Reimbursement Programs

Harvard offers the Reimbursement Program for Faculty, Administrative and Professional Staff, and other Nonunion Staff. In addition, we offer the Copayment Reimbursement Program for Union Staff.

You do not need to enroll in this program, but you do need to be enrolled in a Harvard HMO, POS or PPO health plan and file a claim in order to be reimbursed.

Reimbursement Program

This program provides financial assistance for faculty and nonunion staff who earn up to $110,000 annually, and are faced with high medical costs. 

Program details

  • Reimbursement for in-network, out-of-pocket medical expenses above certain thresholds in a Harvard HMO, POS, or PPO plan, but not a HDHP plan.
     
  • Expenses that count toward the thresholds include office visits, emergency room and pharmacy copayments, deductibles and coinsurance, but not premiums.
     
  • You may use an FSA to cover costs up to the threshold and still use the reimbursement program for costs above the threshold.
     
  • No enrollment is necessary but you must file to be reimbursed. Claims must be submitted by March 31 for the prior year (deadline to file claims for expenses incurred during the 2018 calendar year is April 1, 2019; deadline to file claims for 2019 expenses is March 31, 2020).

For information on 2018 spending thresholds, salary limits, eligible expenses and how file a claim for reimbursement, please refer to the 2018 Reimbursement Programs overviewFor information on 2019 spending thresholds, salary limits, eligible expenses and how file a claim for reimbursement, please refer to the 2019 Reimbursement Programs overview.

Copayment Reimbursement Program

This program provides financial assistance for union staff members enrolled in a Harvard plan and are faced with high medical costs.

Program details

  • The program reimburses out-of-pocket, in-network copayments for office visits and prescription drugs above certain thresholds. ATC, HUCTW, HUPA, HUSPMGU and SEIU Custodian members can also be reimbursed for hospital and emergency room visits and high-tech imaging copays. For 2019, Local 26 members are also eligible to be reimbursed for hospital, emergency room and high-tech imaging copays.
  • You may use an FSA to cover costs up to the threshold and still use the copay reimbursement program for costs above the threshold.
     
  • Salary limits may apply, depending on your union.
     
  • No enrollment is necessary but you must file to be reimbursed. Claims must be submitted by March 31 for the prior year (deadline to file claims for expenses incurred during the 2018 calendar year is April 1, 2019; deadline for 2019 claims is March 31, 2020).

For information on 2018 spending thresholds, salary limits, eligible expenses and how file a claim for reimbursement, please refer to the 2018 Reimbursement Programs overviewFor information on 2019 spending thresholds, salary limits, eligible expenses and how file a claim for reimbursement, please refer to the 2019 Reimbursement Programs overview.

Supplemental Health Care Fund for Local 26 Members

If you are a member of Local 26 and enrolled in a Harvard-sponsored medical plan, you may be reimbursed for emergency room, hospital and high-tech imaging copayments through the Supplemental Health Care Fund. This fund is new for 2019. You do not need to meet any salary or expense thresholds in order to apply for reimbursement through this fund.

You cannot submit the same expense to both the Copayment Reimbursement Fund and the Supplemental Health Care Fund, and you cannot be reimbursed for expenses that have already been paid using a Flexible Spending Account (FSA). Reimbursement claims for 2019 copayments must be postmarked by January 31, 2020.

For information on filing a claim 2019, please see the Supplemental Health Care Fund FAQ and Claim Form, or refer to the 2019 Reimbursement Programs overview.