About SF MRA

In San Francisco, employers must offer health benefits for workers to follow local laws. San Francisco City Option (SF City Option) is a health benefit program that employers offer to workers to meet those local laws.

What is SF MRA?

Your San Francisco Medical Reimbursement Account (SF MRA) is a benefit of SF City Option. Funds in an SF MRA come from your employer. Funds can be used to pay back you and your family for eligible health care costs.

• You can use the funds in your SF MRA account even if you get a new job or move. Your health history and records will still be private.
• You must send in at least one SF MRA claim in 36 months to keep your account active. If you don’t send in a claim during that time, your account will close.

How SF MRA Works?

1. Employers in the program deposit funds to SF City Option for their employees.
2. Your employer should give you a Health Care Payment Confirmation Notice to let you know about the funds they put in your SF MRA.
3. You can’t use your funds until you enroll in the SF MRA benefit.
4. If your enrollment is approved, you will get a welcome letter with important details.
5. Make an online account with HealthEquity/EZ Receipts (for online users only).
6. Once your account is active, you can send in a claim with HealthEquity/EZ Receipts. Then, you’ll get money back from the funds in your SF MRA.

HealthEquity/EZ Receipts handles all reimbursement. Your funds will be ready in 3-5 business days. Funds are sent by direct deposit to your bank account, or by check.