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SF MRA: Your Guide to San Francisco Medical Reimbursement Accounts

Quick Summary

  • Employer-funded health benefits
  • Reimbursement for health costs
  • Online account management
  • Accessible to eligible workers
  • Funds can expire if inactive

The San Francisco Medical Reimbursement Account (SF MRA) is a valuable health benefit designed to help workers in San Francisco manage their medical expenses. Established by the City and County of San Francisco, the SF MRA program operates under the broader SF City Option initiative, ensuring eligible employees receive funds from their employers to cover a wide range of healthcare costs. This digital portal simplifies the process of accessing and utilizing these essential funds. Your SF MRA acts as a dedicated account where employer contributions are held. These funds are specifically for reimbursing you and your family for qualified medical, dental, vision, and other health-related expenditures. The program aims to alleviate financial burdens associated with healthcare, promoting better health outcomes for the San Francisco workforce.

Who Can Benefit from a San Francisco Medical Reimbursement Account?

Accessing Your HealthEquity/EZ Receipts Online Account

  1. First, ensure you have successfully enrolled in SF MRA and received your SF MRA Welcome Letter. This letter contains your unique account number, which starts with 910.
  2. Wait 1-3 weeks after your enrollment is approved to allow time for your account to be set up.
  3. Navigate to the HealthEquity/EZ Receipts online portal at participant.wageworks.com/sfmra.
  4. Click on the 'Register' option to begin setting up your online account.
  5. You will need to provide an ID code for registration. This ID code consists of the last 4 digits of your SF MRA Account Number.
  6. Follow the on-screen instructions to complete your registration and create your secure login credentials for the digital portal.

Maximizing Your SF MRA Funds for Health Expenses

Resolving Access Issues for Your SF MRA Online Portal

โš ๏ธ Cannot access online account / Forgot username or password

Cause: Incorrect login credentials, new user not yet registered, or forgotten username/password.

Solution: We know being locked out of your account can be stressful. If you cannot log in, first try resetting your password or recovering your username directly on the HealthEquity/EZ Receipts portal at participant.wageworks.com/sfmra. Look for options like 'Forgot your password or user name?'. If you are still unable to access your online account, or if you encounter issues during initial registration, please contact HealthEquity/EZ Receipts Customer Service at 1(866) 697-6078. They can assist with finding your account number and guiding you through the setup or recovery process for your digital portal.

โš ๏ธ Account Inactivity / Account Closure Warning

Cause: No activity on your SF MRA account for a consecutive three-year period.

Solution: To prevent your SF MRA account from being closed and funds reverting to the City, you must perform at least one of the following actions every three years: receive new employer contributions, submit an SF MRA Enrollment Form, submit a claim, call SF City Option Customer Service at 1(877) 772-0415, email [email protected], or register/access your online account at participant.wageworks.com/sfmra. The earliest accounts could be closed due to inactivity is April 2026.

Maintaining the Security of Your Health Care Reimbursement Account

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๐ŸŽง Official Support & Help Center

For general SF MRA inquiries, enrollment assistance, or to update your contact information, contact SF City Option Customer Service. You can reach them by phone at 1(877) 772-0415 or via email at [email protected]. For questions about claims, reimbursement status, or assistance with your online account at HealthEquity/EZ Receipts, contact their Customer Service directly at 1(866) 697-6078.

Answers to Your Top Questions About SF MRA

Q: What is a San Francisco Medical Reimbursement Account (SF MRA)?

The SF MRA is a health benefit established by the City and County of San Francisco, part of the SF City Option program. It's an employer-funded account that allows eligible workers and their families to be reimbursed for a wide variety of healthcare and wellness expenses.

Q: How do I know if I have SF MRA funds available?

You can determine if you have SF MRA funds by using the official SF MRA Funds Finder tool, accessible through the SF City Option website. You will need to enter your name, birthdate, and the last four digits of your Social Security Number to search for available funds.

Q: What types of expenses are eligible for reimbursement through SF MRA?

SF MRA funds can reimburse various health-related costs, including health insurance fees, medical, dental, and vision care co-pays, prescription medications, therapy, counseling, certain over-the-counter drugs, medical supplies, and some wellness services like acupuncture. A comprehensive list of eligible expenses is available on the SF City Option website.

Q: How can I submit a claim for reimbursement from my SF MRA?

You can submit claims in four ways: online through the HealthEquity/EZ Receipts portal at participant.wageworks.com/sfmra, via the HealthEquity/EZ Receipts mobile app, by mail, or by fax. You will need your SF MRA account number, details of the service/purchase, date, amount paid, and proof of payment (like a receipt).

Q: What is the policy regarding inactive SF MRA accounts?

SF MRA accounts that have no activity for a consecutive three-year period may be closed, and the funds reverted to the City and County of San Francisco. To keep your account active, you must perform certain actions, such as receiving new employer contributions, submitting an enrollment form or claim, or contacting SF City Option or HealthEquity/EZ Receipts. The earliest account closures for inactivity began in April 2026.

Q: Can I still use my SF MRA funds if I move outside of San Francisco?

Yes, you can continue to access your SF MRA account and submit claims for eligible expenses even if you move out of state or to another country. Your funds remain available regardless of your relocation, as long as your account remains active.

Wrap Up

The San Francisco Medical Reimbursement Account offers a vital financial tool for eligible workers, providing a clear path to manage and reclaim healthcare costs. By understanding the program's requirements, actively managing your online account, and submitting claims promptly, you can effectively utilize these employer-funded benefits to support your health and well-being. Stay informed and engaged with your SF MRA to ensure continuous access to your valuable health resources.

PS

Portal Support Team

This guide was reviewed and verified by our internal technical support experts in October 2026. We constantly monitor official portal updates to ensure you have the most accurate and secure login instructions.