Retiree Medical Benefit
- 2019 Open Enrollment Information
- Enrolling in Retiree Medical Coverage
- Deferring Your Medical Coverage
- 2019 Medical Plan Options (Pre-/Post-65)
- Enrolling Your Dependents
- Dependent Eligibility
- 2019 Medical Premiums
- Payment Options
- Other Important Information
As a retiring employee, you can elect to continue your medical insurance. In order to be eligible for this benefit, you must have been working at least 75% time or 30 hours per week and been enrolled in a Georgetown-sponsored medical plan at the time of your retirement.
If you do not enroll at the time of your retirement, you may choose to defer coverage until a later date. If you choose not to continue or defer your coverage at the time of your retirement, you will not be able to re-enroll at a later date.
Upon retirement, the Office of Faculty and Staff Benefits transmits your information to their retiree benefits administrator, Secova. An enrollment packet will be sent to your home address for completion; you must make a decision as to whether you want to elect, defer, or waive your retiree medical coverage within 31 days of your last date of employment. Because of these deadlines, we strongly suggest you notify your department of your plans to retire as soon as possible, so they can initiate the process in GMS. Completion of your termination process within GMS is required for our office to transmit your information to Secova’s Georgetown University Retiree Benefits Service Center and to ensure a seamless transition between active and retiree medical coverage.
Retirees and spouses who are over age 65 and enrolling in a GU retiree medical plan should apply for Medicare Part B 2-3 months before the soon-to-be-retiree’s last day of work.
Like active employees, you can switch from one plan to another, but only during our “Open Enrollment” period each year. Open Enrollment generally happens in the fall. Changes made during Open Enrollment take effect on January 1 of the following year.
Once enrolled in the retiree medical insurance program, you can opt out of it at any time you wish. If you drop coverage for yourself, all of your dependents will be dropped at the same time. However, you may drop coverage for your spouse or dependent (irrevocably) and retain coverage for yourself.
If you wish to discontinue participation, you must notify the Georgetown University Benefits Center in writing. It is critical that you understand that your decision to discontinue participation is irrevocable — once you elect to discontinue your participation, you will not be allowed to re-join at a later date.
Georgetown University Benefits Center (Secova)
3090 Bristol Street, Suite 200
Costa Mesa, CA 92626
Phone: 1-877-327-2365 Fax: 1-877-511-8147
Deferring Retiree Medical Coverage
Upon first retiring from the University you may choose to defer your retiree medical coverage until a future date. In order to qualify for this one-time option to defer, you must be actively participating in a University-sponsored medical plan at the time of retirement. If you defer:
- You won’t be eligible for retiree dental benefits.
- Only dependents who were covered under your medical plan at the time your retired will be eligible for coverage when you enroll in your retiree coverage. Dependent children must also satisfy the plan’s age requirements.
- You may be subject to any preexisting condition exclusions or limitations unless you are able to present proof of continuous medical coverage.
For more information, contact the Office of Faculty and Staff Benefits at firstname.lastname@example.org.
2019 Medical Plan Options for Retirees Age 55 – 64
- Kaiser HMO Signature (2019)
- Kaiser HDHP 3 Signature (2019)
- CareFirst BlueChoice Advantage POS (2019)
- CareFirst BlueChoice Advantage POS (2018)
- CVS Caremark Rx for CareFirst POS (2019)
- CareFirst BlueChoice Advantage CDHP with HSA (2018)
- CareFirst BlueChoice Advantage CDHP (2019)
- CVS Caremark Rx for CareFirst CDHP (2019)
- UnitedHealthcare Choice Plus (2019)
- UnitedHealthcare Choice Plus PPO (Out of USA)(2019)
2019 Medical Plan Options for Retirees Age 65 and Older
For retirees in this category, Medicare is the primary payer of benefits. Georgetown University offers the following plans to supplement your Medicare coverage.
- Kaiser Medicare Plus and Advantage Plans (2019)
- CareFirst BlueChoice Advantage POS (2019 – pending)
- UnitedHealthcare Choice Plus PPO (2019)
- UnitedHealthcare Medicare Standard (2019)
- UnitedHealthcare Medicare Rx for Groups (PDP) (Annual Notice of Changes, 2018)
- UnitedHealthcare Medicare Rx for Groups (PDP) Plan Summary (2018)
- EyeMed Retiree Vision Discount Plan (2019)
- Via Benefits Enrollment Website
Although many of our retirees live in the metropolitan DC area, some of them relocate to other parts of the country during retirement. All retirees should send written notice of the address change to the Georgetown University Benefits Center so we can ensure that you are enrolled in the appropriate plan given your new place of residence. Even if you move outside of the DC metropolitan area, you may find that there are in-network providers available in your region, as the United Healthcare plan operates on a national network. TheCareFirst BlueChoice Advantage plan also has in-network benefits nationwide through the BlueCard PPO program.
Please note that if you do not live in the metropolitan DC area, you will not have access to the Kaiser Centers (although Kaiser has centers across the country, as a participant in our plan you only have access to the Kaiser Mid-Atlantic Centers).
Enrolling Your Dependents
In some cases you and your covered dependents may not all be eligible for Medicare. When this occurs you will cover yourself and your dependents with the same medical provider. For those who have Medicare, the coverage will be on a Medicare plan. For those without Medicare, coverage will be provided by the corresponding non-Medicare plan.
Via Benefits (formerly OneExchange) plans are the only exceptions. For Via Benefits, only retirees and their spouses who are 65 or older may enroll (both must be enrolled in Medicare). Additionally, only retirees who are NOT employed at Georgetown University may enroll.
You may enroll a legal spouse under your medical plan at time of retirement or during Open Enrollment. The premium associated with spousal and/or dependent coverage is unsubsidized.
In accordance with the Affordable Care Act (ACA), you can enroll your dependent children (up to age 26) regardless of whether they were on your medical coverage at the time of your retirement.
If you die before your spouse and/or dependent child(ren), and these family members are covered under the medical plan at the time of your death, then these family members will receive two years of free medical coverage. At the end of this “premium holiday,” your family members are entitled to coverage for the remainder of their lifetimes at the unsubsidized rate.
Medical Insurance Premiums
Your cost for medical coverage depends on age, the plan you elect, how many dependents you enroll, and your years of service with Georgetown.
Generally, the University will subsidize the lesser of either:
- 50% (for those who have attained 10 to 14 years of service prior to retirement), 70% (15 to 24 years of service) or 90% (25 or more years of service) of your total medical premium;
- 50%, 70% or 90% (depending on your years of service) of $583 per month for retirees under the age of 65, or of $250 per month for retirees over the age of 65.
Your contribution, therefore, will consist of the remaining individual premium amount plus the total premium for any dependents covered under your medical plan. This formula does not apply to certain grandfathered populations, or to Georgetown Hospital employees who retired between August 1, 1998 – June 30, 2000.
Please note that there are exceptions to the rate for the “Over 65” group. The vast majority of retirees over 65 are eligible for Medicare as their primary medical insurance, and the lower rates reflect this. However, some retired participants who are over 65 are not eligible for Medicare (such as some non-US citizens). Also, please note that all dependent children covered under the Retiree Medical Insurance Plan will be charged as though they are not Medicare Primary, even if they are.
Medical premiums are recalculated annually. Please refer to the current Retire Benefits Guide for complete premium charts and details.
Retiring faculty and staff who wish to participate in a Georgetown University-sponsored retiree medical plan are must pay monthly premium contributions using one of the following options:
- Reduction from monthly Georgetown University Retirement Plan (GURP) annuity.
- Reduction from monthly TIAA-CREF annuity.
- If retiree does not receive an annuity from the sources listed above then they will be required to pay by direct debit (ACH).
Georgetown University partners with Secova to provide retirees with accurate and timely billing and enrollment services. Through Secova’s Georgetown University Benefits Center you may now set up automated monthly payments for your medical and dental premiums – eliminating the need to write and mail checks. Premium amounts will be automatically transferred from your checking or savings account through a secure Automated Clearing House (ACH) network.
To participate in direct debit:
- Download the Authorization Agreement for Direct Payment (pdf)
- Review instructions and complete form
- Return with voided check to –
Georgetown University Benefits Center (Secova)
3090 Bristol Street, Suite 200
Costa Mesa, CA 92626
By Fax: 1-877-511-8147
Other Important Information about the Retiree Medical Benefits
It is important that you understand that the benefit Georgetown University offers its retirees consists of subsidies to retirees on the medical insurance program offered to active employees. The benefit does not take the form of distinct retiree medical insurance plans. Therefore, if Georgetown University makes changes to its medical insurance plans for active employees, these changes will be applicable to retirees as well. Examples of changes to the medical plans for active employees include:
- Changes in provisions to an existing plan such as changes to co-payments, deductibles, etc.
- Deleting a plan as an option
- Adding a plan as an option
Although it has no intention to do so at the present time, Georgetown specifically reserves the right to amend, change, or discontinue the retiree subsidy for medical insurance premiums at any time, and for any reason.