65+ Health Benefits

SVUSD sponsors a Medicare Supplement plan for retirees who are age 65 and over. Click through the below tabs for more information.

General Info

Beginning January 1, 2017, the District will offer a Medicare Supplement plan through The Hartford for retirees and their spouse/domestic partner age 65 and older. The plan includes coverage for medical, prescription, hearing, vision, chiropractic, and acupuncture services. While this is a District sponsored plan, enrollment, billing questions, etc. should be directed to Benistar Admin Services (see "Contact" tab below). In addition, retirees are responsible for 100% of the benefit premium.

Who is eligible?

In order to be eligible for The Hartford plan, applicants must meet all of the following criteria:

  • Age 65 or Older
  • Enrolled in Medicare Part A and B
  • Currently enrolled in SVUSD's active group health plan, retiree group health plan, or COBRA medical coverage.

Please be advised that applicants are only eligible if moving directly from a SVUSD medical plan to The Hartford. Spouses looking to enroll must meet all the same requirements.

What is the cost?

Rates for The Hartford are broken down by age. The rates below include coverage for medical, prescription, hearing, vision, chiropractic, and acupuncture. These rates do not include the cost of Medicare enrollment.

2017 Rates:

  • Age 65-69 $370.35
  • Age 70-74 $402.34
  • Age 75-79 $433.81
  • Age 80+ $444.07

2018 Rates:

  • Age 65-69 $377.35
  • Age 70-74 $409.34
  • Age 75-79 $440.81
  • Age 80+ $451.07

Please note, applicants may only enroll in the full package, and cannot enroll in just prescription or just medical.

What services and doctors are covered?

The Hartford network consists of all doctors who accept Medicare. Information on covered services, copays, etc. can be found on the benefit summaries under the "Documents" tab.

How do I enroll?

Applicants will need to submit a Medical enrollment form and a Prescription enrollment form directly to Benistar at least 30 days prior to your eligibility date. These forms can be found in the "Documents" tab below.

My spouse and I are enrolling in the Hartford. What coverage options do my dependent children have?

Dependent children are not eligible to enroll in the Hartford. All dependents will be offered the opportunity to enroll in COBRA once their coverage on an SVUSD active or retiree plan ends. SVUSD does not offer any additional coverage options for dependent children, however, they may wish to explore coverage options through the insurance market place by visiting Covered California.

My spouse is under 65, but already enrolled in Medicare. Is he/she eligible?

No, all plan participants must be both 65+ and enrolled in Medicare part A and B.

Contact

For Enrollment, Eligibility, and Billing, contact:

BENISTAR Admin Services

  • 10 Tower Lane, First Floor, Avon, CT 06001
  • 800-236-4782, Press 1
  • 5:30 am-3:00 pm

For Customer Service/Claims, contact:

The Hartford

  • PO Box 1928, Grapevine, TX 76099
  • 844-380-4577

For Prescription Drug Customer Service/Claims, contact:

Express Scripts

  • Attn: Med-D Accounts, PO BOX 66752, St Louis, MO 63196-6752
  • 888-345-2560

For Mail Order Perscription:

Express Scripts

  • PO Box 66773, St Louis, MO 63166-6773
  • Physician: 888-327-9791
  • Fax: 800-357-9577
  • Prior Authorization: 800-935-6103

Documents

Under construction. Please contact the Benefits Department.

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