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Medical Insurance – Retired Employees Healthcare Program (REHP)
Below is the criteria for majority paid coverage in the REHP, which provides medical benefits upon retirement to employees and their dependents for the retiree’s lifetime.
 
Eligibility Criteria
 
Employee Group
Retirement Date
Age
Years of Service
Type of Service
AFSCME/PSSU
On or after July 1, 2008
60
20
Credited service* in retirement plan
Any
25
Any
5
Credited service* in retirement plan & approved for Disability retirement
Grandfathering Provision: An employee with 15 years of credited service as of June 30, 2008 or 13 years of service and was within one year of superannuation age as of June 30, 2008 shall be eligible to elect REHP coverage upon reaching superannuation age with 15 years of credited services rather than 20 years.
*Credited service includes years of service credited by retirement plan (SERS, PSERS or ARP).  May include purchased service.
 For employees hired on or after July 1, 2007, credited service is limited to service as a Commonwealth/State System employee and, if applicable, purchased military service. 
 
 
Enrollment and Forms
 
 
SERS
PSERS/ARP
Enroll or Delay
Meet with a SERS counselor, complete and submit enrollment form (PEBTF-9) to SERS or if you are eligible but wish to delay your enrollment, complete the delayed enrollment form.
Complete and return the enrollment form (PEBTF-9) to your university benefits office or if you are eligible but wish to delay your enrollment, complete and return the delayed enrollment form to your university benefits office.
Monthly Premium Payment
Automatically deducted from your SERS pension check
Billed by the PEBTF for the cost of your selected plan
Child Dependents
Any dependent between the ages of 19 and 25 continue to be covered under the provisions of the Affordable Care Act
Age 65 / Medicare Eligible
Submit a copy of your Medicare card(s) with your REHP enrollment.  You must be enrolled in both Medicare Part A and Medicare Part B to receive medical and prescription drug coverage under the REHP.
Annuity
You must be receiving an annuity from your retirement vendor in order to enroll in the REHP.
 
 
Plan Information
 

Non-Medicare Eligible (Under 65) 

Medicare Eligible (Over 65)

- PPO - Preferred Provider Organization (2 options)

- HMO - Health Maintenance Organization - Varies by county throughout the state.

- MPPO - Medicare Preferred Provider Organization  

- MHMO - Medicare Health Maintenance Organization - Varies by county throughout the state.

Preventive Benefits

To compare plans offered in your county of residence, click here.

Preventive Benefits

To compare plans offered in your county of residence, click here.

Additional Benefits  

Mental Health and Substance Abuse - Provided by Optum [formerly United Behavioral Health (UBH)]

REHP Prescription Drug Plan  

Durable Medical Equipment (DME) Prosthetics, Orthotics, Diabetic and Medical Supplies Benefit

Additional Benefits

REHP Medicare Part D Prescription Drug Plan

  

Rate Information  

3% of final average salary

Rate Information

1.5% of final average salary

Choice PPO Buy-Up 

If, as an Active employee, you were hired on or after August 1, 2003 and elect the PPO plan you will pay the following rates in addition to 3% of your final average salary:

Single Monthly Cost - $56.66  

Family Monthly Cost - $113.32

PPO Buy-Up

Medicare retirees are not subject to the PPO buy-up, unless non-Medicare eligible dependents are on the contract.

 

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For more detail of REHP benefits, view the REHP Handbook located at www.pebtf.org.

Upon confirmation of your monthly lifetime annuity, your REHP coverage will be effective the day after your final day of employment. If you delayed enrollment, your coverage will be effective upon loss of coverage or during an open enrollment period, pending confirmation of monthly lifetime annuity.

ID card(s) will be received AFTER enrollment begins.  You should not use the same cards as when you were an active employee, as your group number will change. 

For any changes or questions regarding your REHP coverage after your retirement:

State Employees' Retirement System (SERS) Participants

1-800-633-5461

 

ARP or PSERS Participants contact PEBTF

www.pebtf.org  800-522-7279​ 


Medicare Information
 
If Medicare eligible when you retire, enrollment in Medicare Parts A & B is required in order to be eligible for medical and prescription drug coverage under the REHP.  Contact Social Security to make sure you are enrolled in Medicare Parts A & B effective the first of the month in which you will retire, to avoid a break in coverage between the active group coverage and the REHP coverage.  Medicare eligible employees will be enrolled in the SilverScript prescription drug plan upon enrollment in the REHP, which is a Medicare Part D plan.  Do not enroll in a separate Medicare Part D Plan with Social Security.
 
Social Security - www.ssa.gov 800.722.1213
Medicare - www.medicare.gov 800.633.4227