Out of Pocket Expenses
The City of Lowell provides a supplemental Health Reimbursement Arrangement (HRA) plan designed to reimburse for certain out of pocket expenses. Effective July 1, 2023, the Health Reimbursement Arrangement (HRA) will be administered by Point C (formerly UltraBenefits).
The HRA plan will continue to reimburse eligible out-of-pocket expenses as it previously has for:
- Level 1: High Cost Co-payments.
- Level 2: Out-of-Pocket Expenses.
Helpful Information
HRA Explained
Summary and overview of the Health Reimbursement Arrangement (HRA) benefits. Frequently asked questions regarding Health Reimbursement Arrangements.
HRA Manual Claim Form
Use this form to submit claims manually via email, fax or mail.
HRA Attestation Form
Use this form to assist with tracking out-of-pocket expenses.
HRA Online Member Access and Explanation of Benefits (EOB)
Point C now has an online portal available to eligible employees wishing to access and view HRA related information. Those interested will need to create an account prior to log in. Online Member Access Guide to creating an account and Understanding Your EOB
Claim Assistance
Employees are encouraged to contact Point C directly at 855-408-6507 for claim related assistance.
Employees may also contact Human Relations at 978-674-4105 for general assistance.