Concerning your FSA/HRA

To our Valued Clients:

We have a very important update to announce to you! On Friday, March 27th  the President signed The CARES Act into law.

This law has many important components, one of which permanently reinstates coverage of Over the Counter (OTC) drugs and medicines as items eligible for reimbursement under Code 213(d) expenses in FSA, HRA, and HSA plans. With this law, the drugs and medicines will no longer require participants to have a prescription to prove eligibility.

  • A high-deductible health plan (HDHP) with a health savings account (HSA) will be allowed to cover telehealth and other remote care services prior to an individual reaching the deductible. This allows HDHP participants to receive first-dollar coverage for these services without disqualifying them from being eligible to contribute to a health savings account (HSA). This provision is temporarily in effect beginning January 1, 2020 through December 31, 2021.
  • Non-prescribed, over-the-counter medicine and medical supplies are now covered as qualified medical expenses for HSA, HRA, and health FSA purposes. This includes over-the-counter menstrual care products. The changes take place retroactive to January 1, 2020 with no expiration date. This provision reverses laws put in place as part of the Affordable Care Act in 2011, which stated that over-the-counter expenses were only eligible for reimbursement with a prescription.

IMPORTANT NOTE:  Regarding the OTC medicine and medical supplies, this will occur gradually over the next 4-6 weeks as SIGIS (Special Interest Group for IIAS Standards) will make available the list to be implemented by participating merchants.