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QSEHRA Employee: Submitting a One-Time Medical Expense for Reimbursement

This article is for employees participating in a Qualified Small Employer HRA (QSEHRA) administered through Take Command who want to submit a one-time medical expense for reimbursement.

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Written by David Hung

This article is for employees participating in a Qualified Small Employer HRA (QSEHRA) administered through Take Command who want to submit a one-time medical expense for reimbursement.

Can I submit medical expenses for reimbursement?

It depends on your employer's QSEHRA plan.

Some employers reimburse:

  • Health insurance premiums only

Others reimburse:

  • Health insurance premiums

  • Eligible medical expenses allowed under IRS Publication 502

If your employer allows medical expense reimbursement, the Add Expense button will appear in your Member Portal after your proof of coverage has been approved.


How do I submit a medical expense?

To submit a one-time medical expense:

  1. Sign in to your Take Command Member Portal.

  2. Select Add Expense.

  3. Choose the family member who received the service.

  4. Enter the requested expense information.

  5. Upload the required documentation.

  6. Submit your reimbursement request.

Each reimbursement request should include expenses from only one date of service.


What information is required?

Your documentation must clearly show:

  • Patient name

  • Medical provider, hospital, or pharmacy name

  • Date of service

  • Description of the service or item

  • Amount charged

The date of service, not the billing date, determines reimbursement eligibility.


What happens after I submit my expense?

After submission:

  • Take Command reviews your documentation.

  • Your claim is evaluated for eligibility and compliance.

  • You'll receive one of the following outcomes:

    • Approved

    • Request for additional information

    • Denied

You can monitor your reimbursement status through your Member Portal.


What if my expense is larger than my monthly allowance?

You only need to submit the expense once.

If approved, eligible reimbursements continue until:

  • The expense has been fully reimbursed, or

  • You reach your available annual allowance.


Can I submit expenses from a previous year?

Eligibility is based on the date of service, not the billing date.

Expenses from closed plan years generally cannot be reimbursed.


When does this article not apply?

This article applies only to one-time medical expenses.

Monthly health insurance premiums should be submitted as recurring premium reimbursements when available under your employer's QSEHRA.


Key takeaway

If your employer's QSEHRA allows medical expense reimbursement, submit one expense for one date of service through the Member Portal with complete supporting documentation. Eligible expenses are reviewed before reimbursement is approved.

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