Health (HRA) & Advanced Vision Reimbursement
Health Reimbursement Account (HRA)
The HRA is administered by Diversified.
Pay directly at the service provider using the Benefits Debit Card or reimburse yourself for any IRS Code Section 213(d) Eligible Medical Expenses incurred.
Benefit Amount
Member Only : $1,000.00
Member + Spouse: $2,000.00
Member + Child(ren): $2,000.00
Member + Family: $3,000.00
HRA Benefits Debit Card
Members who have not yet signed up to receive a debit card must fill out an Enrollment Form to request a debit card.
Click below or on the Benefits Card image to the right for the form. Return the completed form to Diversified using the instructions on the form.
ADvanced Vision REimbursement
Members and their dependents covered by the Plan are eligible for up to a $5,000 maximum lifetime benefit for any FDA approved procedures to improve your eyesight.
The Advanced Eye Care Reimbursement benefit is administered by Diversified. For more information or to request reimbursement visit www.div125.com.
The Advanced Eye Care Reimbursement benefit does not cover procedures included with or as part of cataract surgery