Retiree Health Insurance

Potential Anthem Cyber-Attack Impact on Certain Retirees

On January 29, 2015, Anthem discovered that it had been the target of a cyber-attack, and the attackers gained unauthorized access to Anthem’s IT system and obtained certain personal information relating to current and prior consumers who were covered by Anthem.  If you were impacted by this cyber-attack, you should have received a letter from Anthem.  The Department of Employee Relations (DER) has posted information related to this occurrence on their website which can be found by clicking here.

Medical and Dental Benefits

The retirees that DO receive health and dental benefits through the Employes' Retirement System:

  • General City, Fire and Police.

All others need to contact their agencies to learn about their coverage:

  • Milwaukee Public Schools (Last names A-K)… 414-475-8158
  • Milwaukee Public Schools (Last names L-Z)… 414-475-8233
  • Milwaukee Area Technical College… 414-297-6504
  • Milwaukee Metropolitan Sewerage District… 414-225-2049
  • Wisconsin Center District... 414-908-6000

If your agency is covered, upon retirement you are entitled to continue the medical and dental coverage in which you were enrolled as an active employee.

General City of Milwaukee retirees are eligible to continue with City of Milwaukee group health insurance if you had at least 15 years of City service. Premiums are based on negotiated labor agreements or Common Council resolutions.

Dental benefits can be continued for 18 months through COBRA after retirement from city service, at a rate of 100% of the full premium.

Haven't Received Your New Health Insurance Card?

MEDICARE MEMBERS (including retirees, spouse, and/or dependent(s)): Only if you are new to the City’s health insurance coverage or you made changes to your plan for the new year, should you expect to receive a new health insurance card(s) by the end of December.   You should begin using your new card(s) January 1st. These cards are issued by your health insurance plan, not by ERS, so please contact them directly.

Non Medicare Members (includes retirees, spouse, and/or dependent): If you have elected or are continuing City of Milwaukee health insurance coverage for 2015 should have received a new single United Healthcare/OptumRX card to be used for both health AND prescription benefits. You should begin using your new card(s) January 1st. These cards are issued by your health insurance plan, not by ERS, so please contact them directly.

Provider Contact Numbers / Replacement IDs

To receive a replacement healthcare ID card, or any other reason please contact the appropriate carrier below:

    Carrier Phone Number
    UHC Choice 1-800-841-4901
    UHC Choice Plus 1-800-841-4901
    United Healthcare Care24 1-800-942-4746
    United Healthcare MedicareRx 1-866-465-0672
    OptumRx (Non-Medicare member) 1-800-841-4901
    Medicare 1-800-633-4227
    MetLife 1-800-942-0854
    CarePlus Dental 1-414-771-1711
    Dental Blue 1-866-589-0582

 

 

 

 

 

 

 

If you have any questions regarding your benefits, or regarding unpaid bills, or problems with service, please call your health plan above. DO NOT call the ERS office until you have contacted your health plan and are unable to arrive at a resolution. ERS will attempt to assist you to resolve your problem, but in no case will ERS attempt to change, question or provide a medical opinion. Remember to document all of your conversations with dates, times and names. We will ask you for this information when you call our office.

Coverage Changes

Generally, you may change your coverage only during the annual Open Enrollment period held in October, unless you are in an HMO and moving out of the HMO coverage area.

If you are moving and need to change your health care coverage, contact the Employes' Retirement System at 414-286-3557 (or toll free at 1-800-815-8418).

Changes made during the Fall Open Enrollment period become effective in the next calendar year. To help with your enrollment, benefits sessions are offered at various locations during Open Enrollment.  

The Sherpa Program

Sherpa is a UnitedHealthcare program that offers a designated customer service team to help enrolled cancer patients with non-clinical issues such as insurance questions and claims, while providing advocacy and empathy along the way.  Learn more here.

Pharmacy Managers

OptumRx for non-Medicare members only  (replaces Express Scripts)

  • Phone: 1-800-841-4901
  • Website: www.myuhc.com
  • Prescription drugs will have a 20% co-payment.  The minimum cost will be $4 minimum and the maximum cost will be $75 per month, per prescription.

United Healthcare MedicareRx for Medicare members only (replaces Express Scripts)

  • Phone: 1-866-465-0572
  • Website: www.uhcretiree.com
  • Prescriptions drugs will have a 20% co-payment. There is no minimum and the maximum cost will be $75 per month, per prescription.

Health Insurance Rates for Retirees for 2015

Different individuals have different rates for their health care coverage. To determine how much you may need to pay, please follow the link below that describes your situation. If you don't believe your situation is included below, please call our office to determine which set of insurance rates applies to you.

Retiree aged 65 or over         

              

Retired Fire Fighter or Sworn Fire Management, and

Retired Police Officer or Sworn Police Management, and                  

Retired General City Manager            

Retired General City Employee Under Age 65

     In Local MBCTC
     In Local 494 Electrical
     Not in Local MBCTC or Local 494 Electrical                     

Surviving Spouse                     

Early Retirement                      

Ordinary Disability Retiree        

  


Health Insurance Rates for Duty Disability Retiree, and                

           A Fire Fighter          
           A Police Officer      
            A General City Represented Employee

                    Represented by DC48; NMNR; L75; Assc of Sci. Pers; Assc of Muni Attys; L494 Mach; L61 San; TEAM; L139; ALEASP; Loc 195 Bridge Oper.; SNC; Local 510 IAM District 10; FED L494; Loc 494 Electrical (eff. 6/1/12); MBCTC (eff. 8/1/12); and Police Aides. 

             A General City Management Employee


2015 COBRA Rate Charts:


Health Insurance Rates for Retirees for 2014

Different individuals have different rates for their health care coverage. To determine how much you may need to pay, please follow the link below that describes your situation. If you don't believe your situation is included below, please call our office to determine which set of insurance rates applies to you.

Retiree aged 65 or over         

              

Retired Fire Fighter or Sworn Fire Management, and

Retired Police Officer or Sworn Police Management, and                  

Retired General City Manager            

Retired General City Employee Under Age 65

     In Local MBCTC
     In Local 494 Electrical
     Not in Local MBCTC or Local 494 Electrical                     

Surviving Spouse                     

Early Retirement                      

Ordinary Disability Retiree        

  

 

Health Insurance Rates for Duty Disability Retiree, and                

           A Fire Fighter          
           A Police Officer      
            A General City Represented Employee

                    Represented by DC48; NMNR; L75; Assc of Sci. Pers; Assc of Muni Attys; L494 Mach; L61 San; TEAM; L139; ALEASP; Loc 195 Bridge Oper.; SNC; Local 510 IAM District 10; FED L494; Loc 494 Electrical (eff. 6/1/12); MBCTC (eff. 8/1/12); and Police Aides. 

             A General City Management Employee

 

2014 COBRA Rate Charts:

 

Pharmacy Manager (Medco)

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© City of Milwaukee Employes' Retirement System, All Rights Reserved
789 North Water Street, Suite 300
Milwaukee, WI 53202
P: 414-286-3557
T:1-800-815-8418
F: 414-286-8428