Retiree Medical Plans

Mature individual walking and talking with her physician.

 

Montgomery County offers four comphensive medical plans. Most County medical plans coordinate with Medicare. This means that the benefits payable under your County medical plan will generally work together with Medicare to ensure that you receive as complete a coverage as possible (but not a duplication of coverage). Generally, your retiree medical premium reduces and your prescription premium increase when you become Medicare-eligible. Medicare becomes your primary medical insurance and the County’s medical plan becomes your secondary medical insurance effective the date you become eligible for Medicare. You must enroll in Medicare Part A and Part B at that time, if you fail to do so, your out of pocket expenses may become higher. 

Medical Comparison Chart (Non- Medicare)
Weight Management Programs

Administrator: Kaiser Permenante
Website:   https://healthy.kaiserpermanente.org
Member Services: 1-800-777-7902
Mobile App:  HERE

Kaiser Permenante is a health maintenance organization (HMO) which provides all care at special Kaiser centers. You must use providers at the Kaiser centers to receive benefits under this plan. If you receive care elsewhere, you must pay the full cost. Please note that the Kaiser Permanente HMO medical plan does include prescription drug coverage and therefore, it is not necessary to elect such coverage under a separate plan. 

If Medicare is the primary coverage for you or any of your covered dependents, you are required to enroll in Kaiser’s Medicare Plus plan. Kaiser will contact you directly regarding your enrollment. If you are a Kaiser participant and do not enroll in Kaiser’s Medicare Plus plan when required, your enrollment in Kaiser will be discontinued. 

 

Plan Materials 
Kaiser HMO SBC - 2022
Kaiser Brochure
Kaiser Benefits Summary
Kaiser Incapacitated Dependent Application
Kaiser Urgent Care and Locations
Kaiser Virtual Visit
Regional Service Map

Medicare 
Kaiser Medicare Advantage Benefits Summary 
Kaiser Medicare Advantage Evidence of Coverage booklet
Kaiser Medicare Advantage Enrollment Form
Kaiser Medicare Advantage DisEnrollment Form
Kaiser Medicare Advantage Added Benefits
Kaiser Medicare Advantage Hearing Aids
2021 Kaiser Medicare Star Ratings

Resources
Learn more about Kaiser Permanente: https://thrive.kaiserpermanente.org/care-near-mid-atlantic
Switching to Kaiser-Permanente:  https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/new-members#register-to-kp-org
Kaiser Permanente Doctors: https://thrive.kaiserpermanente.org/care-near-mid-atlantic/find-doctor
How to get care:  https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/get-care
Find Kaiser Permanente locations: https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/doctors-locations#/search-form
Kaiser HMO General Plan Overview Video: https://www.brainshark.com/kp/MAS21HMO
Online & Mobile Tools Informational Videohttps://www.brainshark.com/kp/MAS21OnlineTools
Behavioral Health Informational Videohttps://www.brainshark.com/kp/MAS21BehavioralHealthWellness
Telehealth Informational Videohttps://www.brainshark.com/kp/MAS21Telehealth
Care Away from Home Informational Videohttps://www.brainshark.com/kp/MAS21CareAwayFromHome
Maternity Care Informational Videohttps://www.brainshark.com/kp/MAS21MaternityCare
Kasier Self-Care Mobile Apps:  kp.org/selfcareapps

Effective immediately, Kaiser Permanente is waiving all cost sharing for testing, diagnosis, and treatment of COVID-19 through December 31, 2020. This means we will not bill members a copay, coinsurance, or deductible for services to test, diagnose, and treat COVID-19. Our primary concern is the health of our members.

Administrator: United Healthcare
Website:  www.uhc.com
Phone: 1-800-638-0014
Mobile App:  HERE

United Healthcare is a national individual practice health maintenance organization (HMO). You must use United Healthcare providers in order to receive benefits under this plan. If you receive care elsewhere, you must pay the full cost. Prescription drug coverage is not included, but may be elected under a separate plan offered through Caremark. Generally, if you are also covered under Medicare and are retired from the workforce, Medicare is your primary coverage and your County plan is secondary. This may change the copays and charges listed in the medical comparison chart. 

 


Plan Materials
UHC Select HMO SBC - 2022
UHC Select HMO Evidence of Coverage Booklet
UHC Digital Enrollment Guide

UHC Virtual Visit
UHC Preventive Care Guidelines
UHC 24 Hour Nurseline
UHC Opioid 24 Hour Helpline
UHC Real Appeal Program 
MyUHC.com - Register and Print and ID card

 

Forms
UHC Claim Form
UHC Disabled Dependent Authorization

Administrator: Carefirst BCBS
Website:  www.carefirst.com
Phone: 1-888-417-8385
Mobile App: 

T he CareFirst BlueCross BlueShield Point-of-Service Plans (POS) are managed care programs. The BlueChoice Advantage Network provides you with choices over your out-of-pocket costs.  You do not need to select a primary care provider (PCP) or obtain a referral to see a specialist with this option. You can visit any provider and your choice will determine your out-of-pocket costs. When care is rendered in Maryland, Washington, D.C. or Northern Virginia, use the CareFirst Blue Choice Network to receive the highest level of coverage and pay the lower out-of-pocket costs. If you seek care outside the CareFirst service area you will lower costs by using a National Blue Card PPO provider.  You still have the option to opt-out of this network but will pay a higher out-of-pocket expenses.  There are two POS plans offered – a High Option Plan and a Standard Option Plan. Prescription drug coverage is not included with either plan, but may be elected under a separate plan offered through Caremark. If Medicare is the primary coverage for you or any of your covered dependents, please refer to the separate CareFirst BlueCross BlueShield Medicare Supplemental Plan summary. 


Plan Materials 
BCBS POS Brochure (Non-Medicare)
BCBS POS Brochure (Medicare)

BCBS High Option Plan Booklet
BCBS Standard Option Plan Booklet
BCBS Indemnity Summary Description 
Indemnity Brochure (Medicare)
BCBS Indemnity Medicare Plan Booklet
BCBS Indemnity 2022 Decision Guide
BCBS Indemnity Rx Announcement
BCBS Indemnity Rx Guide
 

Member Discounts
Montgomery County Government Acceptance Page

Summary of Benefits and Coverage
BCBS High Option - 2022
BCBS Standard Option - 2022
BCBS Indemnity - 2022


Forms 
BCBS Claims
BCBS Primary Care Physician Selection 
BCBS Coordination of Benefits
BCBS Disabled Dependent Authorizaton
BCBS Health Information Release Authorization
BSBC Health Information Release Revocation 

Phone: 1-888-417-8385
Website: www.carefirst.com

The SilverScript...

Plan Materials 

BCBS POS Brochure (Non-Medicare)