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Open Enrollment: Enrollment Instructions for Medicare Eligible Retirees

Making a Medical Plan Change

If you want to change to the Aetna MedicareSM Plan (PPO):  Call the PEBTF at 1-800-522-7279 and a Benefit Services Representative can take your enrollment information. You must call the PEBTF by Friday, November 9, 2018.

If you want to change to a Medicare HMO: Contact the Medicare HMO in your area to request an enrollment packet. The Medicare HMO telephone numbers appear below.  The enrollment form will be included in the packet.  Complete the enrollment form and mail it to the Medicare HMO postmarked by Friday, November 9, 2018. The Medicare HMO also can take your enrollment information over the telephone.

You, your spouse and any Medicare eligible dependents should each complete a separate enrollment form if each person wants to change to a Medicare HMO. You, your spouse and Medicare eligible dependents do not have to be enrolled in the same option – you may each choose your own plan.

The Medicare HMO will notify the PEBTF and SERS on your enrollment.

If you change plans: You will receive your new medical ID card in late December.  Present your new ID card to your physician after January 1, 2019.

Do not destroy your red, white and blue Medicare ID card. While you do not need to present this ID card for medical care, you should keep this card in case it is needed in the future.

Your REHP Medicare Plan Choices

  • Available throughout Pennsylvania and nationally

The Medicare HMO plans vary by region:

  • Available in Southeastern Pennsylvania region and in some areas outside Pennsylvania.
  • Available in Southcentral Pennsylvania region.
  • Available in Northeastern Pennsylvania region.
  • Available in Western Pennsylvania region.