Retiree Benefits
Premiums
FY2019 Retiree & Survivor Premiums for all plans
A&M Care Plans, including 65 Plus
Express Scripts Medicare Part D Prescription Drug Plan
All formulary lists are covered by the Express Scripts Medicare Part D Prescription Drug plan.
2019 Express Scripts Medicare Formulary List
2018 Express Scripts Preferred Formulary List
2018 Express Scripts Formulary Exclusions
Express Scripts Medicare Part D FAQ
Medicare Part D Creditable Coverage Notice
Low Income Subsidy – Qualifying for Extra Help
Centers for Medicare and Medicaid Service 2019 Cost-Sharing Limits
Part D Income-Related Monthly Adjustment Amount
If your modified adjusted gross income is above a certain amount, you may pay a Part D income-related monthly adjustment amount (Part D-IRMAA). Read more on the Medicare.gov website.
Medicare Part D Coordination of Benefits/Direct Claim Form
Dental, Vision and Life
Additional Programs
Silver Sneakers – Fitness program providing various opportunities for seniors to get healthy. Retirees and spouses must be 65 or older to participate.
MDLive Virtual Visits – Available to all retirees and survivors for a $20 copay regardless of whether you are medicare primary or not.
2nd.Md – Medical second opinions about a new diagnosis, your treatment plan, a surgery, your medications or a chronic condition.
MyEvive – Retirees are already receiving the lowest premium. Taking the MyEvive Health Assessment is voluntary and will not add an additional incentive.