Benefits/Retirement

*** Retirees affected by the Aetna Medicare Advantage changes in 2019 ***

Directly from the NJSHBP website:

Effective January 1, 2019, the SHBP will no longer offer Medicare Advantage (MA) plans through Horizon’s NJ DIRECT10 (PPO) or NJ DIRECT15 (PPO) plans.  Retirees previously enrolled in these plans will be automatically transferred to a corresponding Aetna Medicare Advantage PPO ESA plan.  No application is necessary and no other action is required by retirees. Affected members will receive correspondence directly from the plans.

Spouse or Partner with Different Medicare Eligibility than the Member

Retirees enrolled in one of the NJ DIRECT MA plans who have a spouse or partner who is not Medicare-eligible will move to the Aetna MA plan while the spouse/partner and/or any covered children remain in the NJ DIRECT10 or 15 plan.

Similarly, retirees who are not eligible for Medicare but have a spouse or partner who is Medicare-eligible will remain in their NJ DIRECT10 or 15 plan (along with any covered children) while the spouse/partner is transferred to the Aetna MA plan. 

These rules will also be in effect for members, spouses, or partners whose Medicare effective date is 1/1/19 or after.  Non-Medicare-eligible retirees enrolled in NJ DIRECT 10 or 15 will be transferred automatically to an Aetna MA plan once enrolled in Medicare Parts A and B.

Aetna Medicare Advantage Plans

Medicare Advantage plans, sometimes referred to as “Part C” or “MA plans,” provide Medicare Part A (inpatient hospital insurance) and Medicare Part B (outpatient medical insurance) coverage.

The Aetna MA plans offer access to providers nationwide, with the same benefits in or out of network, and no referrals required.

SHBP Medicare-eligible retirees can enroll in the following Aetna Medicare Advantage plans: Aetna Medicare Advantage PPO ESA 10;* Aetna Medicare Advantage PPO ESA 15; Aetna Medicare Advantage HMO and Aetna Medicare Advantage HMO 1525.

Resources


NJFMBA Survivor Information

NJ FMBA Survivor Information Bulletin


Health Benefits

PFRS Member Guidebook

PERS Member Guidebook

State Health Benefits Program Information for Active Employees

State Health Benefits Program Information for Retirees

Paladina Health Direct Primary Care

Dental Plans — Active Employees

Dental Plans - Retirees

Family Status Changes — Employees

Family Status Changes — Retirees

Health Benefits Coverage Continuation for Overage Children with Disabilities

Health Benefits Coverage — Enrolling as a Retiree

Health Benefits Coverage for Part-Time Employees

Health Benefits Coverage for State Intermittent Employees

Health Benefits Coverage of Children until Age 31 under Chapter 375

Health Benefit Programs and Medicare Parts A and B for Retirees

Health Benefits Retired Coverage Under Chapter 330

Termination of Employment through Resignation, Dismissal, or Layoff

 

 


 

Retirement/Pension Information

MBOS

New Jersey Division of Pension and Benefits Fact Sheets

PFRS Member Guidebook

PFRS Retirement Benefits by Membership Tier

Disability Retirement Benefits

Beneficiary Designation

Purchasing Service Credit

Pension Loans

Withdrawal From the Retirement System

Divorce, Dissolution of a Civil Union, and Your Retirement Benefits

Employment After Retirement

 

 


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