|
2007 Service Retiree
Health Insurance Options
If You Are NOT Eligible For Medicare Benefits
As an official Service Retiree who has not attained age 65 and is not eligible for Medicare, you have a choice of health insurance coverage. Both options are the same as those offered to active employees and if you are eligible for a portion of the insurance premium to be paid by the National Academies, it will be at the same cost sharing as for active employees. Any eligible family member must elect the same health care option.
When you become eligible for Medicare, you must sign up for Medicare Part A and B and pay for Medicare Part B. The National Academies offer retiree health insurance coverage that provides benefits after Medicare pays its portion.
Kaiser Permanente, HMO health insurance option. As a health maintenance organization (HMO), Kaiser offers integrated medical, prescription drug, vision and dental benefits through Kaiser providers and facilities. You must live in the HMO service area, to elect this option. You must live in the HMO service area, to elect this option.
Kaiser Permanente Non-Medicare-Eligible Insurance Certificate
|
|
|
KAISER Monthly Health Insurance Premiums
|
|
|
Non-Medicare Eligible
2007 Retiree Monthly Premiums
|
|
|
100% Cost Share
|
25% Cost Share
|
Individual Coverage
|
$274.98
|
$ 68.75
|
Individual + One Coverage
|
$549.97
|
$137.49
|
Family Coverage
|
$797.45
|
$199.36
|
AETNA Open Choice, PPO health insurance option. This option offers medical, prescription drug and vision benefits insured through AETNA. As a preferred provider plan (PPO) you choose between:
- a PPO in-network component with a co-payment and deductible or
- an Indemnity out-of-network component with coinsurance and a deductible.
Aetna RWBP PPO Health Certificate
AETNA Open Choice PPO Claim Form
|
|
|
AETNA Monthly Health Insurance Premiums
|
|
|
Non-Medicare Eligible
2007 Retiree Monthly Premiums
|
|
|
100% Cost Share
|
30% Cost Share
|
Individual Coverage
|
$ 545.98
|
$163.79
|
Individual + One Coverage
|
$1,072.59
|
$345.64
|
Family Coverage
|
$1,573.81
|
$453.88
|
Spouse or Dependents Who Are Medicare Eligible
The information in this section applies to you and your dependents if you are all under 65 years of age or are not eligible for Medicare. If any one member of your covered family is eligible for Medicare, please see Health Insurance Options If Medicare Eligibility is Split.
When You Become Medicare Eligible
At least 90 days before you are Medicare eligible, you should begin the process of transitioning your health insurance. For assistance, please see Transition to Medicare Coverage and a Medicare Supplement Health Insurance Program.
Surviving Spouse Benefits
If you and your spouse or domestic partner are enrolled in retiree health insurance at the time of your death, your spouse or domestic partner may elect to continue medical benefits as a surviving spouse. See 2007 Surviving Spouse Health Benefit Programs. 
|
