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Awareness Benefits Health Options Program Materials PSERS

Step Right Up (to Your Computer) for the Health Options Program Virtual Benefits Fair!

Interested in learning more about the Health Options Program? No need to travel, just visit our virtual benefits fair at discoverhopbenefits.com.

You can learn about the available Health Options Program plans, including Medicare Supplement plans, Medicare Advantage plans, and Pre-65 plans. You’ll find lots of information from our Health Options Program partners, such as Highmark, Aetna, and Independence Blue Cross. You’ll also get an overview of all the great health benefits available to you as a PSERS retiree.

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Benefits

Benefit Info on the Go

Our vendors offer apps for your smartphone (or tablet, in some cases), so no matter where your travels take you, you’ll have easy access to all your benefits information. Visit the App Store or Google Play, and search for the app you want.

  • Optum Rx: View all your medications in one place, check the status of your orders, manage auto-refill of your prescriptions, and access your ID card.
  • MetLife US App: Access coverage details and claims, find a dentist, read reviews, and book an appointment. Get personalized estimates for dental procedures, and access your ID card.
  • EyeMed: Check your benefits, find an eye doctor, and view claims.
  • SilverSneakers GO: Get fit, stay active, and develop healthy exercise habits with this app. Use the fitness location and class finder to access virtual and in-person classes; select from 200+ SilverSneakers on-demand fitness and wellness videos.
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Health Options Program Office Hours PSERS

Sign Up Now for Your Fall 2024 Individual Phone Consultation

You can schedule a 30-minute individual telephone consultation (not a group meeting) with a representative of the Health Options Program by following the steps below:

  • Call the HOP Administration Unit at 1-800-773-7725.
  • Let the representative know you want to schedule an individual telephone consultation.
  • After you make your appointment, you’ll receive a confirmation email with the date and time.
  • As it gets closer to your appointment, you’ll receive a reminder email.
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Benefits Health Options Program

Are You Almost 65?

If you’re a PSERS retiree about to turn age 65, we’re eager to tell you about the benefits of joining the Health Options Program. We take a number of steps to make sure you understand how the program works.

1. We’ll send you a package of information from four to nine months before your 65th birthday. We mail these twice a year—in the winter for people turning age 65 during the first six months of the following year and in the spring for people turning age 65 in the second half of the year. The package contains a description of the medical and prescription drug benefits available under the Health Options Program—plus a personalized statement that has information specific to you—including your monthly premiums for all your coverage options.

2. We conduct virtual group meetings multiple times a year, where you can learn about the Health Options Program and ask questions. If you’re unable to attend a live virtual group meeting, you can watch one of the recorded sessions. The live meeting schedule is posted to our website.

3. We offer a virtual benefits fair at discoverhopbenefits.com, where you’ll get an overview of all the great health benefits available to you as a PSERS retiree. You can learn about the Health Options Program plans available to you, including Medicare Supplement plans, Medicare Advantage plans, and Pre-65 plans. You’ll also find lots of information from our Health Options Program partners, such as Highmark, Aetna, and Independence Blue Cross.

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Benefits Prescription Drugs

Are You Taking Multiple Medications? Get Assistance

The Health Options Program offers the Medication Therapy Management Program (MTMP) to help you understand how to properly take your medications and to learn about any adverse drug interactions that could occur. MTMP services help you better manage conditions by:

  • Ensuring medications are taken correctly
  • Improving medication adherence
  • Detecting potentially harmful medication uses or combinations of medications
  • Educating members and health care providers

If you or any of your dependents are eligible for the MTMP, you may receive a call from Optum Rx, the administrator for the Medicare Prescription Drug Options. Optum Rx representatives will call from 1-855-773-8254 or 1-866-352-5305. If you qualify for the program and do not opt out, you will be automatically enrolled in the program. There is no additional cost for you to enroll. 

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Benefits Health Options Program Internet Materials

How to Access Your Claims Online

If you are enrolled in the HOP Medical Plan, the Value Medical Plan, or the Pre-65 Medical Plan, you have convenient, secure access to your medical claims.

Log in to the secure Member Area section of the website to:

  • Review claims
  • Pay your bill online
  • View your personalized statement
  • Find a drug or pharmacy
  • Find coverage and compare plans
  • Request electronic EOBs

Once logged in, to access your claims, click on View medical claims in the Your HOP Tools section of your dashboard.

If you are not registered, you can create an account. Enter your member ID or SSN, your last name, ZIP or postal code, and date of birth. Then you will be prompted to select a username, password, and security questions. We take the security of our members’ information very seriously. Our website meets the stringent data security requirements of HIPAA (the Health Insurance Portability and Accountability Act of 1996).

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Benefits Health Options Program

Here’s a Sample of the VIP Treatment You Get With the Health Options Program

  • Secure Member Dashboard. Members can get personalized information about their Health Options Program coverage online. Plus, they can contact a Health Options Program customer service representative and pay their premium online.
  • No age-related premium increase. With HOP, members have the security of knowing that, as they age and use benefits more, their monthly premium is not based on their age. The Health Options Program’s premiums for the Medicare Supplement plans are set to a standard rate for age 70 and older. In comparison, many commercial plans increase their monthly premiums relative to a person’s age.
  • Age 65 discount. Once you turn 65, your monthly premium for the HOP Medical Plan—one of the medical plan options for Medicare-eligible participants—will be discounted by 15% if you enroll within the three months before or after the month in which you turn 65. As long as you remain enrolled in the HOP Medical Plan, you’ll receive a discount on your premium each year until the year in which you turn 70.
  • Premium Assistance for eligible retirees. Premium Assistance through PSERS helps pay for health coverage through the Health Options Program or another Commonwealth public school employer or district health plan. This special financial incentive through HOP is not available with a commercial program such as AARP or Blue Cross Blue Shield.

If you are eligible for Premium Assistance and enroll in either a Medicare Supplement plan or a Medicare Advantage plan through the Health Options Program, PSERS will pay up to $100 per month toward your monthly premium. The amount of the Premium Assistance benefit is determined by the Pennsylvania legislature and is subject to change. Not sure if you are eligible for Premium Assistance? Call 1-800-PSERS25 (1-800-773-7725).

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Health Options Program Internet Materials

Online Tools Make It Easy to Use Your Benefits

Our website tools make it easy for you to get answers to your questions and maximize your benefits.

  • Find a plan: Determine the medical, prescription drug, and dental and vision plan options available through the Health Options Program that are best for you. 
  • Find a drug or pharmacy: This page highlights your drug coverage and provides pharmacy locator tools and tools to help you search for drugs by name, tier, or therapeutic class.
  • Look up coverage options or premiums: Find out which plans are available where you live and their associated premiums.
  • Check out the virtual benefits fair: Explore your health care options from the comfort of home.
  • Electronic EOBs: To view your Explanation of Benefits online, log in to view your benefit statements. If you are not registered, you’ll need to create an account.
  • Get an ID card: Log in to the secure Member Area to access your member ID.
  • Pay your bill online: Make premium payments online by logging in to your Health Options Program account. To get started, log in, and click Pay My Bill to go to the payment portal. Once you are in the payment portal, you will also be able to view your statement, payment history, and balance due, or set reminders about payments. If you are not registered, you’ll need to create an account. Note: The option to pay your premium online is only available if your premium is larger than your pension. Otherwise, your premium is deducted automatically from your pension.
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Uncategorized

You Are a VIP With the Health Options Program!

Your time is valuable, and you have important things to do! That’s why the Health Options Program wants to make sure it’s as easy as possible for you to find information you need quickly.

Our secure Member Area of the website has personalized information just for you, such as:

  • Copies of your claims
  • Explanation of benefits
  • ID cards
  • A bill-paying portal (available only if your premium is larger than your pension)

You can also send a secure email to the Health Options Program using the Contact HOP Online email link!

Here’s how to access your information: 

  • Log in to the secure Member Area. If you are already registered, just sign in with your username and password. You can reset them if you’ve forgotten them.
  • Register for the secure Member Area if you haven’t already. Note that the registration page will say “Luminare Health,” the new name for Trustmark. Luminare manages our secure member website and administers our Health Options Program benefits. Only the name is new. Our benefits program will continue to be supported with the high-quality service you’ve come to expect.

Visit the Documents and Forms page for HOP Medical Plan, Value Medical Plan, and Pre-65 Medical Plan documents and forms. No need to log in to view these.

Need help? Call 1-800-PSERS25 (1-800-773-7725) to talk to a representative 8:00 a.m. to 8:00 p.m. ET, Monday–Friday. If you are calling from outside the United States, dial the exit code of the local country, then +1 717-305-7388.

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Benefits Health Health Options Program

You’re Free to Move With SilverSneakers

SilverSneakers® is more than a fitness program. It’s an opportunity to improve your health, gain confidence, and connect with your community, at no additional cost, with the HOP Medical Plan or the HOP Pre-65 Medical Plan.

SilverSneakers supports you in any way you decide to move:

In participating fitness locations

  • Thousands of participating locations1 with various amenities
  • Ability to enroll at multiple locations at any time
  • SilverSneakers classes2 designed for all levels and taught by instructors trained in senior fitness

In your community

  • Group activities and classes2 offered outside the gym
  • SilverSneakers community fitness classes, walking groups, and workshop at parks, community centers, and more
  • Events, including shared meals, holiday celebrations, and class socials

At home or on the go

  • SilverSneakers LIVE virtual classes and workshops throughout the week
  • SilverSneakers On-Demand™ fitness classes available 24/7
  • SilverSneakers GO™ mobile app with adjustable workout plans and more

Call 877-871-7020 (TTY 711) to check your eligibility or activate your account. Or get started at silversneakers.com/starthere. You can also search for fitness locations with an interactive map.

Always talk to your doctor before starting an exercise program.

1. Participating locations (PL) not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL.

2. Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer Members additional classes. Classes vary by location. SilverSneakers, SilverSneakers FLEX, and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. SilverSneakers LIVE, SilverSneakers On-Demand, and SilverSneakers GO are trademarks of Tivity Health, Inc. © 2022 Tivity Health, Inc. All rights reserved

Not registered? Sign up today for personalized information.