Claims

Claims

PLEASE NOTE: Your Health Reimbursement Arrangement (HRA) funds are not available while you are actively working at the County of Orange, the Courts, or one of the County Special Districts. Your HRA is meant to support you after leaving County service. This is different from the County’s Health Care Reimbursement Account (HCRA) for active employees.

Standard claims processing takes five to seven business days. Payment is issued by direct deposit (if set up) or paper check. To set up direct deposit, log in and access your HRA online portal, then click My Profile.

When you’re ready to file a claim after leaving employment with the County, log in online or from our mobile app, HRAgo®, and click Claims. Be prepared to upload proper supporting documentation (proof). Because your HRA is tax free, IRS rules require us to properly verify every expense.

 Documentation for most expenses must contain all five of the following:

  1. Patient name (you, your spouse, or dependent);
  2. Date you received the medical care or purchased a qualified healthcare item;
  3. Service provider name (doctor, pharmacy, clinic, or hospital);
  4. Description of the service or item; and
  5. Amount you paid or owe out of pocket.

Usually, the Explanation of Benefits from your insurance company works best and has everything needed. If you don’t have one of those, ask your service provider for an itemized invoice. They should be familiar with what is required.

If online claims submission isn’t for you, download and print a paper Claim Form , or request one from our Customer Care Center at 1-833-382-2617.

Automatic Premium Reimbursement

After you have separated or retired from the County, we can automatically reimburse most monthly insurance premiums, including individual, COBRA, and Medicare premiums. Just log in and access your HRA online portal and click Claims, then click Set Up an Automatic Premium Reimbursement. You can also do this from our mobile app, HRAgo®.

Documentation must include the name of the policyholder or covered individual(s), premium amount, policy period, and insurance provider name. You can usually find all this information on your premium billing notice, statement of insurance, open enrollment notice, or pension benefit direct deposit stub.

If you’d rather use a paper form, download and print an Automatic Premium Reimbursement  form, or request one from our Customer Care Center at 1-833-382-2617.