Retiree Open Enrollment

Open Enrollment for 2025 Has Ended  

2025 Retiree Open Enrollment 
 October 15-December 7, 2024

We are pleased to announce that the benefits open enrollment period for retirees is now open. This is your once-a-year opportunity to enroll in new benefits, confirm existing benefits, or make changes. 

Please note that if you do not enroll or make changes during open enrollment, you cannot make changes to your benefit elections unless you experience a qualifying life event. 

We encourage you to take advantage of this opportunity to review your benefits and make any necessary changes. If you have any questions or need assistance with the process, please contact Department of Administrative Services, Human Resources Enterprise - 866-895-2464 or stateretirees@iowa.gov

2025 Retiree Open Enrollment Booklet

Is your Step-by-Step Guide to Open Enrollment. 

2025 Open Enrollment Booklet for State of Iowa Retirees

(This booklet was also mailed to your home)

 

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ATTENTION: 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 Group MedicareBlue Rx for Iowa Part D plan is not considered leaving the State's retiree health plans.  

2025 Retiree Enrollment and Change Presentations

Review the 2025 Retiree Enrollment and Change booklet.  If you still need further information, we invite you to attend one of the online Question and Answer sessions.

Schedule for Question and Answer Sessions 

Retiree Enrollment and Change Presentation Slides 

Retiree Enrollment and Change Recording - Passcode: 2025RetireeE&C

Please note:  We no longer hold in-person Retiree presentations.

Retiree Health & Dental Premiums

2025 Group MedicareBlue Rx FORMULARY

Drug List

Star Rating 

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  

Retiree Applications

Wellmark State of Iowa Retiree Application

Group MedicareBlue Rx for Iowa Application  (for Group Program F or N)

Group MedicareBlue Rx for Iowa Application (for Iowa Choice/National Choice) 

Delta Dental Application  

Electronic Funds Transfer (EFT) Forms

Wellmark Automatic Payment Authorization

Group MedicareBlue Rx for Iowa Automatic Payment Authorization  

Delta Dental Automatic Payment Authorization 

Next Steps

Benefit Highlights

• A new dental plan feature has been added for 2025. Check-Up Plus will promote preventive care and save on costs over the long term, with diagnostic and preventive services not counting toward your annual benefit maximum.  This program is provided at no additional cost to you and is automatically provided as part of your dental coverage.
• MedicareBlue Rx, Prescription Drug Program, (PDP), effective 1/1/25 there will be a $2000 out of pocket maximum for prescriptions covered by the formulary.

You do not need to complete a new application for 2025 if you:

• Do not want to change your current health plan in 2025.
• Do not want to add or remove eligible family members effective January 1, 2025.

If you choose this option, your 2024 health insurance plan and coverage level will automatically continue in 2025.

Changing Your Health Plan for 2025 
If you choose to enroll in a different 2025 retiree health insurance option, the following chart can help you decide if you need to submit a new Wellmark application. Find your current 2024 health plan option on the left and follow across to see what action is required for you to choose a different option for 2025:

Do I need to Complete a New Wellmark Application?

Do I need to Complete a Group MedicareBlue Rx for Iowa Application?

Contact Information  

• Department of Administrative Services, Human Resources Enterprise - 866-895-2464 or send an email to: 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/