Retiree Health Plan

Plan Resources

• Eligibility (PDF) Opens a New Window.  
• 2023 Health Plan Rates
• Retiree Health Premium Billing Services and Payment Options (PDF) Opens a New Window.  
• Health Plan Enrollment and Change Form (PDF) Opens a New Window.  

 Pre-65 Retirees

• Pre-65 Health Plan Comparison (PDF)
• CIGNA Point-of-Service (POS) Benefit Summary (PDF)
  • POS Summary Plan Description (PDF) Opens a New Window.  Opens a New Window. 
• CIGNA Open Access Plus (OAP) Benefit Summary  (PDF)
  • OAP Summary Plan Description (PDF) Opens a New Window. 
• Cigna Health Reimbursement Account (HRA) Benefit Summary (PDF)
  • HRA Summary Plan Description (PDF)
• Davis Vision Benefit Summary (pre-65 retirees only) (PDF) Opens a New Window.  
• Delta Dental of Virginia Benefit Summary (PDF) Opens a New Window.  

Vision Benefits for Pre-65 Cigna Point of Service or Cigna Open Access Plus members

• For all Pre-65 retirees and their eligible dependents in the Cigna Point of Service or Cigna Open Access Plus health plans, your vision benefit is with Davis Vision. 
• Comprehensive annual eye exam is covered at 100% after a $15 copay with an in-network provider. 
• Provide your Davis Vision member identification card to your vision provider.

Post-65 and Medicare Eligible Disability Retirees

• CIGNA Medicare Surround Benefit Summary (PDF)
  • Medicare Surround Summary Plan Description (PDF) Opens a New Window. 
• CIGNA Medicare Prescription (PDP) Summary of Benefits (PDF)
  • PDP Summary Plan Description (PDF) Opens a New Window. 
• Cigna Vision Summary of Benefits (PDF)
  • Vision Summary Plan Description (PDF)
• Delta Dental of Virginia Benefit Summary (PDF)

Vision Benefits for Post-65 Cigna Medicare Surround members

• If you or eligible dependents are enrolled in the Post-65 Cigna Medicare Surround plan, then your vision benefits are included in your Cigna Medicare Surround plan. 
• Comprehensive annual eye exam is covered at 100% after a $30 copay. 
• Provide your Cigna Medicare Surround Insurance card to your vision provider. Please remember to provide your vision provider with your new insurance card if you transition from the Pre-65 to the Post 65 Cigna Medicare Surround Plan. This ensures claims are processed accurately and timely.

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