Your Thatch balance

Your employer may choose to offer additional flexibility in how you pay for healthcare. In such cases, after paying your monthly premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. you may be left with an additional balance to be used on other healthcare costs.

For example: with a $500 monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. and a $350 premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month., your remaining balance is $150 for other eligible expenses. You can use this Thatch balance for copays, qualified medical expenses (QME), and the Thatch Marketplace.

Your available Thatch balance can be seen in the Thatch dashboard. If you do not see any available balance, either you've spent your entire allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. or your employer has not enabled this feature.

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You only have a Thatch balance to spend if your employer enables this functionality and your monthly premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. cost less than your allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses..

How your allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. applies each month

Your allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. deposits at the start of each month, visible in the Transactions section of the dashboard. Funds are applied in this order:

1. Enrolled plan premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. are covered first.
2. Any remaining balance can be used for other eligible healthcare expenses.

If your premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. exceeds your allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses., your employer deducts the difference from your paycheck and no funds are added to your Thatch balance.

Spend from your balance

You can spend your Thatch balance in two ways:

• Thatch card — Pay directly for premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. or eligible expenses, in person or virtually. Your card is available on your coverage start date; activate it in the Cards section of your dashboard. Both virtual and physical card options are available.

• Reimbursement — Pay out of pocket first, then submit a reimbursement through your Thatch account with supporting documentation such as invoices or premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. bills. Reimbursements are tax-free under federal law, as long as they’re used for QME.

Shop at the Thatch Marketplace

Thatch Marketplace is a virtual store that allows employees to use their benefit dollars on health and wellness services that matter most to them. If your employer enables the Thatch Marketplace, you’ll see additional options beyond your core medical coverage, such as Thatch-exclusive discounts, high-quality products, and additional services.

To use it, navigate to the Marketplace section of the Thatch dashboard to browse available products and services. To complete a purchase, you'll be redirected to a co-branded Thatch partner page for checkout.

You can use either your virtual or physical Thatch card on the Marketplace. Thatch makes payment options clear at the point of selection, so you always understand what’s covered by your Thatch balance and what you’ll pay out of pocket.

You must submit a receipt for all QME purchases, regardless of where you bought the item or how you paid. This applies whether you used your Thatch card directly with a partner or paid with your personal card and are seeking reimbursement.

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If your purchase exceeds your current Thatch balance, you’ll be reimbursed up to your available balance. You can also wait to submit the claim in a later month (within the same calendar year) to accumulate a larger balance before requesting reimbursement.

Rollover and year-end

Your balance rolls month-to-month within the calendar year. Balances do not roll over at year-end, unless your company specifies otherwise. For balances that do reset annually, funds can only be used for expenses incurred during that calendar year.

Only expenses incurred on or before December 31 qualify for that plan year. Submit any outstanding reimbursements by March 31 of the following year (that is, 2025 expenses by March 31, 2026).

Your allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. cannot be taken as extra pay — it can only be used for eligible healthcare expenses and reimbursements.