2024 OPERS Health Care Program Open Enrollment
Open enrollment for 2024 is under way and this means different things depending on whether you are a Pre-Medicare or a Medicare-eligible OPERS benefit recipient.
If you are eligible for the OPERS Health Reimbursement Arrangement (HRA) in 2024, you will receive the following:
- Personalized statement which features your 2024 monthly HRA deposit amount and premiums for the OPERS vision and dental plans
- 2024 OPERS Health Care Program Guide which provides information about eligibility for the health care program, the OPERS HRA, Medicare Requirements and the OPERS vision and dental plans.
- Vision/Dental Open Enrollment Change Form to submit if you wish to enroll, make changes to or cancel your OPERS vision and/or dental coverage
If you are not eligible for the OPERS HRA but are enrolled in the OPERS vision and/or dental plan, you will receive the following:
- Statement which includes premiums for the OPERS vision and dental plans
- 2024 OPERS Vision and Dental Plan Guide which provides information about the OPERS vision and dental plans
- Vision/Dental Open Enrollment Change Form to submit if you wish to enroll, make changes to or cancel your OPERS vision and/or dental coverage
Pre-Medicare-Eligible OPERS Benefit Recipients
Your HRA Funding Selection
- Are You Still in the Right Funding Situation? You can change your funding decision each Open Enrollment Period and your new election will take effect January 1 of the following year. Sign into your online profile and select Your Funding Decision to make changes between Nov. 1 and Dec. 15, 2023. Remember, opting in to the HRA is not the same as having medical insurance. If you are eligible for the OPERS HRA and you choose not to opt in, you are essentially turning down funds that you could use to be reimbursed for qualified medical expenses. This is not something that is deducted from your monthly pension benefit.
Your medical plan for 2024
- Review the 2024 medical and prescription drug plan details provided by your plan administrator. Depending on the administrator, you may receive this information in the mail. If not, visit the plan administrator’s website. Look for changes in premiums, plan design and prescription drug formulary. If you are enrolled in a medical plan with Via Benefits and are unsure of any changes for 2024 or have questions, reach out to Via Benefits. Or, if you are enrolled in a plan outside of Via Benefits, contact your plan administrator.
- Enrolled in a plan through Via Benefits and have questions about your coverage in 2024? Contact Via Benefits between Nov. 1 and Dec. 15, 2023. You can call Via Benefits at 1-833-939-1215 and schedule a phone appointment with a Benefits Advisor to review your medical plan details for 2024 during this time period, but an appointment is not required.
Medicare-Eligible OPERS Benefit Recipients
- Review the 2024 medical and prescription drug plan details provided by your plan administrator. Look for changes in premiums, plan design and prescription drug formulary. If you are unsure of any changes to your medical plan for 2024 or have questions, reach out to Via Benefits.
- Enrolling, making changes or canceling coverage? Contact Via Benefits between Oct. 15 and Dec. 7, 2023. You can call Via Benefits at 1-844-287-9945 and schedule a phone appointment with a Benefits Advisor to discuss your 2023 medical plan, but an appointment is not required. Selecting a Medigap plan may require medical underwriting.
Remember, you must enroll or remain enrolled in a Medicare medical plan through Via Benefits to continue receiving HRA deposits.
OPERS Vision and Dental Plans
Open enrollment is your opportunity to enroll in, cancel or change OPERS vision and/or dental coverage for yourself and any eligible dependents for 2024.
Enrolling, making changes or canceling vision or dental coverage? To terminate your OPERS coverage for 2024, you must complete and return the form within your open enrollment packet or call us no later than Dec. 15, 2023.
- If you decide that you don’t want OPERS dental and/or vision coverage in 2024, enrollment for you and your dependents will NOT automatically terminate. To terminate your OPERS coverage for 2024, you must complete and return the form within your open enrollment packet or call us no later than Dec. 15, 2023.
- If you are enrolled in a vision and/or dental plan with both OPERS and Via Benefits (or another third-party provider), take some time to review your coverage needs to determine if both plans are needed. Enrollment in the OPERS plan(s) is for the entire calendar year and cannot be changed until next year’s open enrollment.
- If you have specific questions about how much the plans pay for certain services, please visit metlife.com/opers or call 1-888-262-4874.
- No changes to your OPERS vision and dental coverage? No problem. Your enrollment will automatically continue in 2024.
Automatic Reimbursement from your HRA for OPERS Vision and/or Dental Premium(s)
For your convenience, OPERS sends a notice of your paid premiums for all those enrolled in the dental and/or vision plan(s) to the OPERS Connector for automatic reimbursement from your HRA. To view and/or update your automatic reimbursement preference, log into your account at marketplace.viabenefits.com/opers and select View Accounts under the Funds & Reimbursement section or contact Via Benefits at 1-844-287-9945.
For answers to some common questions about the OPERS Vision and Dental Plans, please see these FAQs.
OPERS Open Enrollment Education
OPERS is offering Open Enrollment webinars and in-person seminars for eligible benefit recipients. Visit the Open Enrollment 2024 Education Registration page to see a list of in-person seminar dates and times and register for an event near you. All webinars are also available as Recorded Presentations to watch at your convenience.