If you get to the end of a plan year, and you have used up your entire annual allowance but still have a large bill that has not yet been reimbursed, don't worry! You can continue to be reimbursed for that claim in the new year, as long as you remain eligible to participate in your company's QSEHRA or ICHRA.
For example, Sarah receives an HRA allowance of $400 per month. As of December 2020, she has received a total of $4,800 in allowance but only claimed $3,300 in reimbursement. Sarah has a remaining unclaimed balance of $1,500 for 2020 as of December.
In December 2020 she receives a bill for surgery she had during October 2020 for $3,000, which she submits for reimbursement through her company’s HRA. The $1,500 of accrued unclaimed allowance from 2020 will be applied to that claim in December.
Then in 2021, as she unlocks another $400 per month in allowance each month, that $400 will be applied towards the reimbursement of her surgery bill until it is reimbursed in full.