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Your Retiree Health Benefits
Funding Your Medical, Vision & Dental
• Coverage Available – At City/FOP Cost• Does Your Spouse Have Coverage• Once You Drop City’s – Can’t Reenroll• City Funding to 65 if Regular Retirement• Eligible for Medicare (primary) at 65
Your Retiree Health Benefits
ONE CIGNA NETWORK OF PROVIDERS FOR EVERYONE
•OpenAccessPlus is the same CIGNA network to be used for all 4 City plans – HMO1, HMO2, POS1, POS2
•OpenAccessPlus is CIGNA’s single network of doctors & hospitals that will be used here in Florida and nationally
•Check out OpenAccessPlus for your Doctor(s) and Hospital(s) by calling 1800-244-6224 or going to www.CIGNA.com
Other Available Benefit OptionsIf you are healthy – subject to health review, will most likely be costly
HealthcareFor
Retirement
Management Retiree Health Benefits Healthcare for
Retirement Years
CITY CIGNA HMO1/2
CIGNA POS1/2 DHMO Den PPO Den
EE $467.35-$448.70
$685.62-$330.57 $ 13.48 $ 46.02
EE+SP $848.83-$823.75
$1,253.78-$661.15 $ 23.59 $ 86.22
EE+CH $806.53-$778.34
$ 1,195.78-$595.03 $ 28.31 $ 88.64
FAM $1,148.00-1,142.90
$ 1,913.20-$975.20 $ 39.77 $ 111.72
Teamsters Retiree Health Funding ?
Qualifying For
Retirement
Section 5.2 For bargaining unit members who retire on or after October 1, 2002, the City will contribute two hundred dollars ($200.00) per month for medical insurance benefits to members who retire under a normal retirement. This contribution shall remain contant until the member attains Medicare eligibility, at which time all contributions shall cease.
Section 5.3 The City will mail the retiree medical insurance benefit to the retiree’s home address.
Teamsters Retiree Health Benefits ?
Pre-65 Retirement
Years
CITY CIGNA HMO1/2
CIGNA POS1/2 DHMO Den PPO Den
EE $467.35-$448.70
$685.62-$330.57 $ 13.48 $ 46.02
EE+SP $848.83-$823.75
$1,253.78-$661.15 $ 23.59 $ 86.22
EE+CH $806.53-$778.34
$ 1,195.78-$595.03 $ 28.31 $ 88.64
FAM $1,148.00-1,142.90
$ 1,913.20-$975.20 $ 39.77 $ 111.72
IAFF/FOP Retiree Health Funding Qualifying
For Retirement
Section 1. Effective October 1, 2000, the City will contribute four hundred dollars ($400) per month for health insurance benefits to Bargaining Unit members who retire from employment with the City after their Normal Retirement Date.
This contribution shall become effective beginning the month following their termination from employment with the City after their Normal Retirement Date and shall cease upon the member attaining Medicare eligibility.
CITY CIGNA HMO1/2
CIGNA POS1/2 PPO Den
EE $467.35-$448.70
$685.62-$330.57 $ 22.54
EE+SP $848.83-$823.75
$1,253.78-$661.15 $ 41.20
EE+CH $806.53-$778.34
$ 1,195.78-$595.03 $ 36.53
FAM $1,148.00-1,142.90
$ 1,913.20-$975.20 $ 64.54
IAFF Retiree Health Benefits ?
Pre-65 Retirement
Years
United Healthcare
• United Healthcare has a national network and you can live most anywhere in the US to access their network.
• Retirees that want to live in remote areas with less access to United Healthcare doctors can take the Choice Plus High Option PPO with out of network benefits at a higher premium and out of pocket cost
FOP Police Retiree Health Benefits
<65 at full retirementPre-65
Retirement Years
FOP Police UHC Choice Plus Low Option
UHC Choice Plus High Option PPO
<65 Retiree only $ 467.00 $ 530.00
<65 Ret & SP $ 782.00 $ 882.00
<65 Ret & CH $ 725.00 $ 819.00
<65 Ret family $ 961.00 $ 1,103.00
FOP Police Retiree Health Benefits >65 at full retirement
Post-65 Retirement
Years
FOP Police UHC Choice Plus Low
Option UHC Choice Plus High
Option PPO
>65 Retiree Only $ 240.00 $ 280.00
>65 Ret <65 Spouse $ 576.00 $ 674.00
>65 Ret + Children $ 518.00 $ 606.00
>65 Family $ 860.00 $ 994.00
FOP Police Retiree Health Benefits Over 65 at full retirement
Post-65 Retirement
Years
FOP Police Over 65 UHC Choice Plus
Low Option UHC Choice Plus
High Option PPO
>65 Retiree Only $ 240.00 $ 280.00
>65 Retiree & Spouse $ 505.00 $ 560.00
Medicare - Age 65 Options Today
?Post-65
Retirement Years
Original Medicare Part A (hospital)Part B (physician)Medicare coverage is automatic when you turn 65, unless SSI
Choice of doctors & hospitals within U.S.
You pay deductibles A - $1132, Part B 20% coinsurance
You pay monthly premium for Part B $115.40
Need to join for a charge, Medicare Prescription Drug Plan. Plans run by private companies approved by Medicare. Check Formulary
Medicare AdvantagePart C
Replaces MedicarePrivate companies
Network driven usually local area
HMO, PPO, POS
Usually NO additional premium except for Part B unless you take a PPO
•Includes a Part D drug plan
Today usually include dental, vision, trips to doctor, gym memberships, but this will be changing as companies are given less funding from the government
Medicare Supplement Plans
(private companies)Fills gaps in Original Medicare
•ALL plan benefits are defined by Government, but rates can vary by company
•Average cost today is $300 per individual
Must be 65
Allows you to travel easily within the U.S.
Does not cover dental, vision, hearing aides etc.
Plan A
Plan B
Plan C•
Plan D
Plan F*•
Plan G
Basic, including
100% Part B co- insurance
Basic, including
100% Part B co- insurance
Basic, including
100% Part B co- insurance
Basic, including
100% Part B co- insurance
Basic, including
100% Part B co- insurance
Basic, including
100% Part B co- insurance
Skilled nursing facility co- insurance
Skilled nursing facility co- insurance
Skilled nursing facility co- insurance
Skilled nursing facility co-insurance
Part A deductible
Part A deductible
Part A deductible
Part A deductible
Part A deductible
Part B deductible
Part B deductible
Part B excess (100%)
Part B excess (100%)
Foreign travel
emergency
Foreign travel
emergency
Foreign travel
emergency
Foreign travel
emergency
Plan K
Plan L
Plan M
Plan N
Hospitalization
and preventive
care paid at 100%; other
basic benefits
paid at 50%
Hospitalization
and preventive
care paid at 100%; other
basic benefits
paid at 75%
Basic, including
100% Part B
coinsurance
Basic, including
100% Part B coinsurance,
except up to $20
co-payment for office visit, and up to $50
copayment for ER
50% Skilled nursing facility
coinsurance
75% Skilled nursing facility
coinsurance
Skilled nursing facility
coinsurance
Skilled nursing facility
coinsurance
50% Part A deductible
75% Part A deductible
50% Part A deductible
Part A deductible
Foreign travel
emergency
Foreign travel
emergency Out-of-
pocket limit $4620; paid
at 100% after limit reached
Out-of- pocket limit $2310; paid
at 100% after limit reached
Questions to Ask yourself• Can I change to generics to avoid the
“Donut Hole” and reduce expenses.
• If cost is a factor, then an all inclusive Medicare Advantage plan more likely right choice
• If doctor is important, ask him what Med Advantage plans he takes.
• Plan on traveling a lot, Medicare and Supplement, may be the right option.
Personal Invitation
• If you want a one 1-on-1 to better understand your Medicare options I will gladly educate you on your options
• Barbara Stanley
FOP Office
735 NE Third Avenue
Ft. Lauderdale, FL 33304
954-527-9218 [email protected]