Non-Medicare Retiree Medical Plans
TO GET ANSWERS TO YOUR BENEFIT QUESTIONS, FIND DOCTORS/PROVIDERS AND MORE, CONTACT US AND SPEAK WITH A PERSONAL CARE COORDINATOR AT 833-740-3258.
Healthy Living Programs
As of July 1, 2023, medications prescribed for weight loss or management will only be covered if the prescribing physician is part of FlyteHealth or CT Children’s Weight Management programs.
Virtual Weight Management
FlyteHealth is a virtual medical weight loss program for those 18 and older that combines medication with lifestyle behavior to help participants improve their health. Learn MoreChildren’s Weight Management
Connecticut Children’s offers a weight management program for eligible plan members under age 18. Learn MoreDiabetes Management & Diabetes Reversal
Get help managing your A1c level with a personal health coach and remote glucose monitoring or opt into the Diabetes Reversal program that includes a low-carb nutrition plan and on-gong medical monitoring. Learn MoreDiabetes Prevention Program
A free, 12-month program focused on improving lifestyle behaviors to reduce diabetes risk. The program brings powerful education and motivating support through to your computer, smartphone or tablet. Learn MoreVirtual service available seven days per week where licensed medical professionals via video chat or can be reached by phone in under 15 minutes for assistance with acute or chronic musculoskeletal pain or joint mobility and stability issues. Learn More
Get confidential emotional support virtually with a licensed therapist. You must be at least 18 years old, or if between age 10-17, be accompanied online with a parent. A $5 copay payment is required at the time of each appointment. Learn More
The state of Connecticut has identified providers that meet the highest patient care standards for specific procedures and conditions as “Providers of Distinction”. By completing your care with a provider that is tagged as a “Provider of Distinction” in the Find Provider tool, you will receive a cash incentive in the mail. Learn More
The Health Enhancement Program (HEP) encourages retirees and their enrolled family members to take charge of their health and their health care by providing guidelines to follow for preventative and chronic care management. HEP is designed to positively impact the overall health of its participants. Learn More
Our Plans
Quality First Select Access
[Tiered POS]
State BlueCare Prime network
Retirees and their covered dependents must reside in Connecticut to choose this plan. Most in-network provider practices are located in Connecticut, with some in bordering states. This is the most affordable plan because it has the smallest network of providers. On October 1, 2024, Hartford Healthcare providers and facilities were added to this plan’s network. Referrals to specialists are not required.
Primary care Select Access
[POE PLUS]
State BlueCare network
In this plan, you save on premiums by working directly with your Primary Care Provider (PCP) to coordinate your care. Your PCP will be required to refer you to specialists in the network.
Standard access
[POE]
State BlueCare Network
This plan covers all your care within the network and does not require referrals from your PCP. Out-of-network care is only covered for emergencies.
Expanded access
[POS]
State BlueCare Network
The most expensive plan is also the most comprehensive. You can see any in-network provider with no referrals, and have up to 80% of costs covered outside the network.
OUT OF AREA [OOA]
This plan is available when you (the retiree) relocates out of Connecticut for more than 90 days. Contact the OSC Retiree Health Unit for assistance at 860-702-3533.
state preferred
The State Preferred plan is closed to new enrollment.
non-medicare retiree Plan Information
Non-Medicare Retiree Eligibility:
You must meet age and minimum service requirements to be eligible for retiree health coverage. Service requirements vary. For more about eligibility for retiree health benefits, contact the Retiree Health Insurance Unit at 860-702-3533. Eligible dependents generally include:- Your legally married spouse or civil union partner.
- Your children: Medical and dental coverage through the end of the year they turn age 26.
- Children residing with you for whom you are legal guardian (to age 18) unless proof of continued dependency is provided. Disabled children may be covered beyond age 26 for medial and dental, with proper documentation from the medical insurance carrier.
Your health coverage as an active employee does NOT automatically transfer to your coverage as a retiree. You must enroll prior to your retirement date if you want retiree health coverage for yourself and any eligible dependents. Complete the Retiree Health Enrollment/Change Form (CO-744-R) included in your retirement packet provided by your agency.
Once enrolled, you can make changes to your medical and/or dental plans, add or drop coverage for your eligible family members or enroll if you previously waived coverage during the following times:
- Qualifying Life Event
- If you have a qualifying status change, you must notify the Retiree Health Insurance Unit within 30 days after the event and submit a Retiree Health Enrollment/Change Form (CO-744-R). If the required information is not received within 30 days, you must wait until the next Open Enrollment to make the change.
- Open Enrollment
- This is your annual chance to adjust your health care benefit choices. It’s a good time to take a fresh look at the plans, consider how your and your family’s needs may have changed, and choose the best plan option for you. Open Enrollment usually takes place in May.
See medical and dental rates. If you opt out of the Health Enhancement Program (HEP), or are deemed non-compliant with the annual HEP requirements, you will not qualify for lower monthly premiums and reduced copays.
- Group 1: Retirement date prior to July 1999
- Group 2: Retirement date July 1, 1999 – May 1, 2009, and those who retired under the 2009 Retirement Incentive Plan
- Group 3: Retirement date June 1, 2009 – October 1, 2011
- Group 4: Retirement date October 2, 2011 – October 1, 2017
- Group 5: Retirement date October 2, 2017 – July 1, 2022; 25 or more years of service OR hazardous duty
- Group 6: Retirement date October 2, 2017 – July 1, 2022 (fewer than 25 years of service OR non-hazardous duty)
- Group 7: Senior Judges and Trial Referees (Not Included in Retiree Benefits, See Active Employee Benefits)
- Group 8: Retirement date August 1, 2022 or later (Hazardous Duty)
- Group 9: Retirement date August 1, 2022 or later (Non- Hazardous Duty)
Benefits Enrollment