LAPRA 2018/19 Benefits Guide for Retired Members

Important Points on Medicare If you are eligible for Medicare, you MUST enroll in Medicare to the full extent of your eligibility or your premium rates will be higher. Note: You must notify a LAPRA Benefits Representative if you are a retiree or family member under age 65 and have elected Medicare due to disability. Anthem Blue Cross Enrollees With the Anthem Blue Cross PPO Plan, if you or one of your covered dependents is enrolled in Medicare Parts A and/or B, the PPO plan deductible is waived for you and all of your covered dependents. You may seek care from any doctor; however, your out-of-pocket costs will be lower if your doctor accepts Medicare assignment or participates in the PPO network. If you or any of your covered dependents enroll in Medicare Part D (Prescription Drug Coverage) through a plan other than the LAPRA Anthem Blue Cross PPO or HMO (CaliforniaCare) Plan, your premium costs will be higher. You are eligible to enroll in Medicare Part D through the LAPRA Anthem Blue Cross PPO or HMO (CaliforniaCare) Plan if you are enrolled in Medicare Parts A and/or B. Kaiser Enrollees To enroll in Kaiser Senior Advantage, you must be enrolled in Medicare Parts A, B and D or B and D only and assign your benefits to Kaiser. If you or any of your covered dependents enroll in Medicare Part D (Prescription Drug Coverage) through a plan other than the LAPRA Kaiser HMO plan, your premium costs will be higher. Important! You must assign all of your Medicare benefits to Kaiser or be reclassified into an unknown or unassigned rate category which will significantly increase your cost. 10 Click here to link to the LAPRA 2018-2019 Medical & Dental Premium Rates Booklet on the LAPRA website for monthly premium rates for the LAPRA medical and dental plans.