Medical Benefit Options

• Kaiser Senior Advantage (HMO)
• PacifiCare Secure Horizon (HMO)
• Medicare Supplement Plan
• Premium Reimbursement

For the two HMO plans, you must use an HMO provider except in medical emergencies (as defined by the HMO) or when you are travelling outside of the area served by the HMO.

The Medicare Supplement Plan provides a reimbursement to the benefits you are entitled to under Medicare, subject to a maximum payment of $2,500 per person (employee or spouse) per year.

The Premium Reimbursement Plan provides an option to obtain private insurance on your own and receive a limited dollar reimbursement from the Retiree Health Plan for private medical insurance.

Chiropractic coverage: Kaiser and PacifiCare use American Specialty Health Network for the chiropractic benefit.

Prescription Drugs

Prescription Solutions (when enrolled in either the Medicare Supplement or Premium Reimbursement Plans).

When enrolled in the Medicare coordinated HMO plans (Senior Advantage or Secure Horizons) the prescription drug benefit is provided through the HMO provider pursuant to CMS guidelines.

Dental and Vision

Dental and Vision Benefits are only available to disability pensioners eligible for Medicare parts A and B under the age of 65. For those retirees, dental options and vision benefits are the same as for Active participants under the age of 65.