Retiree Health Benefits for Current Retirees
The Retiree Benefits Guide is available! The Guide is a summary of health benefits offered to you and your family in retirement including the cost of benefits, comparison of plans, answers to frequently asked questions concerning coverage and supplement to Medicare plans.
If you are planning for retirement, please visit our Retiring Soon page.
Changing Your Retiree Benefit Elections
• Do you have a qualifying life event and need to make changes to your benefits? Please click here for the Retiree Benefits Change Form to submit your request. A complete Retiree Benefits Change Form must be submitted within 31 days from change/qualifying event
• All changes are effective the 1st of the following month after a complete change form has been received
As a standard condition of your retirement, the County of San Mateo requires that you or your eligible dependents enroll in Medicare Part A and Part B when you turn 65.
- 3 MONTHS BEFORE YOUR 65th BIRTHDAY - Visit your local Social Security office and enroll in Medicare Part A and Part B
- Upon Receipt of your Medicare Card: Mail the completed Kaiser Senior Advantage or Blue Shield PPO application with a copy of your new Medicare Card to the Benefits Division.
Please note: The Social Security award letter will not be accepted as proof of enrollment and the Medicare card must accompany your completed application.
Expiration of Sick Leave
When your sick leave credits that help pay for all or a portion of your retiree health benefit premiums expire, your benefit plans do not terminate. Your enrollment in those plans will continue and you will be responsible for paying the full premium cost. If you wish terminate any or all of your benefits once your sick leave expires, you will need to complete the Retiree Benefits Change form and return to the Benefits Division . If you decide to continue enrollment, you will need to complete the Electronic Funds Transfer (EFT) form and return to the Benefits Division if you do not have one on file. The full premium cost of your benefit plan(s) will be automatically deducted from your bank account of choice at the end of every month for that month’s benefits.
• Please note: all changes are effective the first of the following month from when the Benefits Division receives the Retiree Benefits Change form.
• If you are enrolled in Kaiser Senior Advantage and would like to terminate your coverage, you will need to complete the Kaiser Senior Advantage Group Disenrollment form and return to the Benefits Division along with the Retiree Benefits Change form.
What's New for 2021?
Beginning January 1, 2021, the County of San Mateo will replace the current Medicare COB (Coordination of Benefits) PPO Plan with our new Blue Shield Group Medicare Advantage with Prescription Drug (GMAPD) PPO Plan.
This plan offers PPO flexibility and freedom to see any Medicare provider nationwide including out-of-network providers that accept Medicare. You will be paying the same predictable and defined low copayments regardless if the provider is contracted with Blue Shield as long as they accept Medicare. This plan includes a NEW Vision coverage with eye exams for a $10 copay and $150 frames/lenses and contacts allowance and will give you access to gyms and fitness classes provided through the NEW SilverSneakers fitness program.
All current Blue Shield Medicare COB PPO plan members will be automatically enrolled into the new Blue Shield Medicare Advantage PPO plan on January 1, 2021.
To learn more about the new plan, view our recorded webinar, 2021 Blue Shield Medicare Advantage Plan Webinar or view our 2021 Blue Shield Medicare Advantage Plan Powerpoint.
To learn more about the VSP vision coverage that is embedded in this plan, please view our vision benefit details.