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Horizon CDH Learning Site

An Introduction to HRAs

This page gives a general introduction to the HRA medical spending account.


A Health Reimbursement Arrangement (HRA) is a medical spending account that is entirely funded by an employer.  An HRA reimburses employees and their families for eligible medical expenses. Employers decide what types of expenses are considered eligible. 

An HRA is owned by the employer.  You don't put your own money into the account. The money isn't considered part of your income. You don't pay taxes on the money in the account or when you are reimbursed with money from the account.

Your employer or benefits administrator provides details about which expenses are eligible for reimbursement.

Enrolling in an HRA

An HRA must be offered by your employer. Your employer or benefits administrator will guide you through enrollment. 

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