The Retirement Board accredited a number of modifications to the STRS Ohio Well being Care Program for 2024, together with new premiums decreasing the month-to-month price for 99% of present plan enrollees. As well as, the board eradicated the in-network deductible for the Aetna Medicare Plan. In 2024, Aetna will turn into the plan administrator for all enrollees, and CVS Caremark will present prescription protection. An outline of the plan modifications is offered under. Please look ahead to extra protection particulars in upcoming announcement letters and newsletters, in addition to in your well being care open-enrollment packet in late October.
Medical plan transitions to Aetna
- All Medical Mutual, AultCare, Paramount and Well being Care Help Plan (HCAP) enrollees can be lined by Aetna in 2024. Present Aetna enrollees will stay of their present plan.
- The Aetna Medicare Plan is making a number of protection enhancements, together with a $0 in-network annual deductible and $0 copay for in-network main care doctor visits.
Pharmacy plan transitions to CVS Caremark (CVS) from Specific Scripts
- All enrollees will transition to CVS; nearly all of enrollees ought to expertise no disruption to their service. Those that may even see a disruption (akin to a change to the next or decrease tier within the drug formulary) can be notified by mid-December.
- The CVS community consists of about 66,000 chain and impartial pharmacies, together with Kroger, and about 9,000 CVS pharmacies. (Enrollees can use any in-network pharmacy; they aren’t restricted to CVS retailer areas.)
- There aren’t any modifications to the prescription annual deductible, most out-of-pocket restrict or drug tier copayments/coinsurance.
- Medicare enrollees can be lined by SilverScript, a Medicare Half D plan. SilverScript is an affiliate of CVS. Non-Medicare enrollees can be lined by CVS Caremark.
Entry to Suppliers
Aetna’s supplier community consists of practically all of the suppliers at present being utilized by Medical Mutual, AultCare and Paramount enrollees. The identical is true for CVS’s community. It covers practically all ESI pharmacies at present being accessed.
2024 Well being Care Premiums
| Plan | Premium With Medicare Half B Credit score |
|---|---|
| Aetna Medicare Benefit Plan | $25 |
| Aetna Primary Plan | $137 |
| Aetna Primary HCAP* | $0 |
| Plan | Month-to-month Premium |
|---|---|
|
Aetna Primary Plan |
$279 |
| Aetna Primary HCAP* | $0 |
*Well being Care Help Program
