QSEHRA vs ICHRA: What's The Difference

Learn the key differences between an ICHRA and a QSEHRA to see which health reimbursement arrangement fits your business best. Compare the pros and cons of each to find the most flexible and cost-effective solution for your team.

QSEHRA vs ICHRA Comparison

QSEHRA vs ICHRA Comparison

Feature
QSEHRA
ICHRA
Employer Size
Fewer than 50 full-time employees
Any size
Insurance Requirement
Individual, Medicare, Spouse’s employer plan, COBRA, or TRICARE (must meet MEC)
Individual or Medicare (must meet ACA requirements)
Classes
Same benefit for all eligible employees
Can vary by employee class (e.g., full-time, part-time, seasonal)
Annual Contribution Limits
Yes, set annually by the IRS
No limit
Premium Tax Credits (PTC)
If affordable, PTC not available; if not affordable, PTC reduced by QSEHRA amount
If affordable, PTC not available; if not affordable, employee can opt out and claim PTC

Employer Resources

ICHRA vs QSEHRA: Which HRA Is Right for Your Business

ICHRA vs QSEHRA: Which HRA Is Right for Your Business?

QSEHRA Learning Center

Learn everything you need to know about QSEHRAs

Learning Center

Explore guides, calculators, and resources for every HRA topic

HRA Administrator Comparison

HRA Administrator Comparison

Salusion
PeopleKeep
TakeCommand
Venteur
Thatch
Per Participant Per Month
$14
$19
$20–$22
$20
$45
Platform Fee
$0
$35
$40
$0
$50
Onboarding Fee
$0
$150
$0
$0
$0
Min Employees
--
3
--
--
10
Reimbursement Model
Automated
Manual
Manual
--
--
Pay Model
--
--
--
Insurance
QSEHRA
--
--

Why Businesses Choose Salusion

Why Businesses Choose Salusion

Simple, Low-Cost Pricing

No setup fees. No platform fees. No minimums. Pay only for employees who use it. The lowest-cost HRA on the market—simple, transparent, affordable.

Simple Pricing
Easy to Set Up

Easy to Set Up. Easier to Administer

Set up your HRA in 15 minutes. From compliance to expense tracking to reimbursements, everything runs automatically. Salusion is the only small-business HRA with ACH reimbursements built in—so you spend almost no time managing it.

Built-In Employee Insurance Enrollment

Employees can compare plans and purchase individual health coverage directly through Salusion.

Insurance Enrollment
Real People

Real People. Expert Support

Most emails are answered in under an hour. Same-day Zooms with an expert give employers and employees confidence their issue will be solved quickly and completely.

What Customers Say

Speak with an Expert

Start Your Company's HRA Now