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2022 RETIREE Enrollment and Change Period

Retiree Enrollment & Change Period
October 15 - December 7, 2021

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.

Detailed information about this year's Enrollment and Change period is in the 2022 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.  


Quick Links

Question and Answer Schedule Enrollment and Change Resources
2022 Health and Dental Premiums Next Steps
Applications and Forms  Contact Information

2022 Retiree Enrollment and Change Presentations

Once you have read through the booklet and watched this Retiree Enrollment and Change presentation, we invite you to attend one of the online Question and Answer sessions if you still want further information.

Schedule of Question and Answer Sessions 

Presentation Slides


2022 Retiree Health and Dental Premiums

2022 Health Insurance Premiums (Non-Medicare-eligible)  
2022 Health Insurance Premiums (Medicare-eligible) 
2022 Dental Insurance

2022 SPOC Health and Dental Premiums


Enrollment and Change Resources

Iowa Choice and National Choice

  Wellmark's Guide to Your Retiree
               Health Insurance Program

Iowa Choice / National Choice Side-by-Side Comparison
 
Summary of Benefits and Coverage (SBC)
2022 Iowa Choice
2022 National Choice
 
Group Program F and Group Program N
Group Program F Summary
Group Program N Summary
 
 
 
 

 


2022 Group MedicareBlue Rx FORMULARY

How to determine your drug cost
It can be a challenge to estimate your prescription drug cost, especially if your drugs are in Tier 3, Tier 4 and Tier 5. Consider the questions below to help you determine how much you will pay for covered medicine.
• What is the name of your drug?
• What is the dosage amount you take of your drug?
• How do you take your drug? For example, is your drug in a pill form? Or is it injectable?
• What is the name of your doctor?
Once you know the answers, follow these steps to get an estimate of your drugs cost:
1. Access the 5-Tier group formulary on YourMedicareSolutions.com/GroupPlans to find out which tier your drug is on.
2. Enrolled members call Group MedicareBlue Rx Customer Service at 877-838-3827, 8 A.M.. – 8 P.M.., daily, Central time (TTY 711), and refer to the employer group for the State of Iowa, Group number 38073.
3. Ask Group MedicareBlue Rx Customer Service to run a trial claim to find out your drug costs.

Please note that this is only an estimate and the costs may change once you are enrolled. 


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)
Delta Dental Application
 
Electronic Funds Transfer (EFT) Forms
Wellmark Automatic Payment Authorization 
Group MedicareBlue Rx Automatic Payment Authorization 
Delta Dental Automatic Payment Authorization

Next Steps

You do not need to complete a new application for 2022 if you:

  • Do not want to change your current health plan in 2022.
  • Do not want to add or remove eligible family members effective January 1, 2022.

If you choose this option, your 2021 health insurance plan and coverage level will automatically continue in 2022.

Changing Your Health Plan for 2022 
If you choose to enroll in a different 2022 retiree health insurance option, the following chart can help you decide if you need to submit a new Wellmark application. Find your current 2021 health plan option on the left and follow across to see what action is required for you to choose a different option for 2022:

Do I need to Complete a New Wellmark Application?
  2022 Retiree Health Care Options
Your 2021
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?
  2022 Retiree Health Care Options
Your 2021
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 Enterprise 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 www.medicare.gov/
Senior Health Insurance Information Program (SHIIP) 800-351-4664 or shiip.iowa.gov/
 

 

Updated 10/15/2021