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DefinitySM Health Reimbursement Arrangement (HRA) Plan

This consumer-driven health plan covers you when you use doctors and hospitals in or out of our nationwide network. You can get care outside of our network, but your payments will be higher. The plan also includes a health reimbursement Arrangement (HRA) funded by SHBP. You can use your HRA to pay your eligible medical bills and annual deductible.


$125 Extra Benefit
You and your spouse can each earn up to $125 extra for your Health Reimbursement Arrangement by taking the Health Assessment and getting an annual exam. Unused funds from your spending account are rolled over to use in the next plan year.

HRA Member Guide

HRA Provider Wallet Card



  • Summary
  • How it works

Benefit/Service Network / Non-network
Deductible  
Employee $1,100 / same
Employee + 1 $1,900 / same
Employee + Children $1,900 / same
Family $2,750 / same
Out-of-pocket maximum  
Employee $2,500
Employee + 1 $4,100
Employee + Children $4,100
Family $5,700
Annual HRA Contribution  
Employee $500
Employee + 1 $1,000
Employee + Children $1,000
Family $1,500
Lifetime maximum benefit $ 2 million
Office / Doctor visit 85%; subj to ded / 60%; subj to ded
Specialist visit 85%; subj to ded / 60%; subj to ded
Urgent care visit 85%; subj to ded / 60%; subj to ded
Emergency room 85%; subj to ded / 85%; subj to ded
Ambulance 85%; subj to ded / 85%; subj to ded
Outpatient surgery 85%; subj to ded / 60%; subj to ded
Hospital stay 85%; subj to ded / 60%; subj to ded
Maternity Care/Office Visit 85%; subj to ded / 60%; subj to ded
Well-child visits 100%
Mammogram 100%
Annual adult physical 100%

Medical Plan:

  • Network and non-network coverage with a combined annual deductible and out-of-pocket limit
  • Protection from major expenses with a limit on your out-of-pocket medical and pharmacy expenses
  • 100 percent coverage for preventive care when using in-network providers

 

Health Reimbursement Arrangement (HRA)

  • SHBP puts money into your account each plan year
  • You use it to pay for eligible medical and pharmacy expenses to help meet your annual deductible and out-of-pocket limit
  • The money you don’t use carries over to the next year, making it even easier to pay next year’s deductible

 

HRA plan avanatages

Because you are sharing costs with the SHBP, your monthly premiums may be lower than one of the other plan options.

  • You choose how your health care dollars are spent
  • Your preventive care is covered at 100 percent
  • You pay less if you choose a doctor from our network
  • There is a limit on how much you will pay each year

Hear what our members say

Stories that touch us and connect us - and speak to us in ways that are memorable and believable

Health care success stories told by the people who lived them. The videos reveal the emotion and humanity of their personal health care stories.

 Learn more

Open Enrollment Brochures and Flyers

Learn more about the open enrollment options available to you.

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