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Retiree Medical Benefits

Retiree Medical Benefits

Retiree Health Benefits - Medical

 
Quick Reference - Retiree Health Options
Retiree Age Plan Options Dependent Coverage Notes
Under 65 Continue YourChoice Medical Plan Dependents already enrolled on last day of employement can continue. Additional dependents may be added for a qualified life event. Health Care Spending Accounts end at retirement. Must enroll in retiree benefits before retirement to continue coverage.
65 and Older/Medicare Eligible Transamerica Medicare Supplement OR YourChoice Health Plan as a supplement to Medicare Dependents already enrolled can continue. If choosing Transamerica, dependts on on YourChoice can remain on that plan. Medicare is primary. YourChoice/Transamerica is secondary. Must be enrolled in Medicare Parts A & B. Must enroll in retiree benefits before retirement.
 
Retirees Under age 65:

Your Options:

  • Continue the YourChoice Medical Plan you had on your last day of employement.

Coverage Highlights:

  • Dependents already enrolled on your last day of employment can remain on the plan.
  • Additional dependents may be added later if a qualified life event occurs.
  • Health Care Spending Accounts end at retirement.

Important:

  • To continue benefits in retirement with Manatee YourChoice, you must enroll in your retiree benefits prior to retirement. Benefits will not continue if you do not complete the enrollment process with Employee Health Benefits.
  •  A dependent not enrolled in the County's Plan at the time of the Retiree's retirement is not eligible to enroll in the County-sponsored Transamerica Medicare Supplement (see EHB for referral to individual options) 
Retirees 65 and Older/Medicare-Eligible:

Your Options:

  • Transamerica Medicare Supplement
  • Continue YourChoice Health Plan as a supplement to Medicare (includes prescription coverage)
Coverage Highlights:
  • You can keep the YourChoice Medical Plan you had on your last day of employment.
  • If you choose Transamerica, dependents on YourChoice can remain on that plan.
  • Medicare is your primary insurance; YourChoice or Transamerica is secondary, helping cover costs Medicare does not.
  • These plans "wrap around" Medicare and pay for eligible services according to plan rules.
  • You must be enrolled in both Medicare Parts A and B to receive Transamerica plan.
Important:
  • To continue benefits in retirement with Manatee YourChoice, you must enroll in your retiree benefits prior to retirement. Benefits will not continue if you do not complete the enrollment process with Employee Health Benefits.
  • A dependent not enrolled in the County's Plan at the time of the Retiree's retirement is not eligible to enroll in the County-sponsored Transamerica Medicare Supplement (see EHB for referral to individual options) 
Need Help?
  • Baacke Insurance and Financial Services offers free consultations to help your review plan options and find coverage that fits your needs. To schedule an appointment, call (941) 907-4300.
Attention:
  • Manatee County provides Medicare eligible retirees the option of a Medicare Supplement Plan through Transamerica Insurance. This plan provides a different level of benefit for medical coverage and is at a cost lower than the YourChoice Health Plan.
  • With the implementation of health care reform measures, some retirees, depending on their age and health status, may have access to individual medical and/or dental plans that are more affordable and better aligned with their needs. Baacke Insurance and Financial Services offers free consultations to help employees and members review available plan options and find coverage that best fits your needs. To schedule an appointment, call (941) 907-4300.
  • One time opportunity to switch supplemental plans
    • A Retiree has one opportunity during their time as a retiree to re-enroll in the County's YourChoice Plan if their selection of the Manatee County supplement plan is no longer desired.
    • A Retiree eligible for Medicare as a result of age or disability must be enrolled in Medicare Parts A & B to receive any benefits under the medical plan or supplemental plans. The Retiree's County's Insurance or any other Medicare Supplement is SECONDARY to Medicare unless you or your spouse is actively at work and enrolled in an employer sponsored group medical plan. A copy of your Medicare card Parts A and B must be supplied to Employee Health Benefits.

 

Transamerica Insurance Company
  • Transamerica offers a Medicare Supplement Plan fthat helps cover eligible expenses not paid by Medicare Parts A & B.
  • Premium rates for Transamerica are, in most instances, significantly less than those for the County Health Plan.
  • Transamerica was set up to provide similar coverage to the County Health Plan but the coverage is not exactly the same. Please review the benefits and coverage for the medical plans and, to the greatest extent possible, compare the drugs you are currently taking with the prescription formulary coverage for both plans. The County's Transamerica Representative will work with you on determining the best product for you. Please contact Baacke Insurance Services at (941) 907-4300 for more information.
  • It is recommended that retirees over age 65 work with these representatives to ensure that they have all the necessary information about their health care options.
 

Important: In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty for as long as you have Part B and could have a gap in your health coverage.

3 months before the month you turn 65 2 months before the month you turn 65 1 month before the month you turn 65 The month you turn 65 1 month after you turn 65 2 months after you turn 65 3 months after you turn 65
Sign up early to avoid a delay in coverage. To get Part A (if you have to buy it) and/or Part B the month you turn 65, you must sign up during the first 3 months before the month you turn 65. If you wait until the last 4 months of your Initial Enrollment Period to sign up for Part A (if you have to buy it) and/or Part B, your coverage will be delayed.

Meet Your Benefits Specialist

Michael Horgan

Senior Health Benefits Specialist

Michael joined the Employee Health Benefits team in January 2024. He previously worked in the Human Resources field as a Retirement/FRS Consultant for five years at the University of South Florida in Tampa, and for 12 years as a Benefits Specialist at Florida State University in Tallahassee.

Michael Horgan

Marcia Polese

Retirement Benefits Specialist

Marcia Polese serves as the Retirement Benefits Specialist for the Manatee YourChoice Health Plan, where she helps employees understand and coordinate their health benefits during retirement, supports a smooth transition, and provides ongoing assistance to retirees.

Marcia Polese