{"id":8178,"date":"2024-01-29T12:05:00","date_gmt":"2024-01-29T12:05:00","guid":{"rendered":"https:\/\/compt.io\/?post_type=guide&#038;p=8178"},"modified":"2025-02-19T14:08:15","modified_gmt":"2025-02-19T21:08:15","slug":"out-of-state-care-stipends","status":"publish","type":"guide","link":"https:\/\/compt.io\/guide\/out-of-state-care-stipends\/","title":{"rendered":"Out-of-State Care Stipends: The Ultimate Guide"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>Most health insurance benefits will only cover certain medical procedures in your home state or within a specific network of providers. But what if an employee needs to undergo a medical procedure or obtain treatment outside those boundaries?<\/p>\n\n\n\n<p>More than half the American population (55%, to be exact) <a href=\"https:\/\/news.gallup.com\/poll\/646994\/affording-healthcare-struggle-2022.aspx\">struggle to pay medical bills<\/a>. Without insurance coverage, the cost of an out-of-state or network procedure can easily break their bank.<\/p>\n\n\n\n<p>That&#8217;s where out-of-state care stipends come in. They&#8217;re fantastic for employers who want to offer additional support and peace of mind to employees who may need specialized medical care outside their state.<\/p>\n\n\n\n<p>In this comprehensive guide, we&#8217;ll cover:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>What an out-of-state care stipend is<\/li>\n\n\n\n<li>What it covers<\/li>\n\n\n\n<li>Why offer one?<\/li>\n\n\n\n<li>Stipends vs. health insurance benefits<\/li>\n\n\n\n<li>Potential risks<\/li>\n\n\n\n<li>Implementing a stipend program at your company<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"what_is_an_outofstate_care_stipend\">What is an Out-of-State Care Stipend?<\/h2>\n\n\n\n<p><strong>First, let&#8217;s define it:<\/strong><\/p>\n\n\n\n<p>An out-of-state care stipend is a set amount of money an employer offers its employees who need to undergo medical procedures outside their home state or network.<\/p>\n\n\n\n<p>For example, if an employee needs to travel from Texas (where their insurance plan is based) to California for a medical procedure, this amount would help cover their expenses.<\/p>\n\n\n\n<p>There are plenty of reasons someone might need to undergo a medical procedure outside their state or network.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Their preferred healthcare provider is located in another state (e.g., if they relocated for your position).<\/li>\n\n\n\n<li>The procedure they need is not available within their network of providers.<\/li>\n\n\n\n<li>They want to seek a second opinion from a specialist outside their state.<\/li>\n\n\n\n<li>Wait times for appointments or procedures are extremely long in their home area.<\/li>\n\n\n\n<li>Your employee works from an area with limited access to healthcare services.<\/li>\n\n\n\n<li>The procedure in question is unavailable or not allowed in the state they live.<\/li>\n<\/ul>\n\n\n\n<p>Out-of-state care stipends&nbsp;<strong>improve your employees&#8217; access to healthcare<\/strong>. They&#8217;re typically made available as an annual lump sum to those who qualify.&nbsp;<\/p>\n\n\n\n<p>At Compt, here&#8217;s what the out-of-state care stipend we offer looks like:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/compt.io\/wp-content\/uploads\/2024\/08\/out_of_state_care_stipend_oh2D7lL-448x1024.webp\" alt=\"\" class=\"wp-image-8179 lazyload\"\/><noscript><img fetchpriority=\"high\" decoding=\"async\" width=\"448\" height=\"1024\" src=\"https:\/\/compt.io\/wp-content\/uploads\/2024\/08\/out_of_state_care_stipend_oh2D7lL-448x1024.webp\" alt=\"\" class=\"wp-image-8179 lazyload\" srcset=\"https:\/\/compt.io\/wp-content\/uploads\/2024\/08\/out_of_state_care_stipend_oh2D7lL-448x1024.webp 448w, https:\/\/compt.io\/wp-content\/uploads\/2024\/08\/out_of_state_care_stipend_oh2D7lL-131x300.webp 131w, https:\/\/compt.io\/wp-content\/uploads\/2024\/08\/out_of_state_care_stipend_oh2D7lL.webp 580w\" sizes=\"(max-width: 448px) 100vw, 448px\" \/><\/noscript><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"what_an_outofstate_care_stipend_covers\">What an Out-of-State Care Stipend Covers<\/h2>\n\n\n\n<p>Your employees might need out-of-state treatment for any number of reasons. Reproductive care, specialty cancer treatments, mental health care, addiction programs, and prosthetics are among the most common.<\/p>\n\n\n\n<p>Basically, employees put the stipend toward three types of costs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Direct medical expenses<\/strong>, such as the cost of a consultation or procedure.<\/li>\n\n\n\n<li><strong>Additional expenses<\/strong>&nbsp;associated with travel, accommodation, and other costs incurred when seeking treatment outside their state.<\/li>\n\n\n\n<li><strong>Childcare costs<\/strong>, if an employee needs to leave their children at home while they are away.<\/li>\n<\/ul>\n\n\n\n<p>Out-of-state care stipends can range from a few hundred to a few thousand dollars, depending on the company.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"why_offer_an_outofstate_health_care_stipend\">Why Offer an Out-of-State Health Care Stipend?<\/h2>\n\n\n\n<p>Out-of-state care assistance is an<a href=\"https:\/\/compt.io\/blog\/inclusive-employee-benefits\/\">&nbsp;inclusive employee benefit<\/a>&nbsp;that shows your company cares about its staff&#8217;s health and well-being.<\/p>\n\n\n\n<p>Specifically, it:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Helps employees access medical procedures not available in their state,<\/strong>&nbsp;which can sometimes be life-saving or significantly improve quality of life.<\/li>\n\n\n\n<li><strong>Provides peace of mind for employees<\/strong>&nbsp;who are worried about the costs associated with out-of-state treatment, allowing them to focus on their health and well-being.<\/li>\n\n\n\n<li><strong>Shows your company values diversity and inclusivity,<\/strong>&nbsp;as different regions sometimes offer better healthcare options for certain communities or individuals.<\/li>\n<\/ul>\n\n\n\n<p>While employees in your New York or San Francisco offices might have access to top-notch healthcare, residents of states like West Virginia, North Carolina, and Louisiana have<a href=\"https:\/\/www.moneygeek.com\/insurance\/health\/analysis\/top-states-health-care\/\">&nbsp;considerably fewer options<\/a>.<\/p>\n\n\n\n<p>It&#8217;s a financial wellness issue, too.<a href=\"https:\/\/fortune.com\/recommends\/banking\/57-percent-of-americans-cant-afford-a-1000-emergency-expense\/#:~:text=SAYS%20NEW%20REPORT-,57%25%20of%20Americans%20can't%20afford%20a%20%241%2C000%20emergency%20expense,can%20boost%20your%20emergency%20fund&amp;text=Gen%20Zers%20and%20millennials%20are,about%20covering%20an%20emergency%20expense.\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;57%<\/a>&nbsp;of Americans can&#8217;t afford a $1,000 emergency expense. And, in a 2023<a href=\"https:\/\/www.pwc.com\/us\/en\/services\/consulting\/business-transformation\/library\/employee-financial-wellness-survey.html\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;PwC survey<\/a>, nearly 60% of employees noted finances as the number-one cause of stress in their lives. Taking measures to reduce their financial stress will show improvements in productivity, job satisfaction, and, ultimately, loyalty.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"stipends_vs_health_insurance_benefits\">Stipends vs. Health Insurance Benefits<\/h2>\n\n\n\n<p>There&#8217;s an important distinction between healthcare stipends and health insurance benefits: stipends are&nbsp;<em>not<\/em>&nbsp;health insurance. And they aren&#8217;t a substitute for it, either.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Stipends<\/h3>\n\n\n\n<p>An out-of-state care stipend is a&nbsp;<em>specific type<\/em>&nbsp;of healthcare stipend \u2014 it\u2019s designated for this type of health care only and has a broader application. It&#8217;s a fixed, taxable amount you can reimburse to employees through payroll.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>It can\u2019t be used exclusively for health insurance premiums. Instead, it&#8217;s intended to reduce or eliminate medical and related expenses insurance plans don&#8217;t usually cover.<\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\">Health insurance benefits<\/h3>\n\n\n\n<p>Healthcare benefits are more comprehensive. They take the form of subsidized or fully paid-for health insurance premiums or an HSA (health savings account). They&#8217;re non-taxable, meaning they aren&#8217;t subject to federal income tax withholding, nor are they subject to Social Security, Medicare, or FUTA tax.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Unlike stipends, you&#8217;ll pay insurance benefits directly to the organization that provides your employees&#8217; health insurance plans. Their purpose isn&#8217;t solely for out-of-state care; instead, they&#8217;re intended to cover a range of medical costs, including primary care visits, prescription medication, and emergency services.<\/p>\n<\/blockquote>\n\n\n\n<p>Health insurance companies operate within the legal frameworks of the state where the employee is located, and as a result, coverage for certain procedures may be limited. If you\u2019re already offering employees health insurance, an out-of-state care stipend can make this benefit truly comprehensive.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"special_considerations_for_outofstate_care_stipends\">Special Considerations for Out-of-State Care Stipends<\/h2>\n\n\n\n<p>From a legal, regulatory, and tax compliance standpoint, there are a few risks you should be aware of when offering out-of-state care stipends.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">State laws<\/h3>\n\n\n\n<p>The one area that gets tricky is when your employees&#8217; medical needs are related to birth control or<a href=\"https:\/\/compt.io\/blog\/abortion-travel-benefits\/\">&nbsp;abortion travel<\/a>.&nbsp;<\/p>\n\n\n\n<p>State laws regarding abortion care are constantly changing. While some states&#8217; laws protect employers from liability, Texas and Oklahoma, for example, allow private citizens to sue any person or company for &#8220;aiding or abetting&#8221; patients in obtaining an abortion.<\/p>\n\n\n\n<p>If you are in a state where employees can\u2019t obtain care, your organization could face potential risks. It\u2019s important to consult with legal professionals to manage these risks strategically.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tax implications<\/h3>\n\n\n\n<p>The IRS refers to any benefit you offer your employees that aren\u2019t part of their regular pay as \u201c<a href=\"https:\/\/compt.io\/guide\/fringe-benefits-hr-guide\/\">fringe benefits<\/a>.\u201d Out-of-state care stipends are one such fringe benefit, and they\u2019re taxable.<\/p>\n\n\n\n<p>This means you&#8217;ll need to report them as part of your employees\u2019 wages in their W2 forms.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"tips_for_reducing_your_risk_as_an_employer\">Tips for Reducing Your Risk as an Employer<\/h2>\n\n\n\n<p>Unlike other employee benefits, it\u2019s best to keep restrictions to a minimum for the out-of-state care benefit. This minimizes your liability exposure as an employer. Here are some best practices to reduce your risk:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Be inclusive.&nbsp;<\/strong>Don&#8217;t specify eligibility based on gender (or other protected classes). Don&#8217;t restrict eligibility based on location, either.<\/li>\n\n\n\n<li><strong>Cover a broad basis of scenarios.&nbsp;<\/strong>An out-of-state care stipend can be used for a variety of healthcare needs such as prosthetics, specialty cancer care, abortion care, etc.<\/li>\n\n\n\n<li><strong>Give everyone who meets the eligibility requirement access.<\/strong>&nbsp;Don\u2019t require employees to submit for permission before using their benefit. When they approach you, don&#8217;t ask questions about what it&#8217;s for, and only require receipts for things that are not medical treatment related.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"implementing_an_outofstate_care_stipend\">Implementing an Out-of-State Care Stipend<\/h2>\n\n\n\n<p>To offer this stipend to your employees, follow the steps outlined below:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Figure out how much you&#8217;ll offer.<\/h3>\n\n\n\n<p>The first thing you&#8217;ll want to do is determine how much this benefit will be worth. Since medical expenses and associated costs vary wildly, it&#8217;s best to set a cap on how much you&#8217;ll offer as a benefit each year. Depending on your resources, this could be anywhere from a few hundred to a few thousand dollars.<\/p>\n\n\n\n<p>Keep in mind when budgeting that most employees won&#8217;t ever need to use this stipend. You want the amount to be enough to make a difference for the individuals who&nbsp;<em>do<\/em>&nbsp;need it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Design your program.<\/h3>\n\n\n\n<p>There are four main considerations, as far as stipend design is concerned.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Title:<\/strong>&nbsp;Keep it broad. Don&#8217;t name it after a specific type of care, even if that&#8217;s largely what it&#8217;ll be used for.<\/li>\n\n\n\n<li><strong>Eligibility:<\/strong>&nbsp;To make it truly inclusive, It\u2019s best to offer this benefit to all employees.&nbsp;<\/li>\n\n\n\n<li><strong>What to cover:<\/strong>&nbsp;Some employers cover medical expenses. Others cover travel and associated costs. If they can afford to, they might cover both.<\/li>\n<\/ul>\n\n\n\n<p><strong>Documentation:&nbsp;<\/strong>At Compt, we require employees to submit receipts for everything associated with their travel, such as plane tickets and meals (but not for the care itself).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Use Compt to launch the program.<\/h3>\n\n\n\n<p>Compt makes it easy to administer any kind of customized stipend program. You can easily:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>tailor your program according to employment status (in this case, employed full-time for six months or a year)<\/li>\n\n\n\n<li>set an amount<\/li>\n\n\n\n<li>offer complete coverage or choose specific categories<\/li>\n\n\n\n<li>automate tax compliance&nbsp;<\/li>\n\n\n\n<li>manage reimbursement through your payroll provider<\/li>\n<\/ul>\n\n\n\n<p>Never seen it?<a href=\"https:\/\/www.compt.io\/request-a-demo\">&nbsp;Schedule a demo now<\/a>!<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. Onboard employees.<\/h3>\n\n\n\n<p>With employee stipend software, all you need to do is assign the one-time or recurring stipend to eligible employees.<\/p>\n\n\n\n<p>Then,&nbsp;<a href=\"https:\/\/compt.io\/blog\/how-to-communicate-employee-benefits\/\">communicate this benefit to employees<\/a>&nbsp;so they know exactly how much is offered and what the parameters are.&nbsp;<\/p>\n\n\n\n<p>Interested in learning more?&nbsp;<a href=\"https:\/\/www.compt.io\/request-a-demo\">Request a demo<\/a>&nbsp;to see how Compt can help you administer an out-of-state care stipend as well as other personalized employee benefits.&nbsp;<\/p>\n\n\n\n<p><em>Note: <\/em>This guide was originally published in 2023 and has since been updated for relevancy and clarity. <\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\" id=\"other_popular_types_of_stipends\">Other Popular Types of Stipends<\/h2>\n\n\n\n<p>A stipend makes it possible for companies to offer&nbsp;<a href=\"https:\/\/compt.io\/guide\/employee-lifestyle-benefits\/\">lifestyle benefits<\/a>, with less money and ensure that they are personalized to meet the needs of their people.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Below are some of the popular types of stipends:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/compt.io\/guide\/equipment-stipends\/\">Equipment stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/learning-and-development-stipends\/\">Learning &amp; Development stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/health-and-wellness-stipends\/\">Health &amp; wellness stipend<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/remote-work-stipends-perks\/\">Remote work stipend<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/meal-allowances\/\">Meal or food stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/cell-phone-reimbursement-stipends\/\">Cell phone stipend<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/family-stipends-benefits\/\">Family stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/pet-care-stipends\/\">Pet care stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/travel-stipends\/\">Travel &amp; experience stipends<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/charitable-giving-stipends\/\">Charitable giving<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/blog\/guide-to-employee-commuter-benefits\/\">Commuter<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/blog\/student-loan-repayment-benefits\/\">Student loan assistance<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/compt.io\/guide\/employee-stipends\/\">Custom stipend<\/a>: Companies combine one or more of the stipends above to create a general perk stipend that allows employees to pick from many spending categories.<\/li>\n<\/ul>\n\n\n\n<div class=\"hs-cta-embed hs-cta-simple-placeholder hs-cta-embed-182042453609\"\n  style=\"max-width:100%; max-height:100%; width:1000px;height:250px\" data-hubspot-wrapper-cta-id=\"182042453609\">\n  <a href=\"https:\/\/cta-service-cms2.hubspot.com\/web-interactives\/public\/v1\/track\/redirect?encryptedPayload=AVxigLJbuU%2Fshg8exMxb%2F%2FuEXGmeHjUgc69lZN2DuAVyq1sAYXp1G%2BLrqkPV6Zht0FUILjSEUMlQxVD0eFjYNIPqfpAdRZlg7znTDF6d2sok%2BLDPrcF7wRxQpy7ihdtgy%2BW7pWl5NtD1x2%2FBqt1t7MGwaWTELHmkY2UokuF%2FDTmn0KbUBj1A%2BCl42%2FxproxqJg2TsycsV%2FhE6XA4grsgqxuz41LIv2usj2nOO39mjDEpLJJT9aLU%2F3LVgwqsDtEUzJIJzFn4&#038;webInteractiveContentId=182042453609&#038;portalId=3919194\" target=\"_blank\" rel=\"noopener\" crossorigin=\"anonymous\">\n    <img decoding=\"async\" class=\"lazyload\" alt=\"generic-guides-demo-cta\" loading=\"lazy\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/no-cache.hubspot.com\/cta\/default\/3919194\/interactive-182042453609.png\" style=\"height: 100%; width: 100%; object-fit: fill\"\n      onerror=\"this.style.display='none'\" \/>\n  <\/a>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Editor&#8217;s Note: Compt software supports the categorization and proper reporting of benefits according to IRS guidelines, helping businesses maintain compliance. However, <em>Compt cannot provide tax advice<\/em>, and users should consult their own tax, legal and accounting advisors when necessary.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most health insurance benefits will only cover certain medical procedures in your home state or within a specific network of providers. But what if an employee needs to undergo a medical procedure or obtain treatment outside those boundaries? More than half the American population (55%, to be exact) struggle to pay medical bills. Without insurance [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11575,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"guide-category":[48],"class_list":["post-8178","guide","type-guide","status-publish","has-post-thumbnail","hentry","guide-category-lifestyle-benefits"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.1 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Out-of-State Care Stipends: The Ultimate Guide<\/title>\n<meta name=\"description\" content=\"Learn how to support your employees who need medical care outside their state or network with inclusive and tax compliant stipends.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/compt.io\/guide\/out-of-state-care-stipends\/\" \/>\n<meta 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