Medicare Advantage Plan

Group of seniorsRetirees and Dependents Eligible for Medicare

Plan Documents and Coverage

The Preferred Provider Option ("PPO") plan offers benefits beyond Original Medicare (Parts A & B). Members of the PPO plan must live in the plan service area. 

This PPO plan has an Extended Service Area ("ESA"). This means that you may enroll in the plan even if you live outside the Aetna Medicare network service area. To confirm if you reside in a county that qualifies for this plan, contact Aetna Medicare Member Services at 1-888-267-2637.

Premium Rates

Effective January 1, 2020 through December 31, 2020

Level of Coverage Monthly Pension Deduction* Monthly State Contribution*
Retiree $0 $297.86
Spouse $297.86 $0
Surviving Spouse $297.86 $0

Effective January 1, 2019 through December 31, 2019

Level of Coverage Monthly Pension Deduction* Monthly State Contribution*
Retiree $0 $285.34
Spouse $285.34 $0
Surviving Spouse $285.34 $0

*Note: Premium rates listed above are for retirees and spouses who are eligible for Medicare Part A at no cost.  If you do not qualify for premium-free Medicare Part A, please contact our office at 1-800-422-4503.  Note, rates do not reflect retirees who receive a pro-rated contribution.  See governing statutes for more information.

Premium Rates for active employees and retirees not eligible for Medicare