Effective Through 12/31/2018
The Early Retiree Plan is available to all State retirees. It offers identical medical and prescription coverage as the 2014 Plan for active employees. The monthly premium is higher than the Value Plan, but the actual premium that you pay may be substantially reduced if you qualify for State subsidies.
The Value Plan is available only for State retirees with a retirement date on or after 10/1/08. Compared to the Early Retiree Plan, the Value Plan offers reduced medical and prescription coverage, but the monthly premium is lower.
See the Summary of Plan Descriptions (SPDs) below for detailed coverage information:
State retirees may elect one of three plans: Retiree Anchor, Retiree Anchor Plus and Retiree Value.
Retiree Anchor and Retiree Anchor Plus offer identical coverage as the Anchor and Anchor Plus plans for active employees except for three things:
- No requirement for primary care physician (PCP) coordination of care (i.e., no higher co-pay or coinsurance for visiting specialists without a PCP referral)
- No place of service tiering for imaging services (i.e., for major imaging services (CT/PET scans, MRIs), no "Covered in full after deductible if a freestanding imaging center not affiliated with a hospital group is used")
- Premium rates
See below for how the three retiree health plans compare. Visit the Glossary page for more information on key terms like coinsurance, deductible and out-of-pocket maximum.
|Document||What It Is|
|Summary of Benefits and Coverage||A brief plan outline||Retiree Anchor Plan
Retiree Anchor Plus Plan
Retiree Value Plan
HealthSource RI (HSRI)—Rhode Island's health benefits marketplace—offers 17 different plans from multiple insurance carriers. The varied plan offerings provide many options to choose from, and they may be a particularly cost-effective choice for a retiree's dependents. State subsidies are not available for coverage purchased through HSRI, but there may be income-based federal tax credits available to the purchaser of an HSRI coverage.