The Ohio Police & Fire Pension Fund (OP&F) continues to sponsor health care benefits to eligible benefit recipients and their dependents according to the plan design and enrollment guidelines as summarized in the Member’s Guide to Health Care Coverage. Adoption of this plan came as a result of a vote by the Board of Trustees and reaffirms their commitment to providing current and future retirees with quality health care and to develop a plan that would ensure the availability of some form of health care subsidy.

Currently, OP&F makes available medical, prescription drug, dental, vision, and long term care coverage in accordance with the Benefit Funding Policy and the OP&F Health Care Plan (only medical and Rx plans are subsidized).

The OP&F plan is being administered by United Healthcare (UHC) and all questions should be directed to UHC at 1-888-832-0964.

2019 Retiree Health Care Transition

To read the latest news on the 2019 retiree health care transition, please click HERE.

To access the 2019 health care forms please click HERE. 

Members Guide to Health Care

Member’s Guide to Healthcare Coverage for 2018

 

AARP Health Care, Supplement Insurance Plan and Subsidy

To learn more about AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company (for New York residents, UnitedHealthcare Insurance Company of New York). If you are eligible to apply as a retiree of Ohio Police Fire you will receive an AARP Medicare Supplement enrollment package in the mail.

Existing AARP Medicare Supplement plan holders can manage their account online. Label to access useful account information and services including billing and payment information, claims status, and replacement material requests.

For 2018, the AARP Medicare Supplement Plans B, F and L will see an increase in premium of approximately 6% in the state of Ohio. 

In order to assist in offsetting the premium increase for 2018, the OP&F Board of Trustees has approved an increase in the subsidy amount you will receive toward the cost of these plans. The charts below show the subsidy amount that would have applied prior to the Board’s decision, as well as the updated amounts.

2018 subsidy amounts prior to update:

 

Retiree Spouse prior to June 1986 Spouse after June 1986
$110.25 $73.50 $36.75


2018 updated subsidy amounts:
 

Retiree Spouse prior to June 1986 Spouse after June 1986
$112.44 $77.88 $43.31


NOTE: Ohio rate changes take effect January 1, 2018 therefore, the OP&F subsidy changes take effect January 1, 2018.

The OP&F Plans Include:

  1. Prescription Drug Plan (subsidizedif eligible)

OP&F provides one prescription drug plan for all eligible retirees, both non-Medicare and Medicare eligible members, unless you enroll in Medicare Part D. The Plan is managed by UnitedHealthcare and administered by OptumRx. The OP&F-sponsored prescription drug coverage allows participants to purchase medications through the mail or at retail locations.

  1. Medical Plans (subsidizedif eligible)

OP&F offers different medical plans depending on your eligibility:

  1. a) If over 65 and eligible, you will be in the AARP ® Medicare Supplement Insurance Plansinsured by UnitedHealthcare Insurance Company. With Medicare Supplement plans, you have the freedom to choose any doctor, specialist, hospital, or other provider that accepts Medicare, anywhere in the U.S. with no referral required.Click here  to learn more about If you are eligible to apply as a retiree of Ohio Police & Fire you will receive an AARP Medicare Supplement enrollment package in the mail.Existing AARP Medicare Supplement plan holders can manage their account online by visiting www.aarphealthcare.com. Click here  to access useful account information and services including billing and payment information, claims status, and replacement material requests.b) If under 65 or not eligible for AARP, you will be in the OP&F self-insured plan administered by UnitedHealthcare. Utilizing participating network providers typically will allow you to receive maximum benefits under the plan. You may choose a doctor or hospital from UnitedHealthcare’s provider listing at the time services are needed.
  2. Voluntary Dental and Vision Plans (non-subsidized)

Voluntary dental and vision coverage are separate non-subsidized plans offered as a supplement to healthcare coverage. Enrollment in these plans is offered annually or at a qualifying event to all eligible benefit recipients. These plans are offered by UnitedHealthcare as a separate plan, with a separate non-subsidized contribution amount. Routine vision and dental services are not covered under the OP&F-sponsored healthcare coverage.

  1. Long Term Care (non-subsidized)

For members who enrolled in Long Term Care through Prudential Insurance of America between June 30, 2009 and July 1, 2013 the contact information is: 1-800-732-0416.

For members enrolled in Long Term Care with Aetna prior to July 1, 2009 the contact information is: 1-800-537-8521.

www.prudential.com/gltcweb
Group Name:  ohiofund
Access Code:  opfltc

Click here to view the Fast Facts Brochure.

Annual Change Period video for 2018

Every October, OP&F holds its Annual Change Period. This is your opportunity to review your various health care coverage options and make changes for the upcoming year that may best suit your families’ needs. View the video presentation here.

2019 Annual Change Period Schedule

The 2018 Annual Change Period presentations have concluded for the year. Please check back soon for an updated schedule for 2019.

Related Forms

OP&F member health care forms can be found on the Forms page by clicking HERE.

Important Notices

CHIPRA Disclaimer

Patient Protection and Affordable Care Act (PPACA) Notice

Notice of Creditable Prescription Drug coverage

HIPAA Privacy Notice of Privacy Practices

HIPAA Privacy Notice of Financial Practices

Links to Insurance Carrier Websites

UnitedHealthcare (medical, dental and prescription drugs)

AARP Health Care

UnitedHealthcare Vision

Dental Consumer Max Multiplier Benefit

Source: Link