Easy Virtual Benefits Counselor Now Available for All Retirees
Not sure which plan is right for you? ALEX®, our virtual benefits counselor, will add up the dollars and cents to show you which plan makes the most sense for your wallet. Visit our ALEX page to learn more about important 2020 changes. Works on all computers, tablets and smart phones. No need to download anything or log in. Completely anonymous!
Please note that ALEX is now available to retirees with Medicare.
Health Plan Changes
There are two health plans that will no longer be available in 2020. Security Health Plan - Central and Security Health Plan - Valley will no longer be available.
The State Maintenance Plan's (SMP) coverage has changed. SMP will offer fewer providers; make sure providers are in-network or select another plan.
Medical Benefit Changes
New Medical Benefit
Bariatric surgery and weight loss services will be provided for participants with a body mass index (BMI) of 35 or greater, or as determined by your health plan.
Supplemental Benefits Changes
Plans No Longer Available
Coverage under the Accidental Death & Dismemberment (AD&D) policies with Zurich will end December 31, 2019. Choose the new accident plan if you would like this type of coverage in 2020.
Preventive Dental Plan
Provides the same Uniform Dental Benefits and is available to participants not enrolled in health insurance through ETF.
Mutual of Omaha Long-Term Care Insurance
If you wish to enroll, you must do so by December 31, 2019. No new enrollments will be allowed after this date. Current participants can continue their policies and do not need to take any action.
Accident Plan by Securian Financial
Pays money directly to participants to help cover the unexpected, such as concussion, burns, dislocation, fracture, emergency care, hospitalization, loss of a limb, surgery, accidental death and dismemberment.
Disclaimer: UW System and UW Hospital and Clinics employees may have different supplemental benefits. Check with your HR/benefits office for details.
Pharmacy Benefit Changes
Vaccines will be covered at in-network retail pharmacies in 2020.
Get vaccinated at any in-network pharmacy, using your pharmacy benefit. Just show your Navitus card at the pharmacy. If you prefer, you can still get vaccinated at your doctor’s office using your medical benefit.
New Enrollment Option for Retirees
Families with Medicare & Non-Medicare Members
Are there people on your health insurance that are not enrolled in Medicare? Now, when you enroll in Medicare Advantage or Medicare Plus, you can enroll in a second health plan for your non-Medicare members.
Why make a change? This option may help you save on monthly premiums, since both plans have low premiums.
New Life Event for Retirees
Becoming Medicare Eligible or Ineligible
When you or someone on your health insurance becomes eligible for Medicare or no longer eligible, you can now choose a new health plan or plan design.
You must file an application within 30 days of the Medicare coverage change. This is not an opportunity to enroll.