TSS - Retiree Health and Dental for 2018

Retiree Health and Dental for 2018

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First Published  :Thu Aug 17 04:00:12 GMT 2017
Last Modified  :Fri Sep 08 19:28:05 GMT 2017
Last Published  :Fri Sep 08 19:28:05 GMT 2017
Summary :  Reference for benefits eligible employees/retirees who have inquiries about Retiree Health and Dental Plans at Tufts University. Audience: Benefits Eligible Employees and their Eligible Dependents


Primary Information

    You are eligible for Retiree Health under the following circumstances:
    > You are at least age 60 and have 5 or more years of service with Tufts University; or
    > Your age plus years of service with Tufts University equals at least 75 and
    > We suggest that you read all of the information contained in the
    Retirement and Changes to Your Benefits section of the AccessTufts site as well as the information on Retiree Health Plans and Retiree Dental Plans

    Retiree Health Plan Options

    OneExchange, a private Medicare Health Plan Exchange will coordinate enrollment in Over Age 65 Medicare Health Plans offered through the OneExchange platform.
    Plans can be viewed at  www.medicare.oneexchange.com  
    EBPA is our administrator for Under Age 65 health plan enrollment and billing.
      At least 3 months prior retirement, employees should contact TSS to set up a retiree health consultation to discuss eligibility, plan choices and premiums.
      The retiree health plan benefits available to eligible retirees and their eligible dependents are divided into two categories based on the retiring employee’s age.

      Coverage Under Age 65
    Retirees who are under age 65 may elect, for themselves and their eligible dependents, health coverage that is the same health coverage they are enrolled in prior to retirement (Tufts Health Quality Tiered, Traditional, or Value Health Plan)..
    •  An employee is eligible to change plans if he/she moves out of a plan’s service area or during Open Enrollment):This coverage will terminate as of the last day of the month prior to your 65th birthday.
      2018 plans:
      https://tuftshealthplan.com/microsites/tufts-university (these are the same plans offered to regular employees but there is no university contribution toward the cost)
    • The insurance premiums paid by retirees participating in the Under Age 65 Retiree Health Program are not representative of the actual program costs. Beginning January 1, 2019, premiums for this group will be adjusted each year until the premiums reflect the actual program cost.

      Coverage at Age 65 and Over
      At age 64, retirees will be contacted by OneExchange to assist in the enrollment transition to Medicare A and B and a Medicare Health Plan. If a retiree does not enroll in a Medicare Health Plan with OneExchange within 90 days following their 65th birthday or they will forfeit their plan participation rights.

    Retiree Dental Plan

    The retiree dental coverage is offered through Delta Dental. Please review the
    description of benefits and costs before making your decision. Coverage will be provided at 100% for preventive treatment, 80% for basic care and 60% for major services. The annual maximum is $1,500. You can roll over a portion of your unused spending to increase your maximum benefit limit next year and beyond. Please review the Delta Dental Rollover Max brochure for full details.

    Important Notes:

    To elect coverage for you and your dependent(s) you may elect two person (coverage for two) or family coverage.
    You will be direct-billed for the dental coverage by EBPA.
    Once enrolled in the dental plan you will receive a new identification card from Delta Dental.


    You are eligible to participate in the Retiree Health Insurance Plan if at retirement you are at least age 60 and have at least 5 years of eligible service, or your age plus years of eligible service with the University equals at least 75. Please refer to the Summary Plan Description for retired employees for further information regarding Retiree Health Insurance Plan coverage and eligibility rules.

    If you are eligible for the Retiree Health Plan, you may elect to purchase dental coverage for yourself and eligible family members through the Retiree Dental Plan. Please refer to the Retiree Summary Plan Description for further information regarding Retiree Dental Plan coverage.

    Vendor Information:
    Retiree Health Plan Employees Under Age 65 for those who are PLANNING retirement:

    For those who are ALREADY RETIRED-Contact Tier 3 Benefits - rates are dependent on date of hire and date of retirement

    Third-Party Retiree Dental(for over and under 65) and Health Billing (for under 65)Vendor:
    37 Industrial Drive, Exeter, NH 03833 | 800-258-7298 

    Third- Party Retiree for over 65 Enrollment and Billing:
    One Exchange (844-353-0772 Mon-Fri 8a-9p EST)

    Please see the Retirement and Changes to Your Benefits section of the AccessTufts site for more information on Retiree Health Plan Options and Retiree Dental Plan.

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