Drawing on years of experience and thousands of employees served, experts use historical trends to guide health care plans. She has been helping people navigate through the Medicare process in addition to helping with other areas, such as financial products and life insurance needs. Make sure youre doing whats best for you in retirement! Since Aetna MAPD PPO is a type of Medicare, you must continue to pay your federal Medicare Parts A and B premiums in order to enroll and remain enrolled in TRAIL MAPD. Your insurance coverage will automatically continue as it is in 2022. A $10 copayment is required for eye exams, spectacle lenses and standard frames. This enrollment period is open for Medicare-eligibleretirees, survivors, and theirdependentsto change their elections, or for anyone who previously waived or canceled coverage to re-enroll. 1013 0 obj <> endobj Doyle Rowe LTD provides a full range of health plan counseling and administrative services to more than 250,000 active and retired members of IMRF. H6q>0 only), Print an Insurance Premium Confirmation Letter, Confidential Information Release Authorization Form, Post-Retirement Days Worked Form (for July 1, 2015 June 30, 2016), Post-Retirement Days Worked Form (for July 1, 2013 June 30, 2014), Post-Retirement Days Worked Form (for July 1, 2014 June 30, 2015), Post-Retirement Days Worked Form (for July 1, 2016 June 30, 2017), Post-Retirement Days Worked Form (for July 1, 2017 June 30, 2018), Post-Retirement Days Worked Form (for July 1, 2018 - June 30, 2019), Post-Retirement Days Worked Form (for July 1, 2019 - June 30, 2020), CURRENT - Teachers' Retirement Insurance Program (TRIP) Summary: July 1, 2022 - June 30, 2023, CURRENT: Effective Jan. 1, 2023 - Dec. 31, 2023 - Total Retiree Advantage Illinois (TRAIL) Summary, Fiscal Year 2020 Annual Financial Report Summary, Fiscal Year 2021 Annual Financial Report Summary, Fiscal Year 2022 Annual Financial Report Summary, Fiscal Year 2023 Benefit Choice booklet (May 1 - May 31, 2022), Information Bulletin 79: Retiree Return to Work Program. please contact Teachers' Retirement System of the State of Illinois at 877-927-5877. To request a change in your life insurance coverage, members must go online atMyBenefits.illinois.govand follow the instructions. Welcome to your Medicare plan A suite of benefits just for State of Illinois retirees. An important notice for charter school employees and inactive members: Be aware that school districts have different rules for providing insurance coverage to active members and retired members, and your district may or may not provide you with insurance benefits in retirement. Please make an appointment so that we are prepared for your counseling session. The TRAIL Medicare Advantage Open Enrollment Period for the 2023 plan year was November 1 - November 30. In order to be covered, the service must be considered medically necessary and in certain cases, meet Medicare guidelines for approval. The Teachers Retirement System of the State of Illinois was created by the Illinois General Assembly in 1939 for the purpose of providing retirement annuities, survivors and disability benefits for PK-12 public school educators outside of the City of Chicago. Each plan participant has a maximum dental benefit of $2,000. We suspect the TRIP program got rid of its top-notch coverage and found significant cost savings by switching to a private Medicare Advantage program. 2022 TRIP TRAIL Plan Administrators. IMPORTANT: You must contact the MyBenefits Service Center (toll-free) 844-251-1777 if you want to add a dependent not enrolled in Medicare Parts A and B. You dont need any pre-approvals with a Medicare Supplement. Note: If you cancel your TRIP TRAIL MAPD coverage, medical and prescription drug coverage for you and your enrolled dependents will end. Your insurance plan can override your doctors recommendations in the interest of saving money. She was all of the following - friendly, professional, approachable, and knowledgeable. If you do meet with a Sams/Hockaday, we will ask for more information on the benefits offered to you for a fair comparison of your options. The Aetna health benefits plans offered by the State of Illinois provide you with tools, tips, programs and services such as: Large national network of doctors and hospitals In network lab benefits Worldwide emergency care coverage Access to online and mobile tools Plan documents Click on each Aetna plan name below to learn more. Before you select a plan, be sure to check the plans directory to see if your preferred providers are in the network for the plan that you intend to choose. This increased benefit continues until the next annual increase of3 percent is applied. Tier II members are public educators that started employment in a position covered by an Illinois public pension plan on or after January 1, 2011. Note: When thinking about coverage, you should always consider the needs of your spouse and/or dependent children in the event that you should predecease them. 100% Coverage On Standard Progressive Lenses 20-25% saving on non-covered lens enhancements such as anti-reflective and UV coating Single Vision, Lined Bifocal, and Lined Trifocal Lenses Medicare Advantage TRAIL Program Since 2014, the state has administered a Medicare Advantage Program called TRAIL for annuitants and survivors Some programs offer additional benefits of vision, dental and life insurance coverage. Please confirm your TRS plan options and benefits. If you want to maintain your current TRAIL coverage, you dont have to do anything. We don't just sell insurance - we're there to assist you with the claims process, which can be complicated and confusing. Lets call teachers what they are public servants that shape our communities. In Macon County, you have the following choices for the 2021 benefit year: If Medicare is your primary and you choose an HMO or an OAP, your monthly premium is $112.89. The standard base premium in 2019 is $135.50/month. Dental Plans That Fit Your Budget: While this may be in the best interest of the states budget, that doesnt mean its in the best interest of our states teachers. In the Open Access Plan, youll have access to several tiers of coverage, allowing you to pick from in-network and out-of-network providers with differing costs. Please confirm your TRS plan options and benefits. Tier 1 Retired | Teachers' Retirement System of the State of Illinois Employer Jan. 1 following your first anniversary in retirement or Jan. 1 following the date you reach age 61. Medicare Advantage. A Statement of Health application is available by contacting Minnesota Life at 888-202-5525, or by downloading the form atMyBenefits.illinois.gov. You will gain access immediately after setting up the account and logging in. This guide linked below will show you how to enroll through the MyBenefits website atMyBenefits.illinois.gov. Employees are currently divided into either Tier I or Tier II based on their hire dates. A Medicare Advantage Prescription Drug (MAPD) plan through TRAIL isnt your only option. As a newly-eligible participant in the TRAIL MAPD Program, you: MUST enroll in the TRAIL MAPD health plan during your enrollment period, via MyBenefits.illinois.gov or by calling the MyBenefits Service Center (toll-free) 844-251-1777. All other claims for your healthcare services (including prescription drugs) should be sent to your MAPD plan administrator for processing and benefit determinations. Illinois contains one of the largest teacher employee benefit programs in the country, providing the nearly 130,000 teachers in the state with not only a state pension retirement system, but extensive health insurance benefits as well. Please reach out to us here at Sams/Hockaday. So many just get used to having the same insurance. In any case, the drug coverage offered through TRAIL looks really great to us, and it could be a lifesaver for those who take a rare, very expensive medication. Note: If you cancel your TRIP TRAIL MAPD coverage, medical and prescription drug coverage for you and your enrolled dependents will end. Beginning January 1, 2023, Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan will replace your current plan. endstream endobj startxref Association Member Benefits Advisors (AMBA) knows insurance. The TRAIL MAPD health plan is offered by Aetna. State Government Suggestion Award Board (SGSAB), College Insurance Program (CIP) Benefit Plans, Local Government Health Plan (LGHP) Benefit Plans, Total Retiree Advantage Illinois (TRAIL) Program, TRIP Plan Year 2022 Fall Open Enrollment Materials, Prescription Drug Coverage with the TRAIL MAPD Program, Register, Become a Vendor & State Government. Its important to enroll in both Parts A and B during this window to avoid any late penalties down the road. Medicare Advantage plans are required to cover all services covered by Original Medicare. In 2014, the program changed to only offer a few Medicare Advantage plans. You should contact your local benefits coordinator for Medigap options. All Illinois counties have an HMO, OAP, and TCHP option.. Informational seminars will be held virtually this year to give eligible retirees and survivors an opportunity to learn about the Total Retiree Advantage Illinois (TRAIL) Program. Total Retiree Advantage Illinois insurance to eligible members under the Teachers' Retirement System (TRS) who retired from an eligible K12 Illinois school district. For the 2022-23 school year, the post-retirement limitations will revert to 120 days or 600 hours. This increases your monthly benefit and is not a retroactive lump-sum payment. Patty Gogerty has been with Sams/Hockaday &Associates for over 30 years. However, the Medicare Advantage plans offered through TRAIL do have a unique benefit structure with a lower out-of-pocket maximum than other MA plans offered. We prefer the simplicity and depth-of-coverage Medicare Supplements offer seniors. Last Updated 04/22/2022. Can I enroll my spouse at the time that I enroll myself? Medical underwriting will be required to add or increase Member Optional Life and to add Spouse Life coverage. Please visit the Total Retiree Advantage Illinois (TRAIL) Programpage for the latest TRAIL news at:MyBenefits.illinois.gov. Use your EyeMed card for all routine vision care. Advantage Illinois (TRAIL). This is essentially a few Medicare Advantage plans you can choose from. If we do not have a Beneficiary Designation form on file and no dependent beneficiary survives you, we will pay the death benefits to your estate. Retired teachers were confused and didnt understand was this a positive change, or were the benefits they grew to know and love in jeopardy? To qualify, you must have held an eligible public safety position and reached full retirement age when you: For additional details, including what positions meet the IRS definition of a public safety position, see IRS publication 575, Pension and Annuity Income, at www.irs.gov or talk with your tax advisor. The percentage of the premium that you pay as a retiree may remain the same or even go down. If you add a non-Medicare dependent, you will be ineligible to enroll in a TRAIL MAPD plan. If you do not want TRAIL MAPD coverage or do not enroll in the Aetna MAPD PPO plan, you will be waived from TRIPs coverage. However, here in Decatur, there are fewer options, and you may discover your favorite doctor is not in your network. TRS allows for an unreduced retirement annuity with the following: TRS Tier 2 requires age 67 and 10 years of service. The Teachers Retirement System in Illinois provides retirement, death, and disability benefits for all licensed educators employed in Illinois public schools outside of the City of Chicago.. Office: Sams/Hockaday & Associates 122 W. Prairie Ave, #201 Decatur, Illinois 62523. We know of many teachers who spend their own money on classroom supplies and decorations because they arent given enough to make it happen. He could go to the VA hospital in Jacksonville if the TRIP option left him hanging. Current covered employee contributions are 9% of creditable earnings salary. As you can see, the Medicare Advantage options offered for retired teachers are not low or $0 premium they cost $112.89 per month for 2021. You can find a chart that details Part B and D premiums by income here. %PDF-1.6 % If your residential or mailing address changes, you must notifybothyour retirement system and the Social Security Administration in writing as quickly as possible. Elect to re-enroll in coverage. While the benefits offered through TRAIL are better than options offered to anyone eligible for Medicare, they simply do not compare to a Medicare Supplement. Teachers deserve better, and we want to make sure youre doing whats best for you in retirement. Dont Miss: Chartered Retirement Plans Specialist Crps. Pat Quinn took out more debt to make the 2010 and 2011 budgets balance . When we understand this history, it makes sense that the Illinois government would be looking for ways to save money. MA plans have deductibles, copays, coinsurance, and most importantly, provider networks. Combining school districts knowledge of what is important to their teachers with UnitedHealthcares experience helps to make informed decisions and create tailored plans. Illinois hasnt had a balanced budget since 2001. Elect to re-enroll in coverage. If your school district is not listed in the Retired Municipal Teachers Program , your health care coverage after retirement will be administered by your local employer. That fund provides each member with a guaranteed lifetime annuity upon retirement, regardless of how much the member and employer contributed to the trust fund for that member. the RMT program, you will be required to enroll in Medicare, if eligible you should then apply for Medigap coverage through the Group Insurance Commission. (TRAIL) Medicare Advantage * CMS, July 2020 18,100* PPO (Teachers Choice) HMO Contact schools offering teacher education/certification programs in Illinois. In 2014, the program changed to only offer a few Medicare Advantage plans. Yes, as an active TRS member, you are required to contribute 9.0 percent of your gross earnings toward retirement each year. Let's get started! There are annual Benefits Choice Periods during which new retirees will transition from TRIP into a TRAIL Medicare Advantage plan. Medicare and Medicare Supplements do not have networks, and you can see any provider that accepts Medicare. At retirement, we will send information to members who qualify for the plan. Perhaps what we all took for granted was freedom of choice. Plan G, for example, requires you to pay the Medicare Part B deductible, which is $198 in 2020. You may or may not have to choose a primary care physician, but referrals usually arent necessary. Dependent beneficiaries can be enrolled in the program at an additional cost and will have the same health plan as the benefit recipient. AND. The Illinois Department of Central Management Services administers all employee benefits to public school teachers, including health insurance. You may enroll in TRIP coverage, but your premium will be based onthe Age 65 Not Medicare Primary rate. Retired members are eligible for the Total Retiree Advantage Illinois (TRAIL) Program if they are enrolled in Medicare Parts A & B. This program provides Medicare-eligible members and their covered dependents comprehensive medical and prescription drug coverage through TRAIL Medicare Advantage Prescription Drug (commonly referred to as an MAPD) plan. All members and enrolled dependents have the same vision coverage regardless of the healthplan selected. By 2010, Illinois had the worst credit rating out of any state in our country. Any Required and supporting documentation you may have, may be uploaded online, or faxed (toll-free) 844-676-1725. At retirement, we will send information to members who qualify for the plan. Its no secret the state of Illinois is in financial trouble and has been for decades. As an Illinois teacher, your employee benefits will better prepare for your future retirement and current health needs. You can select your benefits through the State of Illinois MyBenefits website. Retired teachers were confused and didnt understand was this a positive change, or were the benefits they grew to know and love in jeopardy? Vision coverage through EyeMed is provided at no additional cost to members enrolled in any of the TRAILMAPD plans. Jan. 1 following the date you reachage 61. Copayment, coinsurance and deductible payments for the services listed below apply to the out-of-pocket maximum for the plan year (effective July 1, 2023 - June 30, 2024). The standard Medicare Part B premium in 2007 is $93.50/month. $117.27. TRS contributions and benefits have fluctuated over the years. If you add a non-Medicare dependent, you will be ineligible to enroll in a TRAIL MAPD plan. While you do have to purchase a separate drug plan, you have the advantage of choosing one that fits your needs. The Tier status of an employee impacts retirement eligibility: You May Like: Things To Do When You Retire Book. Springfield, Illinois 62702. TRIP stands for Teachers Retirement Insurance Program. TRIP stands for Teachers' Retirement Insurance Program. It will cost you nothing at 65. First health insurance program established 1990: Part-time/Substitute teachers join TRS 1990: 3% Compounded COLA (SS COLA 5.4%) . While this may be in the best interest of the states budget, that doesnt mean its in the best interest of our states teachers. As long as you or a spouse has worked at least 10 years in your life here in the U.S and paid FICA taxes during those years, your Part A is already paid up. Contact us: [emailprotected], Dave Urbanek, with Illinois teachers retirement system, discusses surge in teaching retirements, Illinois Teachers Retirement System Report to the IEA. Please check with your local benefits coordinator or the Group Insurance Commission to see if you are required to switch to Medicare upon becoming eligible.). During Your TRAIL MAPD Enrollment Period You May: Elect to cancel your coverage. No need to enroll, unless you have a change, or wish to opt-out of the plan. Retirees and annuitants who have over 20 years of service, as well as survivors whose annuity is based on the death of an employee who had 20 years or more of creditable service, receive their healthcare coverage premium-free through the State. Your dependent beneficiary would be $391.07. These lower costs are found in the Open Enrollment Decision Guide. In order to join TRIP, you must be receiving a monthly benefit from TRS and have at least eight years of creditable service. Learn more about becoming a teacher. Coventry Advantra HMO (An Aetna Company) Health Alliance MAPD HMO. Teachers' Retirement Insurance Program (TRIP) Handbook. However, we can certainly speculate and make educated guesses. If youve determined you qualify for this deduction and want IMRF to deduct your premiums from your pension payment and pay your insurer directly, you will need to complete one of the following forms: If you are continuing your health insurance coverage through your employer after retirement and you want to have your premium costs deducted directly from your monthly pension, complete a Health Insurance Continuation Through Employer Premium Deduction Authorization form and return it to your employer. Retirees who enroll in this coverage get their health benefits, medications and behavioral health coverage from the plan. In 2008 and 2009, Illinois faced spikes in pension contributions, and Gov. TRS Long-term Finances Are Stable Despite "Challenging" Year Despite several "challenges" that continue to shake the economy and the investment Keep Reading TRS Certifies $6.04 Billion State Contribution for Fiscal Year 2024 Insurance includes health, dental and prescription coverage. Health Alliance Medicare HMO Rx 40 Drug Coverage. The annual plan year deductible for dental coverage for the 2022plan year (January 1, through December 31, 2022) is $100 per participant per plan year. You can only be in one Medicare Advantage or Medicare Part D (prescription drug) plan at a time. Health Maintenance Organization PlanIn the HMO plan, you must select a primary care physician from a network of providers to act as your health guide. Medicare at 1-800-633-4227 or by visiting www.medicare.gov to ask questions about Medicare Parts A and B. Active and inactive members are not eligible. For an overview of the benefits we administer and answers to many benefit questions, please consult either the Tier 1 Member Guide or Tier 2 Member Guide online. Your primary care physician will direct all of your healthcare needs, from advice on hospital services to specialist referrals. Some are HMO-based plans while others have a PPO network. Benefit recipients and all dependent beneficiaries who are eligible for Medicare Parts A & B must enroll in the TRAIL Medicare Advantage Program. Until then, the program always resembled a Medicare Supplement Plan F, which represents no deductibles, no copays, and no coinsurance for all Medicare-approved charges. TRS pays on the first of the month for the prior month. It ends 3 months after your 65th birthday month. Retired or disabled public safety employees are eligible to take a tax deduction of up to $3,000 on their federal income tax return for health insurance or long term care insurance premiums. The program offers two types of plans: standard plans and Medicare Advantage plans. As a TRIP member, who is newly-eligible for enrollment in the TRAIL MAPD health plan, this is your opportunity to enroll in the Aetna MAPD PPO Plan. The four groups include State employees and retired State employees; retired community college employees . The Teachers' Retirement Insurance Program (TRIP) offers its members a healthcare program called Total Retiree Advantage Illinois (TRAIL). Illinois Department of Central Management Services Bureau of Benefits Teachers' Retirement Insurance Program FY2023 TRIP Rates FY2023 TRIP Rates * You must enroll in both Medicare Parts A and B to qualify for the lower premiums. You will not need to enroll in Medicare Part D because your TRAIL Medicare Advantage plan already includes this coverage. The contribution rate for the first 10 years of service were $5/year, the next 5 years were $10/year and the next 10 years were $30/year. 2815 West Washington Street 0 Its no secret the state of Illinois is in financial trouble and has been for decades. Prior to February 1, 2014, retired teachers enjoyed a program that resembled a Medicare Supplement Plan F. None of us can say with absolute certainty why TRS decided to change its Medicare program to only offer Medicare Advantage plans. This page includes the contribution rates, a description of benefits offered for the Aetna MAPD PPO, and a list of No-Cost Benefits from the plan. Re-enrollment is allowed for TRIP members throughout the plan year with coverage effective the first of the month following your enrollment request or during your annual TRAIL MAPD Enrollment Period. TRS contributions and benefits have fluctuated over the years. business-member-directory-association-of-california.jpeg, Chartered Retirement Plans Specialist Crps, Jp Morgan Chase Retirement Plan Administration, Health Insurance Continuation Through Employer Premium Deduction Authorization, teacher education/certification programs in Illinois, State Teachers Retirement System Of Ohio Annual Report, What Type Of Retirement Plan Is Tiaa Cref, Public Employees Retirement System Sacramento. Zion Workshop January 4, 2021 1 . Retired members in theTeachers' Retirement System of the State of Illinois collect a lifetime monthly retirement benefit. Prescription Drug (MAPD) plan, you and your eligible dependents must: Live in the United States or the U.S. Some services have limits to how often they can be obtained. TRIP Medicare Advantage Prescription Drug (MAPD) Plan Monthly Rates for 2017. Select the document to upload. The local insurance program will then serve as a supplement to Medicare. The plan offered through the TRAIL Program is a Medicare Advantage plan which includes prescription drug coverage. 2815 West Washington Street Springfield, Illinois 62702. For more complete benefit information regarding TRAIL and the health plan benefits with your new Aetna MAPD PPO plan, please review your: Starting January 1, 2023, many of these retirees will have a new Aetna Medicare Advantage plan with prescription drug coverage. TRAIL Medicare Advantage Prescription Drug (MAPD) Medical Contributions TRAIL MAPD Plan Monthly Contributions Effective January 1, 2022 To better prepare for your Medicare Enrollment, click here to review this Medicare Checklist: Open Enrollment (OE): an annual enrollment period held in the fall of each year. TRAIL stands for Total Retiree Advantage Illinois (TRAIL). You may re-enroll in medical/prescription drug coverage if you previously canceled coverage. If you enroll in Medicare, you may want to obtain Medigap insurance to supplement Medicares coverage. The TRS Benefit Report is available online by signing into your secure member account . Remaining in your current TRIP health plan is not an option. The State of Illinois offers health care benefits to more than 150,000 retirees. One of the benefits available to retired teachers is TRAIL, or the Total Retiree Advantage Illinois (TRAIL) Program. The Aetna MAPD PPO Plan is available throughout Illinois and nationwide. Jerry Birkeys wife, one of our clients, was diagnosed with cancer in June of 2016. Youll receive this newsletter three times a year via email or mail. TRS members with at least five years of service with a qualified state of Illinois agency may be eligible for benefit options under the State of Illinois Group Insurance Plan. TRS pays two death benefits: a refund of your accumulated contributions and survivor benefits. Your feedback is very important to us. IMPORTANT:You must contact the MyBenefits Service Center (toll-free) 844-251-1777 if you want to add a dependent not enrolled in Medicare Parts A and B. If you prefer to reach us by telephone, call our toll-free number, 877-927-5877 , from 8:30 a.m. to 4:30 p.m., Monday Friday.In addition to these services, youll find a wide variety of information in the Topics & Report newsletters about legislation impacting TRS, benefit topics and current events. All members are required to pay a premium for dental and dependent coverage. Members need to take their original Medicare cards instead of the MAPD cards to have the booster shot administered. However, we can certainly speculate and make educated guesses. If youve seen how health care costs are rising in this country, its normal to feel a sense of worry when you consider how the cost could affect you and your family. Illinois Teachers' Retirement System - trsil.org 1 What's Happening to our TRS Pension? 2024 Summary of Benefits and Coverage. She is a member of the Forbes Finance Council and frequently writes about Medicare, retirement, and personal finance. For members who are newly eligible for Medicare,you will havetwo opportunities for enrollment: Initial Enrollment (IE): which isoffered to all Medicare-eligible retirees and their Medicare-eligibledependents within 60-days of the 65th birthday (of the youngest enrollee). Medicare Supplements do not offer drug coverage, so you will need to purchase a separate Medicare Part D drug plan. You must provide proof of Medicare ineligibility from the SSA. 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