Medical Benefits

The County of Riverside offers an array of health plans to eligible retired employees, including medical, dental and vision coverage.  To be eligible for enrollment in these plans, all of the following conditions must be met:

1.       You must retire within 120 days from the date you separate from employment with the County of Riverside;

2.       You must receive a retirement allowance from CalPERS; and

3.       You must have been eligible for enrollment on the date you separated from the County of Riverside.  The surviving     dependent of a retiree may also be eligible.

Even if you choose not to enroll in coverage when you retire, if you meet all of the criteria listed above, you are eligible to enroll in coverage during any subsequent Annual Enrollment period.  In addition, you are eligible to enroll in a medical plan if you experience a loss of eligibility for other coverage due to a qualifying event and you request enrollment within 60 days of the event that caused you to lose eligibility for coverage.

Retirees who are Under the Age of 65 and NOT Eligible for Medicare

If you are under age 65 and ARE NOT eligible for Medicare, you can enroll in these plans:

If you live in the plan’s service area…

If you live outside of the plan’s service area…

 

Select the plan name above for detailed coverage information. Other resources available include:

· Plan Comparison

· Premium Costs

Family members who are Medicare-eligible will be enrolled in the Medicare version of the plan you elect. For example, if you are not Medicare-eligible and choose the Exclusive Care EPO plan, your spouse who is eligible for Medicare will be enrolled in the Exclusive Care Select Medicare Supplement Plan. If your dependent is over age 65 but not enrolled in Medicare Parts A and B, your premium will be higher. Please contact us for options and costs.

Retirees Who are Are Eligible for Medicare

 

If you are ARE Eligible for Medicare, you can enroll in these plans:

If you live in the plan’s service area…

If you live outside of the plan’s service area…

· Exclusive Care Select Medicare Coordination plan

· Exclusive Care Select Medicare Supplement Plan        

· Kaiser Permanente Senior Advantage plan

· SCAN HMO plan

           

UnitedHealthcare EPO COB

UnitedHealthcare PPO COB

UnitedHealthcare Medicare Advantage

· Exclusive Care Select Medicare Coordination Plan

· Exclusive Care Select Medicare Supplement Plan

· UnitedHealthcare Indemnity Coordination of Benefits (COB) Plan

Select the plan name above for detailed coverage information. Other resources available include:

· Plan Comparison

· Premium Costs

Choose one of the plans if you – or one or more of your dependents – are eligible for Medicare. Family members who are not Medicare-eligible will be enrolled in the non-Medicare version of the plan. For example, if you are Medicare-eligible and choose the Kaiser Senior Advantage plan, your dependents who are not eligible for Medicare will be enrolled in the regular Kaiser Permanente HMO plan. (Keep in mind that you and your dependents may be enrolled in plans with different copays for this reason.) The one exception is the SCAN plan, which is open to Medicare-eligible members only and has no non-Medicare counterpart. If you are eligible for Medicare but your dependents are not, you cannot enroll in the SCAN plan.

Rates for common plan combinations are provided. If your family structure differs, please contact us for assistance.