Medicare Group Retiree Plans

Highlights of the Group Retiree Medical Plan

No Networks - Proposed plans provide access to all Medicare providers nationwide. Therefore, retirees have the freedom to choose their own doctors. Coverage is not limited to a local area
No Referrals - Retirees can see specialists when they choose
Guaranteed Issue - There are no preexisting condition exclusions
Coverage for Spouses - Spousal coverage is available when the spouse is over 65 and enrolled in Medicare Parts A & B
Portability - Coverage can go with retirees if they move or have multiple residences
Affordable - The proposed program offers competitive, fully-insured rates to limit financial risk
Electronic Claims - Claims are processed through Medicare’s crossover process. There are virtually no retiree claim forms

Features include:

Covered Drugs – Broad formulary that includes coverage for all drugs eligible under Medicare Part D, and covers Non-Part D drugs with the exception of Part B drugs (typically covered by medical plan), BEERS drugs (which have been identified as high-risk for seniors), and Lifestyle drugs (which can be covered for an additional fee).
Mail Order – Retirees can receive a 90-day supply of most medications through Home Delivery, typically with lower co-pays than they would pay at retail
Flexibility in Plan Design – Matching plan designs as closely as possible minimizes member disruption. Our strategy allows us to minimize disruption while still showing savings
Pharmacy Network – Includes all major pharmacies including CVS, Walgreen's, and Rite Aid. There are over 66,000 pharmacies nationwide