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PSERS
Health Administration Unit 1-800-773-7725 Click here for Health Options Program (HOP) information |
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The PSERS Health Option Program (HOP) provides PSERS retirees, their spouse or surviving spouse, and their eligible dependents access to affordable group health care coverage. HOP is a voluntary program and is funded by participants. A majority of HOP participants are eligible for Medicare and are enrolled in either the HOP Medical Plan (supplementing Part A and B of Medicare) or a Medicare Advantage Plan. HOP also offers two Medicare prescription drug programs that can be added to the HOP Medical Plan coverage or taken on a stand alone basis. For those retirees, spouses or dependents not yet eligible for Medicare, HOP offers the Pre-65 Medical Plan or Managed Care Plan.
PSERS retirees, their spouse or dependents may enroll in HOP within 180
days of a Qualifying Event.
Qualifying Events are: 1.
You retire or lose health care coverage under your school employer’s
health plan. (Coverage under your school employer’s health plan includes
any COBRA continuation of coverage you may elect under that school
employer plan.) 2.
You involuntarily lose health care coverage under a non-school employer’s
health plan. (Coverage under a
non-school employer’s health plan includes any COBRA continuation of
coverage you may elect under that non-school employer’s health plan.) 3.
You or your spouse reach age 65 or become eligible for Medicare. 4.
You experience a change in family status (including divorce, your death or
death of a spouse, addition of a dependent through birth, adoption, or
marriage or loss of a dependent through loss of eligibility). 5.
You become eligible for Premium Assistance due to a change in legislation. 6.
A plan approved for Premium Assistance terminates or you move out
of a plan’s service area.
Qualifying Events apply to PSERS retirees, their spouse and dependents
independently.
Comprehensive descriptive material is available at
www.HOPbenefits.com or you may
call the HOP Administration Unit at 1 (800) 773-7725 to get additional
information.
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Click here to submit a request for public records under the Right-to-Know Law
Questions on benefits
or on using PSERS' Member Interaction Applications
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Commonwealth of Pennsylvania, This page was last updated 12/08/09 |
