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Retiree Healthy Savings Plan

The Retiree Healthy Savings Plan is available to retirees and their dependents who are not yet eligible for Medicare.

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  2020 Retiree Healthy Savings Plan  

Premiums

Your share of insurance premiums is determined by a formula that considers your age and years of service at retirement and the program under which your benefits are payable. If you are looking for an idea of what premiums would be for your particular circumstances, use the retiree insurance premium estimator. For additional details, see the Summary Plan Description (SPD) for the Retiree Healthy Savings Plan.


Deductible

The Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual deductibles, 2020

  In-network Out-of-network
Medical and Rx (combined) $1,500/self*; $3,000/family* $3,000/self*; $6,000/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree PPO Plan. Visit the glossary for details.


Out-of-pocket limit

The Retiree Healthy Savings Plan has one out-of-pocket limit that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual out-of-pocket limits, 2020

  In-network Out-of-network
Medical and Rx (combined) $3,000/self*; $6,000/family* $6,000 or more/self*; $12,000 or more/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.


Prescription drugs

To estimate prescription costs, visit Express Script's prescription cost estimator tool (exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the presciption to estimate the cost covered by the plan and the cost to you.

Healthy Savings Plan-Prescription drug out-of-pocket cost, 2020

  In-network Out-of-network
Prescription drug: Retail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% or more after deductible
Prescription drug: Mail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% or more after deductible

 


Annual University contribution to Health Savings Account

Retirees do not receive University contributions toward an HSA, but you may set up an HSA account if you are not enrolled in another insurance plan, including Medicare. If you meet the eligibility requirements, you may contribute your own after-tax money to the HSA. Visit the understanding your HSA webpage to learn more.


Network providers

You may choose to visit either in-network or out-of-network doctors and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.


Preventive care

Many health plans include preventive care services, such as various screenings, vaccinations, and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).

Forms and guides


  2019 Retiree Healthy Savings Plan  

Premiums

Your share of insurance premiums is determined by a formula that considers your age and years of service at retirement and the program under which your benefits are payable. If you are looking for an idea of what premiums would be for your particular circumstances, use the retiree insurance premium estimator. For additional details, see the Summary Plan Description (SPD) for the Retiree Healthy Savings Plan.


Deductible

The Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual deductibles, 2019

  In-network Out-of-network
Medical and Rx (combined) $1,500/self*; $3,000/family* $3,000/self*; $6,000/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree PPO Plan. Visit the glossary for details.


Out-of-pocket limit

The Retiree Healthy Savings Plan has one out-of-pocket limit that combines both medical and prescription drug costs.

Healthy Savings Plan- Annual out-of-pocket limits, 2019

  In-network Out-of-network
Medical and Rx (combined) $3,000/self*; $6,000/family* $6,000 or more/self*; $12,000 or more/family*

*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Custom Network Plan and PPO Plan. Visit the glossary for details.


Prescription drugs

To estimate prescription costs, visit Express Script's prescription cost estimator tool (exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the presciption to estimate the cost covered by the plan and the cost to you.

Healthy Savings Plan-Prescription drug out-of-pocket cost, 2019

  In-network Out-of-network
Prescription drug: Retail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% or more after deductible
Prescription drug: Mail (formulary generic, formulary brand, or non-formularly brand) 10% after deductible 30% or more after deductible

 


Annual University contribution to Health Savings Account

Retirees do not receive University contributions toward an HSA, but you may set up an HSA account if you are not enrolled in another insurance plan, including Medicare. If you meet the eligibility requirements, you may contribute your own after-tax money to the HSA. Visit the understanding your HSA webpage to learn more.


Network providers

You may choose to visit either in-network or out-of-network doctors and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.


Preventive care

Many health plans include preventive care services, such as various screenings, vaccinations, and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).

*In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.

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Reviewed 2019-10-15