HRA Presentation

Company Name/logo

Effective Date: (Carrier Name) HSA

Referral Required No

Deductible 2 X Dependents

$2,500/$5,000

Office Visits 80% after Deductible

Specialist Visits 80% after Deductible

X-Ray* 80% after Deductible

Emergency Room 80% after Deductible

Out Patient Surgery 80% after Deductible

Hospitalization 80% after Deductible

Prescription Card ()% after Deductible

Maximum Out of Pocket $5,000/$10,000

Review of the Company Medical Plan

*

HRA- Health Reimbursement Arrangement◦ Is a pre-tax reimbursement benefit that will

reimburse you for certain out of pocket medical expenses. The HRA is funded by your employer!

◦ Your company HRA will reimburse you up to $() if you have single coverage and $() if you have employee+ dependent coverage.

What is an HRA?

◦ (Company Name) HRA will reimburse the following expenses:

Expenses applied towards you deductible Office Copays RX Copays Coinsurance

As previously stated, the HRA will reimburse up to $() for single coverage and $() for employees with dependent coverage.

What are Eligible Reimbursements?

HRA Procedure for Reimbursement

If you have an HSA compatible plan, you should NOT be responsible to pay any form of payment at the time of service, unless purchasing RX expenses.

What is the O.C.A. No-Pay Card?

Sample Explanation of Benefits

Finding the best Rx Prices!!!!

Visit www.oca125.com/drugs/ for more information

How to use your mySource card?

“Depending on which merchant you choose to use your mySource card at, may or may not necessitate theneed to submit a claim form...”

View Your Benefit History Online!Welcome to myRSC- Your Resource Service Center!

View Your Benefit History

1

2

1.Once you select the Reimbursement tab, you see your account information.

2.To view detailed information, click the detail link in box 2.

Complete a claim form Online!!

21

3

O.C.A.’s Mobile MyRSC AppView AccountsIncluding detailed account and balance information .   SnapClaimFile a claim and upload receipt photos directly from your Smartphone. Debit Card ActivityView all debit card transactions and account activity. Manage SubscriptionsSet up email notifications to keep you up-to-date on all account and health debit card activity. Locating and Loading the Mobile myRSC AppSimply search for "myRSC" on the App StoreSM for Appleproducts or on the Google Play™ Store for Android products,and then load as you would any other app Logging InUse the same username and password you use to log in to the full myRSC website. After logging in, you will be on the home page which will list your options

O.C.A. Customer Service Line:◦ 609-514-0777

Mail Claims to:◦ 3705 Quakerbridge Rd. Suite 216, Mercerville, NJ,08619

Email claims to: ◦ claims@oca125.com

Fax claims to:◦ 609-514-2778

Questions about you HRA?