Medical Reimbursement Accounts
Employers participating in the City Option submit information about their employees indicating whether they might be eligible for Healthy San Francisco or a Medical Reimbursement Account. Employees assigned to Healthy San Francisco must still meet eligibility requirements and make an appointment to enroll. For employees who do not qualify for Healthy San Francisco, the money your employer pays to the City Option on your behalf will be used to fund a Medical Reimbursement Account for you. These funds can be used to pay for out-of-pocket medical, dental, and vision care expenses.If you are assigned a Medical Reimbursement Account
You will receive program materials from the Medical Reimbursement Account vendor and confirmation that an account has been established in your name within 4-6 weeks. Funds will become available on the Medical Reimbursement Account enrollment date, or the date your employer’s check clears the bank. They can only be used to reimburse for medical expenses you have incurred after the MRA enrollment date.
Click here to read more information on how to use your MRA.
Download the MRA Brochure here.
About Your Medical Reimbursement Account
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How far back can I submit a claim for reimbursement?
Only health care expenses incurred on or after the effective date of your MRA are eligible for reimbursement. Your MRA's effective date is the date your employer's first payment on your behalf to San Francisco City Option clears the bank. If you have questions about the effective date of your MRA, please call Customer Service at (866) 697-6078. -
How long will my Medical Reimbursement Account be available?
Unlike traditional health reimbursement accounts, 100% of the funds in your Medical Reimbursement Account do not have to be spent in one calendar year. Your funds automatically roll over from year to year. However, if you do not use your account for more than 18 months consecutively, you risk your account becoming inactive and potentially closing. Before an account is closed due to inactivity, the City Option Program will contact you in advance of the closure to alert you to use the funds. -
How long does it take for me to be reimbursed for a healthcare expense?
Assuming that all forms and receipts have been properly submitted and the healthcare expense is eligible for reimbursement, claims are usually processed within 3 to 5 business days. -
Which types of healthcare expenses are reimbursed through a Medical Reimbursement Account?
CLICK HERE to view a detailed list of health care expenses eligible for reimbursement under your MRA. Doctor's office visits, copays, health insurance premiums, eyeglasses and contact lenses, and prescription and over-the-counter medicines are among the many expenses eligible for reimbursement. Please contact Customer Service at (866) 697-6078 if you have any questions about eligible expenses. -
If I leave my place of employment, can I cash out my Medical Reimbursement Account?
No, you cannot cash out your MRA. If you leave your place of employment, you may continue to withdraw funds from your MRA until funds are depleted. -
How do I submit a claim for reimbursement?
CLICK HERE to download a claim form. Claim forms can also be accessed from your account online or requested from Customer Service by calling (866) 697-6078. Receipts and completed claim forms may be mailed, faxed, or submitted online to ADP, the Medical Reimbursement Account vendor. Reimbursement is made to you by check or direct deposit into a checking or savings account, depending on your preference.
FAX:
Spending Account Management
1-866-643-2219
MAIL:
ADP Spending Accounts
P.O. Box 34700
Louisville, KY 40232
ONLINE:
https://myspendingaccount.adp.com/mymra
Forms and Information
Healthy San Francisco to MRA Transfer Request Form
MRA Claim Form and Instructions
MRA Claim Form Instructions Only (Chinese :: Spanish)
MRA Eligible Expense Guide
