Population: New or Prospective Non-Represented
The Health Care Reimbursement Account
The Health Care Reimbursement Account allows you to reimburse yourself with before-tax dollars for eligible health care expenses—like deductibles, out-of-pocket prescription drug costs, and other expenses beyond what's covered under your medical and dental plans. You decide how much to contribute to the account once a year, during the fall annual enrollment. You can contribute a minimum of $50 and a maximum of $5,000 to the account each year. Be sure to estimate your expenses carefully, because the IRS insists you forfeit any amounts you don't use by the end of the reimbursement period.
The reimbursement period is the year you participate in the program, plus the following 2 ½ month “grace period.”
Under Federal law, same-sex domestic partner/civil unions/civil union cannot receive tax-free payments from a health care reimbursement account.
Quick Reference
- Contribution: Between $50 and $5,000 per year.
- Eligible Expenses: Deductibles, copayments, coinsurance, many uninsured expenses, expenses above plan benefit limits, expenses above reasonable and customary charges.
- Ineligible Expenses: Most cosmetic procedures, health care premiums, any expense reimbursed by any other group plan.
See the complete list of eligible and ineligible expenses the IRS recommends. PSEG follows this list as a guide, but does not offer reimbursement for all expenses. If you have a question regarding the eligibility of a specific expense, you can contact the reimbursement account claims administrator at 1-800-571-0400 and follow the voice recognition prompts to speak to a representative. You can also see the list of eligible and ineligible over-the-counter items reimbursable through the Health Care Reimbursement Account.
Claims Filing Made Easy
Most of your eligible out-of-pocket medical, prescription drug, and dental expenses can be submitted to your Health Care Reimbursement Account automatically if you participate in automatic claims filing. You don't have to submit these claims separately. This process is automatic when you are enrolled in the following medical and/or dental options.
Medical
- Traditional Deductible options (Horizon)
- Horizon POS
- Horizon HMO—NJ
- Horizon EPO—Albany area and Connecticut
- Medco prescription drug coverage
Dental
- Dental Freedom of Choice (out-of-network only)
- Dental/Vision
If you want to decline automatic claim processing, you will have the option to do so during annual enrollment. This election remains in effect for the rest of the year. If you've declined this option or are enrolled in a coverage option that does not participate, you'll need to file a Health Care Reimbursement Account Claim Form to be reimbursed for your eligible expenses.
You can arrange for your reimbursement to be directly deposited into your bank account. Log on to the reimbursement acount claims administrator's website to make arrangements.