During the COVID-19 outbreak, Penn State Employee Benefits is working remotely and with limited access to resources. In an effort to process your enrollment changes in a timely manner, you should send your completed Retiree Request for Change Forms and Freedom Blue Applications electronically to [email protected]. If our staff has any questions or needs additional information, we will reply to the email from which the form was sent.
|Becoming Medicare Eligible Resources||Freedom Blue Resources|
|Freedom Blue Informational Packet||Freedom Blue Website|
|Freedom Blue Application||2020 Highmark Freedom Blue Network Sharing|
|Highmark Freedom Blue for Non-Member 1-866-456-7739
Reference Code: 20FB178428
|Highmark Freedom Blue 1-866-918-5285|
|Freedom Blue members are not required to use Quest Diagnostics or LabCorp for lab services.|
|Non-Medicare Eligible Summary of Benefits|
|2020 PPO Savings Plan Overview of Coverage Grid|
|Aetna Concierge 1-855-878-4197||2020 Preventive Prescription List|
|Resources for All Retirees|
|University Health Services Pharmacy||Retiree Billing Lifetime Benefit Solutions Website|
|2020 Rates||Retiree Summary Plan Document|
|Dental & Vision Options for Retirees with PARSE||EyeMed 2020 Retiree Vision Discount Program|
Highmark and UPMC
Penn State is excited to announce that Highmark and UPMC recently reached a 10-year agreement that will ensure broad access to UPMC hospitals and physicians. As of July 1, 2019, Highmark Medicare Advantage, Freedom Blue PPO, continue to have the same broad access to AHN, UPMC, and community hospitals and physicians that you experienced with Highmark in the past.
2020 Retiree Plan Information
Below are electronic copies of the letters mailed to retiree homes in October of 2019. Please click on the letter that is applicable to your retiree status.
Highmark will not be issuing new identification cards to all members enrolled in Freedom Blue PPO. Please know there is no change to your information.
Becoming Medicare Eligible
Upon becoming eligible for Medicare Parts A and B, your medical coverage is required to change to the University-sponsored Medicare Advantage plan, Freedom Blue PPO offered through Highmark.
In order to enroll in the Penn State Medicare Advantage plan, individuals must enroll in Medicare Parts A and B. If you have not yet received information regarding Medicare Parts A and B, please contact your local Social Security Office as soon as possible.
The Freedom Blue application MUST be received in the Penn State Employee Benefits office PRIOR to your 65th birthday with a copy of your Medicare card. If the Freedom Blue application is not received PRIOR to your 65th birthday, your Freedom Blue effective date will be the first of the month following receipt. Failure to enroll in a timely manner could result in a cancellation of retiree benefits.
Freedom Blue PPO will become your primary coverage for medical and prescription services. Do NOT enroll in a separate Medicare Part D program for prescription drugs. Freedom Blue PPO includes coverage for Part D prescription drugs.
Please contact Freedom Blue PPO at 1-866-456-7739, please have Reference Code: 20FB178428 ready when you call with any questions or concerns regarding the plan.
Becoming Medicare Eligible Due to Disability
If a retiree becomes Medicare eligible due to disability, and has not yet turned 65; Part A will pay as primary for hospital services and Aetna will pay as primary for Part B expenses.
Medicare-eligible retirees due to disability will have the option of remaining in Part A and continuing on the non-65 retiree plan until they reach age 65. Retirees will want to consult with Social Security/Medicare regarding any late entrant penalties that may apply if you need to enroll in Medicare Part B prior to your 65th birthday but AFTER initially becoming Medicare eligible.
If retirees are enrolled in both Medicare Parts A and B upon becoming Medicare eligible due to disability, they will be required to move to our Medicare Advantage plan.
Split Plans – Retiree with Medicare and Non-Medicare Members Enrolled
Once a retiree and/or spouse becomes Medicare eligible and the remaining spouse is under 65, your benefits then become a “split plan” retirement medical plan.
The newly Medicare eligible retiree or spouse will be transitioned to the University-sponsored Medicare Advantage plan Freedom Blue with Highmark. The Freedom Blue Member will receive a new ID card from Highmark.
The remaining dependents will stay with Aetna and new ID cards will be issued as follows:
- Penn State retiree moves to Highmark with non-Medicare spouse
- Spouse will remain with Aetna and become the primary subscriber under Aetna insurance.
- Covered dependent children under the age of 26 will become dependents listed under the new primary subscriber.
- A new ID card with new Member ID will be sent after the effective date.*
- Penn State retiree moves to Highmark with non-Medicare child/ren (no spouse coverage)
- Dependent child/ren remain with Aetna and the oldest covered child under the age of 26 becomes the primary subscriber under Aetna insurance.
- Any younger sibling(s) will be listed as dependent(s) under the oldest child.
- A new ID card with new Member ID will be sent after the effective date.*
- Penn State retiree remains on Aetna with Medicare-eligible spouse
- Retiree will receive a new ID card based on the tier change, but the Member ID will remain the same.
*Should you need to call the vendor to inquire about benefits, members should provide the new primary subscriber’s information such as SSN and date of birth.
Changes will be electronically sent to the insurance vendors and to the retiree billing vendor. It is recommended you pay your quarterly bill as invoiced and the appropriate credits will follow once the retiree billing vendor receives the changes.
Retiree Billing Process
We have contracted with Lifetime Benefit Solutions to administer, bill, and collect the health care premiums from all of our retirees who have the Penn State medical benefit.
For new retirees, after your retirement has been processed electronically in Workday, your retiree medical billing information will automatically be sent to Lifetime Benefit Solutions.
Your first Retiree Bill should come approximately two to three weeks AFTER your retirement. Payment is due within 60 days of receipt of your first Retiree Bill.
Retirees have the option to set up a monthly automatic withdrawal from a designated bank to pay for your retiree billing premiums. The information to establish the automated payments will be included in your first retiree bill.
If you do not set up automatic payment, you will be billed on a quarterly basis. Your premium payments are due on the 1st day of each calendar quarter and you will have a 60 day grace period. Premium due dates are: January 1, April 1, July 1 and October 1; your 60 day grace period will begin on the date after the payment due date. Please call Lifetime Benefit Solutions to discuss all of your payment options.
- Retiree Welcome Letter
- Frequently Asked Questions - Retiree Billing Administrator
NOTE: You will receive a COBRA Notification extending coverage for medical, dental and vision; this notice is required by law, even if you are eligible for retiree medical coverage. If you are retiring with Penn State Retiree Medical, you should decline the offer for extended medical coverage. Failure to complete the COBRA Enrollment within 60 days is considered an automatic decline of the coverages offered.
Important Notes for Retiree Billing Process
- Automatic withdrawal (ACH) forms need to be completed with Lifetime Benefit Solutions.
- ACH withdrawals taken monthly.
- Penn State ID’s can be used instead of SSN for Member Portal and ACH
For more information, call Lifetime Benefit Solutions (800) 828-0078.
Retiree Request for Change Form
If you wish to refuse medical coverage, you must complete the Retiree Request for Change Form. Retirees who refuse coverage will not be able to re-enroll at a later date.
Retiree dependent coverage can be added ONLY if the eligible dependent experiences an IRS qualifying life event change. Changes must be requested within 31 days of the event by completing a Retiree Request for Change form. You can also contact Penn State HR Services at 814-865-1473 to request a copy be mailed to you. The following are examples of IRS-defined life event changes when you are able to add an eligible dependent:
- Employee's legal marital status changes, due to marriage, divorce, legal separation, or the death of a spouse;
- Changes in employment status of a spouse, which can include the ending of their employment, new or different working hours resulting in a change of their employer-sponsored benefits
If your eligible dependent loses coverage and needs to enroll in the Penn State Retiree Medical Benefits as your dependent, please complete the Retiree Request for Change Form. If your dependent is also Medicare eligible, they will also need to complete a Freedom Blue application and provide a copy of their Medicare card outlining the Part A and Part B effective dates.
If you have a dependent child turning age 26, you may be eligible to continue the dependent child coverage if that dependent is physically or intellectually handicapped, so as to be incapable of earning a living when coverage would normally terminate due to age. In order to receive the needed information regarding coverage for a dependent child over the age of 26, you will need to contact HR Services, 814-865-1473, to initiate a request on the process. Once you initiate the request, Penn State Employee Benefits will be in touch with further information.
After a dependent child is no longer eligible under your retiree plan, they will receive information from Lifetime Benefit Solutions regarding continuation of benefits under COBRA.
Retiree Vision Discount Program
Retirees can take advantage of a FREE vision discount program available through EyeMed.
Retiree ID Card
In accordance with HR102, all retirees will be required to surrender their active Faculty/Staff id+ card to their department supervisor. Retirees who meet the years of service requirement are eligible to obtain a new Retiree id+ card after their official retirement date. For more information, please visit Penn State id+ website.
Educational privileges are available to full-time faculty, staff, technical service employees, retirees, and those with Emeritus status, their spouse, and dependent children up to the age of 26. The grant-in-aid benefit is a 75% discount on the tuition charge and applies to World Campus, Penn State resident instruction at all campuses, and Pennsylvania College of Technology. Please see University policies HR36 and HR37 for additional information.
If you have not already completed the dependent verification program within Workday, you will be required to do so in order to maintain the dependent tuition discount. For information on dependent verification, please review information provided in the WorkLion HR portal or contact HR Services.
For more details about the dependent verification program please refer to Eligibility and Dependent Information. Dependents who do not successfully complete the verification will have the tuition discount removed from their accounts and will be responsible for the entire tuition amount.
Please contact HR Services if you have any questions regarding the Grant-in-Aid benefit. After your Grant-in-Aid request is approved, you will see the discount reflected on your next student account statement in LionPATH.
Educational privileges DO NOT apply to courses offered through:
- The College of Medicine, Medical School Program and Physician's Assistant Program, at the Milton S. Hershey Medical Center
- The Smeal College of Business Administration Executive MBA Program
- The Dickinson School of Law and Penn State Law
- Summer camps or workshops operated by the University unless University credit is given and regular tuition is charged
A spouse, except one receiving educational assistance from the University, such as a graduate assistantship, is eligible for the grant-in-aid for any semester or summer session in which classes begin on or after the employee's date of full-time employment. There is no limitation on the number of credits that may be taken. All levels of degrees may be earned. Tuition discounts on Graduate level classes for a spouse are a taxable benefit. For more information regarding taxation on Graduate-level courses for a spouse, please visit the controller's office FAQ.
Eligible dependent children are eligible for any semester or summer session in which classes begin on or after the employee's date of full-time employment. The grant-in-aid applies only toward undergraduate credits only until a Penn State bachelor's degree is attained. The discount does not apply toward Master's level class or higher. Undergraduate classes for dependent children are not a taxable benefit.
Retirees wishing to use the tuition discount for themselves do not need to submit any forms. The discount will automatically be applied through the Bursar's office.
Retirees wishing to extend the tuition discount to an eligible spouse and/or eligible children must complete a Retiree Application for Dependent Grant-in-Aid form
All forms must be submitted within the dates outlined below. (this schedule applies to all eligible Penn State, World Campus, and Pennsylvania College of Technology Classes)
A separate grant-in-aid request must be made on behalf of EACH dependent.
A new grant-in-aid request must be made for EACH semester or summer session.
Grant-in-aid approvals will not be applied retroactively to previous semesters.
Students will be responsible for the full cost of tuition, in accordance with University Bursar policies, if the application procedure is not followed, and/or the application deadlines are not met.
|Semester||First Day to Apply||Last Day to Apply|
|Summer 2020||Tuesday, February 4, 2020||Wednesday, August 12, 2020|
|Fall 2020||Wednesday, March, 25, 2020||Sunday, August 20, 2020|
Zostavax/Shingles Vaccine For Medicare-eligible Freedom Blue PPO members:
This vaccine is covered under the Part D drug benefit. You will pay the $20 prescription copay if you receive the vaccine at a pharmacy that provides them. A great resource for you is the pharmacy at Wegman’s, who has stores across the state of Pennsylvania, for your convenience. To find a Wegman’s pharmacy near you, please use the "Find your store" feature on the Wegman's website.
If you have questions regarding coverage of the Zostavax/Shingles vaccine, please call Highmark’s Freedom Blue PPO customer service at (866) 918-5285.
For the Medicare-eligible retirees in the FreedomBlue PPO, effective March 1, 2013, ALL Geisinger physicians and hospitals will be out-of-network providers. The out-of-network benefit for the FreedomBlue PPO has a maximum out-of-pocket of $750 per person, per year.