Health Coverage Options
The OPEH&W Health Plan is an approved and qualified plan with OPERS & OTRS, allowing retirees to receive any subsidy they might qualify for from their retirement funds to offset their monthly health coverage cost.
Under 65 Health Coverage Options
For Retirees, Spouses & Children aged 64 and younger
Health Coverage Options for Retirees are identical to those of active members
Any Health Coverage Option equal to or lower than the Health Coverage Option they had in place at the time of retirement is available
Health Coverage Options
Over 65 Health Coverage
For Retirees & Spouse aged 65 and older
Over 65 Coverage Overview
$142.70 per month, or just
$37.70 after OPERS Entitlement Applied
A Medicare Advantage Plan with Both Medical and Rx Coverage
Same Fixed Rate for all Participants (No Age, Gender or Tobacco Rating)
Zero Medical Out-of-Pocket
4,500 Prescription Medication Formulary
Consistent Coverage During Donut Hole
$3,000 Hearing Aid Allowance (every 36 months)
Retirement Subsidies
The OPEH&W Health Plan is approved as a Qualified Plan
Able to receive subsidies from retirement funds such as OPERS & OTRS
This can only be used to offset Health Coverage premiums
Dental & Vision Coverage Options
Dental & Vision Coverage Options for Retirees are identical to those of Active Employees
Dental Coverage Options
Vision Coverage Options
Life Coverage Options
Participation is optional
Coverage of a Retiree and/or Spouse is unconditional (i.e. Health status has no bearing)
Retiree volume does not reduce at age 70 or 80
Choose from 4 Death Benefit amounts
With or without 50% Spouse Death Benefit
Retiree Life Coverage Options are shown below
Member Spouse Rate
5,000 0 14.75
5,000 2,500 19.75
10,000 0 29.50
10,000 5,000 39.50
15,000 0 44.25
15,000 7,500 59.25
20,000 0 59.00
20,000 10,000 79.00
