Health Reimbursement Arrangement (HRA) Calculator: Project Your Tax-Free Medical Savings
Use this guide to understand the assumptions, inputs, results, and next steps behind the calculator.
A Health Reimbursement Arrangement (HRA) is an employer-funded account that provides tax-free money for qualified medical expenses. Unlike a Health Savings Account (HSA), you cannot contribute your own funds; it's a benefit provided solely by your employer. This calculator helps you project your HRA's growth, see how long the funds might last in retirement, and understand its role in your overall retirement healthcare plan.
This tool is designed for employees who have an HRA and want to forecast its value as a dedicated source for medical costs, both before and after retirement. By entering your current balance, employer contributions, and estimated expenses, you can see a year-by-year projection of how this powerful, tax-advantaged account can support your financial health.
HRA Plan Types and Key Rules for 2026
Not all HRAs are created equal. The rules governing contributions, eligible expenses, and what happens to the funds when you leave your job depend on the type of HRA your employer offers. Understanding these differences is crucial for effective long-term planning.
| Feature | Standard Group HRA | ICHRA (Individual Coverage HRA) | QSEHRA (Qualified Small Employer HRA) |
|---|---|---|---|
| Who Offers It? | Employers of any size offering a group health plan. | Employers of any size. | Employers with fewer than 50 full-time employees. |
| Funding Source | 100% employer-funded. | 100% employer-funded. | 100% employer-funded. |
| Contribution Limit | No federal limit, set by employer. | No federal limit, set by employer. | 2026 Limits: $6,450 (self), $13,000 (family). |
| Health Plan Req. | Must be enrolled in the employer's group health plan. | Must purchase an individual health plan (e.g., ACA Marketplace). | Must have minimum essential coverage. |
| Rollover | Yes, funds typically roll over year-to-year. | Yes, funds typically roll over year-to-year. | Yes, funds typically roll over year-to-year. |
| Portability | Varies by plan. Some allow post-retirement use; others are forfeited upon leaving. | Portable. Can be used after leaving the employer if the plan allows. | Portable. Can be used after leaving the employer if the plan allows. |
| Best For | Employees who want their HRA to supplement a traditional employer-sponsored health plan. | Employees who want flexibility to choose their own insurance on the individual market. | Employees of small businesses that don't offer a group health plan. |
The most critical rule to verify with your plan administrator is portability. If your HRA funds are forfeited when you leave your job or retire, its value is limited to your working years. However, if your plan allows you to use the funds in retirement, it becomes a powerful tool for covering Medicare premiums and other out-of-pocket costs.
Integrating an HRA into Your Retirement Healthcare Strategy
An HRA can be a cornerstone of your plan to manage one of the largest and most unpredictable expenses in retirement: healthcare. Because reimbursements are tax-free, every dollar in your HRA goes further than a dollar withdrawn from a pre-tax account like a 401(k) or traditional IRA.
The primary strategic decision is how to coordinate your HRA with other resources, especially a Health Savings Account (HSA) and Medicare.
HRA vs. HSA: A Critical Distinction
Many people confuse HRAs and HSAs, but they serve different roles.
- Funding: HRAs are 100% employer-funded. HSAs can be funded by you, your employer, or both.
- Ownership: The employer owns the HRA. You own the HSA, and it goes with you when you change jobs.
- Investment: HRA funds are typically not invested. HSA funds can be invested like an IRA, allowing for significant tax-free growth. Use our HSA Investment Growth Calculator to see the potential.
- Flexibility: HSAs are generally more flexible and are considered a superior long-term retirement savings vehicle due to their "triple tax advantage" and portability.
If you have access to both, a common strategy is to use HRA funds first for current medical expenses, allowing your HSA balance to grow untouched for retirement.
Using Your HRA in Retirement
If your plan allows for post-retirement use, your HRA becomes a dedicated, tax-free slush fund for healthcare. Common qualified expenses in retirement include:
- Medicare Part B and Part D premiums.
- Medicare Advantage plan premiums.
- Medigap (Medicare Supplement) policy premiums.
- Deductibles, copayments, and coinsurance.
- Dental, vision, and hearing expenses not covered by Medicare.
- Long-term care insurance premiums (up to age-based limits).
Coordinating these payments from your HRA can free up other retirement income for discretionary spending, helping your primary investment portfolio last longer. You can model this with the How Long Will My Money Last Calculator.
A Practical HRA Scenario: From Mid-Career to Retirement
To understand the calculator's power, let's walk through a common scenario.
Meet Sarah, a 45-year-old employee planning to retire at 65. Her employer offers a portable HRA.
- Current HRA Balance: $5,000
- Annual Employer Contribution: $2,000
- Current Age: 45
- Retirement Age: 65
- Annual Medical Expenses (Pre-Retirement): $1,000
- Annual Medical Expenses (Post-Retirement): $5,000
- Medical Expense Inflation Rate: 5%
Phase 1: Accumulation (Age 45 to 65) For the next 20 years, Sarah's employer adds $2,000 annually. She uses an average of $1,000 per year for out-of-pocket costs. The net contribution is effectively $1,000 per year. By age 65, her HRA balance grows significantly. The calculator shows this would accumulate to $25,000 by her retirement date. This is a tax-free medical fund she built without contributing a single dollar of her own money.
Phase 2: Distribution (Age 65+) In retirement, Sarah's medical expenses increase to an estimated $5,000 per year for Medicare premiums and other costs. Due to the 5% medical inflation, this cost will rise each year.
- Year 1 of Retirement (Age 65): Her inflation-adjusted expenses are over $13,000. Her HRA can't cover this, but it can significantly offset it.
- Longevity: The calculator projects that her $25,000 HRA balance will be depleted after covering a portion of her expenses for the first few years of retirement.
This projection gives Sarah a clear picture: her HRA provides a valuable buffer for the first few years of retirement healthcare costs, but she will need a separate plan to cover the rest. She might focus on maximizing her HSA contributions or earmarking a portion of her IRA for future medical needs. This is the kind of insight needed to build a durable retirement withdrawal strategy.
How Your HRA Projections Are Calculated
The calculator runs a year-by-year simulation to project the future value of your HRA. It uses the following core formulas to model its growth and eventual drawdown.
The first step is to account for medical inflation, which often outpaces general inflation.
Inflated Annual Expenses = Base Annual Expenses × (1 + Medical Inflation Rate) ^ Number of Years
Where:
- Base Annual Expenses = Your estimated medical spending for either the pre-retirement or post-retirement phase.
- Medical Inflation Rate = The annual percentage increase you expect for healthcare costs.
- Number of Years = The number of years from today.
Next, the calculator determines your HRA balance each year before you retire.
Next Year's Pre-Retirement Balance = Current Balance + Annual Employer Contribution - Inflated Annual Expenses
Where:
- Current Balance = The HRA balance at the start of the year.
- Annual Employer Contribution = The fixed amount your employer adds to the HRA each year.
- Inflated Annual Expenses = The projected medical costs for that specific year, paid from the HRA.
After you retire, the employer contributions stop, and the formula adjusts to show how the balance is drawn down.
Next Year's Post-Retirement Balance = Current Balance - Inflated Annual Expenses
Where:
- Current Balance = The HRA balance at the start of your retirement year.
- Inflated Annual Expenses = Your projected post-retirement medical costs for that year. The calculator ensures the withdrawal does not exceed the available balance.
Frequently Asked Questions
Quick answers to the questions people usually have after running the retirement calculator.
1What is a Health Reimbursement Arrangement (HRA)?
An HRA is an employer-funded savings account used to reimburse employees for qualified out-of-pocket medical expenses on a tax-free basis. Unlike an HSA or FSA, only the employer can contribute to an HRA.
2Can I contribute my own money to an HRA?
No. HRAs are defined as being funded solely by the employer. This is a key difference from other health accounts like HSAs and FSAs, where employee contributions are central.
3What's the main difference between an HRA and an HSA?
The biggest differences are ownership and investment potential. You own your HSA, it is always portable, and you can invest the funds for growth. Your employer owns the HRA, its portability depends on the plan rules, and the funds are typically not invested. See our HSA vs. FSA guide for more comparisons.
4Are HRA reimbursements considered taxable income?
No. When you use HRA funds for qualified medical expenses, the reimbursement you receive is not subject to federal income tax, Social Security, or Medicare taxes. This is a primary benefit of the account.
5What happens to my HRA funds if I leave my job?
This depends entirely on your employer's plan design. In many traditional HRAs, the funds are forfeited. However, some plans, particularly ICHRAs and retiree HRAs, allow you to continue using the funds after separation, making it a valuable retirement asset. Always check your Summary Plan Description (SPD).
6Can I use my HRA to pay for health insurance premiums?
It depends on the HRA type. A Standard HRA generally cannot be used for premiums. However, an ICHRA is specifically designed to reimburse employees for individual health insurance premiums, and a QSEHRA can also be used for premiums.
7Do HRA funds roll over from year to year?
Yes, in most HRA designs, any unused funds at the end of the year automatically roll over to be used in future years. This allows the balance to accumulate over time, which is a key advantage over a "use-it-or-lose-it" Flexible Spending Account (FSA).
Next Steps
Now that you have a projection for your HRA, consider how it fits into your broader financial picture. Use the results to inform your overall savings goals and healthcare strategy.
- Determine your total retirement needs to see how HRA coverage affects the amount you must save elsewhere.
- Model different spending scenarios with our retirement drawdown calculator to understand how covering medical costs with an HRA can preserve your investment portfolio.
- If you have an HSA, use the HSA Contribution Calculator to ensure you are maximizing its potential as your primary healthcare savings vehicle for retirement.
Last updated: July 2026