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Health Care

This section of our website provides information about SERS health care coverage.

To the extent that resources permit, SERS intends to continue offering access to health care coverage. We reserve the right to change or discontinue any plan or program at any time. This includes premiums, deductibles, co-payments, and coverage termination.

The information in this section is not a guarantee of the type of coverage, if any, that may be available when you retire.

If you have questions, call Health Care Services toll-free at 800-878-5853 or click here to send a secure message.

 

Notice of Privacy Practices - HIPAA

Under 65 Coverage

When you retire or begin receiving a disability benefit, you lose your health care coverage from your employer. However, you have several options:

SERS Health Care Coverage – If you have 10 years of qualified service credit, you are eligible for coverage. If you receive a disability benefit, you are automatically eligible for coverage. For more information, visit the Enrollment and SERS Non-Medicare Plans pages.

Starting in 2017, we will offer the SERS Marketplace Wraparound Plan. Non-Medicare plan participants will be able to choose insurance from any insurer offering coverage in the federal Marketplace, and if eligible, receive a federal subsidy to lower their premium and cost-sharing amounts. The SERS Marketplace Plan will offer additional benefits to help pay for deductibles, co-pays, and other costs. For more information, visit the Marketplace Wraparound page.

 

Your Spouse’s Employer Plan --  If you are married and your spouse is still working, you may be able to join your spouse’s employer health plan. Once your spouse retires, you may both be able to enroll in SERS’ health care coverage.

Medicare Basics

Medicare is health insurance for people 65 or older, people under 65 with certain disabilities, and people of any age with end-stage renal disease requiring dialysis or a kidney transplant.  Learn more about Medicare Basics.

When You Turn 65

When you become eligible for Medicare, you can enroll in SERS’ coverage within 31 days of turning 65, even if you previously waived coverage. For more information, visit the Enrollment and SERS Medicare Plans pages.