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Health Reimbursement Account (HRA)

Health Reimbursement Account (HRA)

If you enroll in the BCBS or Kaiser Permanente HRA plans, an HRA account is set up for you.

Each plan year, Veradigm makes contributions to your account that you can use to pay for eligible medical deductible and coinsurance expenses.

Unused HRA funds roll over at the end of the plan year, allowing you to accumulate funds for future healthcare expenses, as long as you remain in the same HRA option from year-to-year.

If you use all of the available funds in your HRA before your deductible is met and/or before the plan year is over, you are responsible for paying all incurred medical expenses and/or remaining deductible. Once your deductible is met, you share the cost of medical services with Veradigm until you reach the out-of-pocket maximum.

Using your HRA

The funds in your HRA are available to use for eligible medical expenses as processed through the Veradigm Medical Plan. Your doctor/healthcare provider submits medical claims to process. Your medical plan provider will apply any available funds from your HRA toward your claims. Remember, your HRA dollars can only be applied towards deductible and coinsurance expenses incurred with the medical plan. HRA funds cannot be used towards dental and/or vision expenses.

Note: Prescription drug copayments are not eligible for reimbursement under an HRA.

Veradigm HRA contributions

If you enroll in the BCBS or Kaiser HRA plan, you will receive 100% of Veradigm contributions on January 1 of the plan year.

Coverage level Veradigm maximum annual HRA contributions
Associate only $500
Associate + spouse/DP $750
Associate + child(ren) $750
Associate + family $1000
Health Savings Account (HSA)

Health Savings Account (HSA)

If you enroll in the BCBS or the Kaiser Permanente HSA medical plan and are eligible for a health savings account (HSA), an HSA account is set up for you automatically.

The HSA is a tax-favored savings account that is owned by you. You can use money in your account to pay for qualified health care expenses, including deductibles and copays—or keep it for future expenses, even those you incur in retirement.

Here’s a brief look at how the HSA works:

  • Your contributions to the HSA are pre-tax. You can select a contribution amount when you enroll/re-enroll each year, and contributions are taken from your paycheck pre-tax.
  • Veradigm also makes contributions to your account.
  • For 2025, the maximum total annual contribution (yours and Veradigm’s) to your HSA is:
    • $4,300 for associate only coverage, and $8,550 if you cover dependents.
  • You can contribute an additional $1,000 if you are age 55 or older.
  • Any money in your HSA that you don’t spend stays in your account to help you save for future medical and retiree health care expenses.

Are you eligible for an HSA?

Because HSA plans have certain tax advantages, the IRS defines specific rules for participants.

You are not eligible for an HSA if you:

  • Are enrolled in Medicare.
  • Are covered by another healthcare plan that’s not a qualified high deductible health plan.
  • Can be claimed as a dependent on someone else’s tax return.
  • Are covered by veterans’ benefits and have used Veterans Affairs medical services within the past three months. Veterans who have a service-connected disability can participate in an HSA regardless of when they received VA benefits.
  • Are enrolled in or covered by a general purpose Healthcare Flexible Spending Account (FSA) or Health Reimbursement Account (HRA), including one through your spouse’s/domestic partner’s employer.
Important: HSAs are personally owned health savings accounts subject to annual IRS maximum contributions. Individuals must monitor their pre-tax elections and Veradigm contributions throughout the tax year to ensure they do not exceed the annual limits.

To change your HSA contributions during the year:

Changes to your HSA throughout the year will be effective at the beginning of the next month.

Veradigm HSA Contributions

If you enroll in the BCBS or Kaiser HSA medical plan, you will receive a quarterly contribution to your account on the first day of each quarter of the plan year (starting January 1), as follows:

Coverage level Veradigm quarterly HSA contributions Veradigm maximum annual HSA contributions
Q1 Q2 Q3 Q4
Associate only $160 $80 $80 $80 $400
Associate + spouse/DP $240 $120 $120 $120 $600
Associate + child(ren) $240 $120 $120 $120 $600
Associate + family $320 $160 $160 $160 $800

To receive Veradigm’s contributions

Veradigm will contribute to your Health Savings Account (HSA) only if you enroll in either the BCBS or Kaiser HSA medical plan during Open Enrollment (or as a new hire or newly benefits-eligible). Follow these steps to ensure you receive the contribution:

  1. Elect the BCBS HSA or Kaiser HSA medical plan through the Veradigm benefits enrollment system.
  2. Confirm your HSA participation:
    • If you want to participate, select “I Want Coverage.”
      • You’ll be prompted to choose your contribution amount for 2025.
      • If you don’t want to contribute but still want Veradigm’s contributions, enter $0 as your contribution amount.
    • If you don’t want to participate, select “Waive Coverage.”
      Note: If you waive coverage, you will not receive Veradigm’s contributions to your HSA.

Need assistance?

BCBSNC
1-888-705-7050
blueconnectnc.com
Group Number 14181146

Kaiser Permanente
800-464-4000
kp.org

What happens to unused funds at the end of the plan year?

If you are enrolled in the BCBS HRA or Kaiser HRA for 2025:

  • If you enroll in the BCBS HRA or Kaiser HRA for 2026, any unused funds will roll over to the next plan year.
  • If you change to a Veradigm medical plan without an HRA, any unused funds will be forfeited at the end of the plan year.

If you are enrolled in the BCBS HSA or Kaiser HSA for 2025:

  •  If you enroll in the BCBS HSA or Kaiser HSA for 2026, any unused funds will roll over to the next plan year.
  • If you change to a Veradigm medical plan without an HSA, you keep your HSA funds but cannot make new contributions in the next plan year.

5 reasons to consider an HSA

  1. You can use it… or keep it. Any money you don’t use by the end of the plan year rolls over into the next and earns interest.
  2. You can take it with you. If you leave Veradigm, you take your HSA funds with you. You can even use your HSA funds to help pay for COBRA, if needed.
  3. You’re in control. You decide how much to spend or save and when to use (or not use) your money.
  4. It stays with you for the long haul. If you’re able to save your HSA funds over time, you can use them for qualified expenses during retirement.
  5. It has real growth potential. When your HSA balance reaches $2,000, you can invest your balance to earn even more.