The Retirement Board accepted a number of modifications to the STRS Ohio Health Care Program for 2024, together with new premiums reducing the month-to-month price for 99% of present plan enrollees. In addition, the board eradicated the in-network deductible for the Aetna Medicare Plan. In 2024, Aetna will turn into the plan administrator for all enrollees, and CVS Caremark will present prescription protection. An overview of the plan modifications is offered beneath. Please look ahead to extra protection particulars in upcoming announcement letters and newsletters, in addition to in your well being care open-enrollment packet in late October.

Medical plan transitions to Aetna

• All Medical Mutual, AultCare, Paramount and Health Care Assistance Plan (HCAP) enrollees will likely be lined by Aetna in 2024. Current Aetna enrollees will stay of their present plan.
• The Aetna Medicare Plan is making a number of protection enhancements, together with a $0 in-network annual deductible and $0 copay for in-network major care doctor visits.

Pharmacy plan transitions to CVS Caremark (CVS) from Express Scripts

• All enrollees will transition to CVS; nearly all of enrollees ought to expertise no disruption to their service. Those who may even see a disruption (resembling a change to the next or decrease tier within the drug formulary) will likely be notified by mid-December.
• The CVS community consists of about 66,000 chain and impartial pharmacies, together with Kroger, and about 9,000 CVS pharmacies. (Enrollees can use any in-network pharmacy; they don’t seem to be restricted to CVS retailer areas.)
• There aren’t any modifications to the prescription annual deductible, most out-of-pocket restrict or drug tier copayments/coinsurance.
• Medicare enrollees will likely be lined by SilverScript, a Medicare Part D plan. SilverScript is an affiliate of CVS. Non-Medicare enrollees will likely be lined by CVS Caremark.

Access to Providers

Aetna’s supplier community consists of practically all of the suppliers at the moment being utilized by Medical Mutual, AultCare and Paramount enrollees. The identical is true for CVS’s community. It covers practically all ESI pharmacies at the moment being accessed.

2024 Health Care Premiums

^*Health Care Assistance Program

A complete list of medical premiums is available here.