay your medical costs up to a certain point, then your employer's HRA kicks in. Then when your deductible is met, your medical plan begins to pay for your medical costs.
- Sometimes you split the payments. Your HRA pays a certain percent, and you pay the rest (50%/50%, or 40%/60% for example) of your medical costs, until your HRA money runs out. Then you pay 100% of your medical costs until you meet your deductible. Then your medical plan begins to pay for your medical costs.