The Retiree Healthy Savings Plan is available to retirees and their dependents who are not yet eligible for Medicare.
The plan is an IRS-qualified high-deductible health plan, which means you can enroll in a Health Savings Account (HSA) if you meet the eligibility requirements.
Jump to: 2025 Retiree Healthy Savings Plan | 2024 Retiree Healthy Savings Plan
2025 Retiree Healthy Savings Plan
Costs
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💲 Premiums
Your share of insurance premiums is determined by a formula that considers your age and years of service at retirement and the program under which your benefits are payable. For more information about retiree insurance eligibility and premiums, visit the Retiree benefits overview webpage.
For additional details, see the SPD for this plan on the All Summary Plan Description (SPD) Documents webpage.
🩺 Covered Services
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In-Network Services
|
Out of Network Services
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**Refer to the Summary Plan Description (SPD) for additional details on allowable and eligible expenses when using an out-of-network provider.
➖ Deductible
The Retiree Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.
- Medical and Rx deductible (combined):
- In-network: $2,100/self*; $4,200/family*
- Out-of-network: $4,000/self*; $8,000/family*
*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree Health PPO Plan. Visit the glossary for details.
🧾 Out-of-Pocket Limit
The Retiree Healthy Savings Plan
has one out-of-pocket limit that combines both medical and prescription drug costs.
- Medical and Rx out-of-pocket limit (combined):
- In-network: $5,000/self*; $10,000/family*
- Out-of-network**: $8,000 or more/self; $16,000 or more/family*
*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree Health PPO Plan. Visit the glossary for details.
** Please refer to the Summary Plan Description (SPD) for additional details on allowable/eligible expenses when using an out-of-network provider.
Making the Most of Your Plan
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💊 Prescription Drugs
To estimate prescription costs, visit Express Script's prescription cost estimator tool (available Oct. 2024; exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the prescription to estimate the cost covered by the plan and the cost to you.
- Prescription drug: Retail (formulary generic, formulary brand or non-formulary brand):
- In-network: 20% after deductible
- Out-of-network**: 35% or more after deductible
- Prescription drug: Mail (formulary generic, formulary brand or non-formulary brand):
- In-network: 20% after deductible
- Out-of-network**: 35% or more after deductible
** Please refer to the Summary Plan Description (SPD) for additional details on allowable/eligible expenses when using an out-of-network provider
💳 Annual University contribution to Health Savings Account
Retirees do not receive University contributions toward an HSA, but you may set up an HSA account if you are not enrolled in another insurance plan, including Medicare. If you meet the eligibility requirements, you may contribute your own after-tax money to the HSA. Visit the understanding your HSA webpage to learn more.
🏥 Network Providers
You may choose to visit either in-network or out-of-network doctors and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.
🎗 Preventive Care and Special Health Topics
Preventive Care
Many health plans include preventive care services, such as various screenings, vaccinations and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).
Special Health Topics
Consult the following webpages for additional information on special health topics:
*In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.
2024 Retiree Healthy Savings Plan
Costs
Click on a header to expand the selection and uncover additional information.
💲 Premiums
Your share of insurance premiums is determined by a formula that considers your age and years of service at retirement and the program under which your benefits are payable. For more information about retiree insurance eligibility and premiums, visit the Retiree benefits overview webpage.
For additional details, see the SPD for this plan on the All Summary Plan Description (SPD) Documents webpage.
🩺 Covered Services
|
In-Network Services
|
Out of Network Services
|
**Refer to the Summary Plan Description (SPD) for additional details on allowable and eligible expenses when using an out-of-network provider.
➖ Deductible
The Retiree Healthy Savings Plan has one deductible that combines both medical and prescription drug costs.
- Medical and Rx deductible (combined):
- In-network: $1,875/self*; $3,750/family*
- Out-of-network: $3,500/self*; $7,000/family*
*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree Health PPO Plan. Visit the glossary for details.
🧾 Out-of-Pocket Limit
The Retiree Healthy Savings Plan
has one out-of-pocket limit that combines both medical and prescription drug costs.
- Medical and Rx out-of-pocket limit (combined):
- In-network: $3,750/self*; $7,500/family*
- Out-of-network**: $7,000 or more/self; $14,000 or more/family*
*Considerations for “self” and “family” are different for the Healthy Savings Plan than for the Retiree Health PPO Plan. Visit the glossary for details.
** Please refer to the Summary Plan Description (SPD) for additional details on allowable/eligible expenses when using an out-of-network provider.
Making the Most of Your Plan
Click on a header to expand the selection and uncover additional information.
💊 Prescription Drugs
To estimate prescription costs, visit Express Script's prescription cost estimator tool (exit UM System site) for UM System medical plans. Select the plan year and health plan you wish to review; then, select "price a medicine" and type in the medicine's name. You will be prompted to select the strength, form, quantity and frequency for the prescription to estimate the cost covered by the plan and the cost to you.
- Prescription drug: Retail (formulary generic, formulary brand or non-formulary brand):
- In-network: 20% after deductible
- Out-of-network**: 35% or more after deductible
- Prescription drug: Mail (formulary generic, formulary brand or non-formulary brand):
- In-network: 20% after deductible
- Out-of-network**: 35% or more after deductible
** Please refer to the Summary Plan Description (SPD) for additional details on allowable/eligible expenses when using an out-of-network provider
💳 Annual University contribution to Health Savings Account
Retirees do not receive University contributions toward an HSA, but you may set up an HSA account if you are not enrolled in another insurance plan, including Medicare. If you meet the eligibility requirements, you may contribute your own after-tax money to the HSA. Visit the understanding your HSA webpage to learn more.
🏥 Network Providers
You may choose to visit either in-network or out-of-network doctors and other providers. Your costs will be lower, however, when you select in-network providers. Provider directories may be accessed on the plan contacts webpage.
🎗 Preventive Care and Special Health Topics
Preventive Care
Many health plans include preventive care services, such as various screenings, vaccinations and well-woman visits, at no out-of pocket cost. Read about women's preventive healthcare or learn more about UHC's preventive care guidelines (exit UM System site).
Special Health Topics
Consult the following webpages for additional information on special health topics:
*In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.
Reviewed 2024-09-24
