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2021 RETIREE Enrollment and Change Period

October 15 - December 7, 2020

The Enrollment and Change period is the time when you can make changes to your health and dental insurance. Please use this enrollment and change period as an opportunity to review your benefits.

Detail information about the 2021 Enrollment and Change period is the 2021 Retiree Enrollment and Change booklet mailed to your home. 

 If you drop the State's Iowa Choice, National Choice, Group Program F or Group Program N for any reason, you will NOT be able to rejoin the State-sponsored retiree health insurance options at a later date. Dropping the Iowa Group MedicareBlue Rx Part D plan is not considered leaving the State's retiree health plans.  

State of Iowa Retirees Currently Enrolled in Medicare and Iowa Choice or National Choice Guaranteed Issue Right 

State of Iowa retirees who are currently enrolled in Iowa Choice or National Choice will have a change in their prescription drug benefit on January 1, 2021. Because this change in benefit may result in higher out-of-pocket costs for you in 2021, you will have a guarantee issue opportunity to purchase an individual Medicare supplement policy.
Read More>


Quick Links

Presentation Schedule  Enrollment and Change Resources
2021 Health and Dental Premiums 2021 Benefit Change for Iowa Choice and National Choice
Applications and Forms  Contact Information

2021 Retiree Enrollment and Change Presentations

To ensure your safety during the coronavirus pandemic, retiree Enrollment and Change presentations will not be held in person this year. Instead, we are offering 16 online Enrollment and Change presentations. No pre-registration is needed. To attend any meeting, just go to https://zoom.us/s/95013315954

Schedule of online presentations 

Additional information regarding the Zoom webcasts. Read More>


2021 Retiree Health and Dental Premiums

2021 Health Insurance Premiums (Non-Medicare-eligible)  
2021 Health Insurance Premiums (Medicare-eligible) 
2021 Dental Insurance

2021 SPOC Health and Dental Premiums


Enrollment and Change Resources

  2021 Group MedicareBlue Rx FORMULARY   Wellmark's Guide to Your Retiree Health Insurance Program
     
Iowa Choice and National Choice  
Iowa Choice / National Choice Side-by-Side Comparison  
   
Summary of Benefits and Coverage (SBC)  
2021 Iowa Choice  
2021 National Choice  
   
Group Program F and Group Program N  
Group Program F Summary  
Group Program N Summary  
   
   
   
   

Applications and Forms

Wellmark State of Iowa Retiree Application 
Iowa Group MedicareBlue Rx Application (for Group Program F or N)
Iowa Group MedicareBlue Rx Application (for Iowa Choice or National Choice)
Group MedicareBlue Rx Disenrollment Must be completed if you want to cancel Iowa Group MedicareBlue Rx coverage
Delta Dental Application
 
Electronic Funds Transfer (EFT) Forms
Wellmark Automatic Payment Authorization 
Group MedicareBlue Rx Automatic Payment Authorization 
Delta Dental Automatic Payment Authorization

Benefit Change for Iowa Choice and National Choice in 2021

New Prescription Drug Tier for Iowa Choice and National Choice

Beginning in 2021, Iowa Choice and National Choice will have an additional prescription drug tier. Tier 4 will have a $75 copay for a 30-day supply. 

Drugs located on Tier 4 are available in other lower-cost formulations on lower tiers of the formulary. Tier 4 drugs are the least cost-effective products within a class of drugs. Drugs providing the greatest value are available on a lower tier of the formulary and are more affordable.

  Retail
30-day Supply
Retail
90-day Supply
Mail Order
90-day Supply
Tier 1 $10 copay $30 copay $20 copay
Tier 2 $25 copay $75 copay $50 copay
Tier 3 $50 copay $150 copay $100 copay
Tier 4 $75 copay $225 copay $150 copay
Speciality  $100 (preferred) 
$200 (non-preferred)
 

 

If you are currently taking a drug which will be a Tier 4 drug in 2021, Wellmark will notify you in December.


You do not need to complete a new application for 2021 if you:

  • Do not want to change your current health plan in 2021.
  • Do not want to add or remove eligible family members effective January 1, 2021.

If you choose this option, your 2020 health insurance plan and coverage level will automatically continue in 2021.

Changing Your Health Plan for 2021 
If you choose to enroll in a different 2021 retiree health insurance option, the following chart can help you decide if you need to submit a new Wellmark application. Find your current 2020 health plan option on the left and follow across to see what action is required for you to choose a different option for 2021:  ["Complete a new application" will be linked to the Wellmark app.] 

Do I need to Complete a New Wellmark Application?
  2021 Retiree Health Care Options
Your 2020
Health Plan
Iowa Choice National Choice Group Program F Group Program N
Iowa
Choice
No action necessary Complete a new application Complete a new application Complete a new application
National Choice Complete a new application No action necessary Complete a new application Complete a new application
Group
Program F
Complete a new application Complete a new application No action necessary Complete a new application
Group
Program N
Complete a new application Complete a new application Complete a new application No action necessary

 

Currently Enrolled in Iowa Group MedicareBlue Rx ($5/$10/20%/45%/33%)
Do I need to Complete a New Group MedicareBlue Rx Application?
  2021 Retiree Health Care Options
Your 2020
Health Plan
Iowa Choice National Choice Group Program F Group Program N
Iowa
Choice
Do not need to complete an Iowa Group MedicareBlue Rx application Do not need to complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application OR
Elect an individual Medicare Part D 
Complete an Iowa Group MedicareBlue Rx application OR
Elect an individual Medicare Part D 
National
Choice
Do not need to complete an Iowa Group MedicareBlue Rx application Do not need to complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application OR
Elect an individual Medicare Part D 
Complete an Iowa Group MedicareBlue Rx application OR
Elect an individual Medicare Part D 
Group
Program F
(enrolled in Iowa Group MedicareBlue Rx)
Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application No action necessary No action necessary

Group
Program F 
(not enrolled in Iowa Group MedicareBlue Rx)

Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application if you want to enroll in the Stare's Part D plan Complete an Iowa Group MedicareBlue Rx application if you want to enroll in the Stare's Part D plan
Group
Program N
(enrolled in Iowa Group MedicareBlue Rx)
Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application No action necessary No action necessary
Group
Program N 
(not enrolled in Iowa Group MedicareBlue Rx)
Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application Complete an Iowa Group MedicareBlue Rx application if you want to enroll in the Stare's Part D plan Complete an Iowa Group MedicareBlue Rx application if you want to enroll in the Stare's Part D plan

 


 

Contact Information

Department of Administrative Services
Human Resources Division 
866-895-2464 or 
stateretirees@iowa.gov
Wellmark, Blue Cross Blue Shield of Iowa – Customer Service 800-622-0043
MedicareBlue Rx – Customer Service 877-838-3827
Medicare website  
Senior Health Insurance Information Program (SHIIP) 800-351-4664

 


Updated 10/13/2020