2022 Information for Pre-Medicare Retirees
The way you receive your retiree healthcare coverage will change beginning January 1, 2022. The intent of this transition is to maintain providing you with coverage options that are accessible, affordable, and comprehensive, and stems from our recognition of the importance of healthcare coverage.
UVA’s decision to make this change reflects two important considerations:
Since 2014, plan participation by pre-Medicare retirees has steadily decreased from 540 participants to 204 today. And, while participation in the UVA Retiree Health plan decreased, the marketplace for pre-Medicare insurance has expanded to establish additional protections for people with preexisting conditions; it also now includes required coverage of essential health benefits in individual policies, and has introduced marketplace premium and cost-sharing subsidies.
Retirees are currently paying more in monthly premiums than the COBRA equivalency rate for active employees; in short, the coverage is becoming unaffordable for some retirees, which has been voiced as a concern by pre-Medicare retirees over the past couple of years. Continuing with the existing plan would have resulted in a significant increase in premiums for 2022.
You must choose a marketplace or alternative plan because your current UVA Health and Dental Plan Retiree Group coverage for you and your covered dependents will end on December 31, 2021. The medical insurance coverage you choose will replace your existing medical coverage, and will be effective January 1, 2022, but only if you take the appropriate actions.
Actions You Should Take
- Review your enrollment guide. This information, which was mailed to you, provides you with what you need to know about your individual medical and prescription drug plan options and the enrollment process.
- Schedule your consultation with a Mercer benefits counselor. They will explain your new health insurance options and assist you with enrolling in new health insurance that best meets your needs and budget. You may schedule your consultation with a Mercer Marketplace 365+ Retiree benefits counselor in one of two ways:
- Visit the Mercer Marketplace website at any time to schedule your consultation.
- Call the contact center at 1-855-429-8822, Monday–Friday, 8:00 a.m. - 5:30 p.m ET to schedule your consultation. Deaf or hard of hearing individuals should dial 711 for Telecommunications Relay Service.
What is Mercer Marketplace
Mercer Marketplace 365+SM* Retiree, a partner of the UVA Retiree Health Benefits Program, provides access to affordable, comprehensive medical plan options for pre-Medicare and Medicare-eligible retirees. Within the new Mercer Marketplace 365+ structure, you can choose from a comprehensive menu of individual insurance plans across the country, and you can enjoy the comfort and familiarity of well-known insurance carriers that provide a variety of options.
Mercer is dedicated to simplifying healthcare insurance options and helping you feel confident that your choice meets your unique needs and budget. In the marketplace, you'll find a comprehensive menu of individual insurance plans across the country, providing you with the comfort and familiarity of well-known insurance carriers that provide a variety of options.
You can choose from:
- Medicare Supplement Plans
- Medicare Advantage Plans
- Pre-Medicare Individual Plans
- Prescription Drug Plans
How You Benefit
If you choose to contact Mercer Marketplace 365+ Retiree, you will have:
- Access to one-on-one help from a licensed Mercer Marketplace 365+ Retiree benefits counselor
- The opportunity to enroll in medical, prescription drug, dental, and vision benefits
- Multiple options to choose from and you may choose coverage that best meets your individual health needs• Access to Mercer Marketplace 365+ Retiree benefits counselors year-round to answer any benefit questions
- The potential to reduce your health insurance costs
- The ability to review your health insurance coverage annually through Mercer Marketplace 365+ Retiree
- A team of benefits counselors who will serve as your ongoing advocates.
How Does the Mercer Marketplace Differ from the Affordable Care Act Exchange?
The ACA (Affordable Care Act) Exchange is a state-based or federal government-sponsored exchange that offers health care plans from a variety of insurance carriers who are contracted with the either a state or the federal government. These plans are considered ‘On-Exchange’ plans.
Some insurance carriers offer other plans that are not offered through a state-based or the federal ACA Exchange. These plans are referred to as Off-Exchange plans.
Mercer Marketplace 365+ Retiree is a private exchange that offers Off-exchange health care plans through a variety of insurance carriers who are contracted directly with Mercer Marketplace 365+ Retiree. By working through Mercer Marketplace 365+ Retiree private exchange, individuals have the opportunity to shop and compare both On- and Off-exchange health care plans through a variety of insurance carriers. If the individuals elects to enroll in an Off-exchange plan through Mercer Marketplace 365+ Retiree, the Mercer benefits counselor will be able to assist the individual with completing the Enrollment process. If the individual elects to enroll in an On-exchange plan, in many cases the Mercer benefits counselor will be able to assist the individual with completing the enrollment process. In instances where the Mercer benefits counselor is unable to assist the individual in completing the enrollment process, the Mercer benefits counselor will be able to provide direction on what the individual will need to do to complete the enrollment process on their own.