Medical Reimbursement Accounts
If your employee does not qualify for Healthy San Francisco, the money you deposit will be used to fund a Medical Reimbursement Account for that employee. Your employee can use the funds to pay for the out-of-pocket medical, dental, and vision care expenses.
To sign up for the City Option, you will first need to register as an employer via our Employer Login. You will then:
- Give us a list of the employees for whom you will be making a payment to the City Option
- Itemize the amount of money you will deposit on behalf of each employee; and mail in one payment for all employees or pay online through the Portal.
Your employees will be assigned to either Healthy San Francisco or a Medical Reimbursement Account, based on the information you provide. For more information on Healthy San Francisco eligibility rules and other requirements, please visit the Eligibility Section of this website. If your deposits are assigned to Healthy San Francisco and your employee is deemed ineligible for that program at the time they apply, your employee may request that the funds be transferred to a Medical Reimbursement Account.
If your contributions are assigned to a Medical Reimbursement Account, your employee will receive a letter informing them of the funds deposited in their Medical Reimbursement Account. To begin using the Medical Reimbursement Account, the employee will follow simple reimbursement procedures as outlined in the program materials they will receive in the mail.
For more information on Medical Reimbursement Accounts, please visit the Employer FAQ.