
Contact Health Insurers
Medicare
OEA-R Report of December
2006 meeting
Contact Information:
STRS Board, January 2007
Constance
Ramser, Chair
Contributing Member
5615 West Blvd., NW
Canton, OH 44718
330-499-1326
Jeff
Chapman, Vice Chair
Retired Member
275 East Broad Street
Columbus, OH 43215
Mary Ann
Cervantes
Contributing Member
275 East Broad Street
Columbus, OH 43215
Thomas W.
Johnson
Appointed Member
275 East Broad Street
Columbus, OH 43215
Taiyia
Hayden
Contributing Member
4443 Landmark Road
Groveport, OH 43125-8924
614-830-0277
Contributing Member
275 East Broad Street
Columbus, OH 43215
513-967-8786 (or) 513-703-1197
Retired Member
45 Timberlane Drive
Chillicothe, OH 45601
740-779-1398
Mark Meuser
Contributing Member
804 Cherry Bottom Rd.
Gahanna, OH 43230
Dr. Steven
Puckett
Superintendent Representative for Dr. Susan
Tave Zellman
Ohio Departments Bldg.
25 S. Front St.
Treasurer's Appointment Appointed Member -
TBA
House & Senate Appointment Appointed Member
- TBA
More STRS contact information
here (Note: some may be outdated)
Find your state legislators
here
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This link will take you to the
ORTA website which
has listed the
health care monthly premiums for STRS retirees.
From: "Asbury, Damon" <AsburyD@strsoh.org
To: "molly janczyk" <mollyjanczyk@hotmail.com
Date: Mon, 8 May 2006 15:30:25 -0400
Molly:
I've been waiting to reply to you until I had some additional information to
help explain the estimates for health care premiums for 2007.
As you know these are still estimates at this time and subject to further
discussion. I asked Sandy Knoesel for some information about
actual premiums costs and expected costs to help prepare this response.
For a non-Medicare eligible benefit recipient with 30 years
experience:
In 2004, the total monthly cost for health care for a 30 year non-Medicare
benefit recipient was $541. Of this amount, the benefit
recipient paid a monthly premium of $135. In 2005, the total monthly cost
went to $575, and the member premium went to $144 -- a 7% increase.
In 2006, the total cost rose to $605 and the member premium was scheduled to
rise to $151 -- a 5% increase. But, the board capped the
increase to 3%, so the premium was actually $148. In 2007, based on projected
claims experience, we estimate the total cost to be $678, with
the member premium to be $170. This is 15% over the $148 the member
paid last year, or 12.5% over the $151 premium which would have been in
place if the 3% cap had not been put in place.
For a non-Medicare eligible spouse:
In 2004, the total monthly cost for health care for this spouse was $427. Of
this amount, the benefit spouse paid the full monthly premium
of $427. In 2005, the total monthly cost went to $486, and again, the spouse
paid the full premium -- a 14% increase. In 2006, the total cost
rose to $588 and the spouse premium was scheduled to rise to $588 -- a 21%
increase. But, the board capped the increase to 3%, so the premium
was actually $501. In 2007, based on projected claims experience we
estimate the total cost to be $659, with the spouse premium to be $659.
This is 32% over the $501 the spouse paid last year, but 12% over what they
would have paid if the 3% cap had not been put in place. Thus, the
spouse actually paid $1044 less last year than what the actual trend should
have cost.
So the 12% is the projected trend increase from 2007 over what the actual
trend should have been in 2006. The fact that only a 3% increase
was applied in 2006, instead of the actual 21% trend, does make the actual
out-of-pocket cost to be the estimated 32%.
The Board will be receive additional information at the May meeting concerning
possible plan design changes and the impact adverse selection
which could result in some changes to the above information.
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For Medicare A & B members, Medicare is primary for hospital (Part A) and
physician/outpatient services (Part B) with STRS paying secondary. For the
individuals that are Medicare Part B only, STRS is primary for hospital
services and Medicare Part B is primary for physician/outpatient services with
STRS paying secondary on those services.
Also, just to point out, anytime a person is eligible for Medicare and does
not enroll, the STRS Ohio benefits are reduced by the amount that Medicare
would have paid for the services.

Aetna
Basic PPO or Aetna Plus PPO
1-800-645-5677
Caremark
(Pharmacy)
1-877-827-7320
new prescription fax number for doctor
1-877-278-0328
The quickest way to have your prescription refilled is to have
your physician's office fax a new prescription directly to our
pharmacy at 1-877-278-0328 or they can call the pharmacy at
1-877-278-0347. Please make sure your physician's office includes
your name, date of birth and ID number from your insurance card on the faxed
information. Keep in mind that members cannot fax
the prescription. You must have your physician fax the prescription or it will
be invalid.
Of course, you always have the option of mailing your new prescriptions in to
the pharmacy if you prefer to the following address:
Caremark
PO Box 830070
Birmingham, AL 35283-0070
Caremark and Medicaid article
PBM Caremark Agrees
To Pay $137.5M To Settle Kickback Charges
Delta
Dental Customer and Claims Services Department
1-866-349-1286
Medical
Mutual Basic PPO or Medical Mutual Plus PPO
1-800-854-8139
STRS
VSP Vision Plan
Member Services
1-800-877-7195
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