TSS - Retiree Health for 2018

Retiree Health for 2018

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First Published  :Thu Aug 17 04:00:12 GMT 2017
Last Modified  :Wed Jun 13 19:58:52 GMT 2018
Last Published  :Wed Jun 13 19:58:52 GMT 2018
Summary :  Reference for benefits eligible employees/retirees who have inquiries about Retiree Health 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

    ViaBenefits (previouslyOneExchange), a private Medicare Health Plan Exchange will coordinate enrollment in Over Age 65 Medicare Health Plans offered through the ViaBenefits platform.

    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 ViaBenefits (previously 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 ViaBenefits within 90 days following their 65th birthday or they will forfeit their plan participation rights.


    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:
    Third- Party Retiree HEALTH for OVER 65 Enrollment and Billing:
    Via Benefits (formerly One Exchange) (844-353-0772 Mon-Fri 8a-9p EST) (for 2018; was Crosby prior)

    Please see the Retirement and Changes to Your Benefits section of the AccessTufts site for more information

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