Forever Blue - Retiree Medicare Advantage Plan

  • Forever Blue Medicare Advantage Plan

    This health insurance plan is available only to retirees & their eligible dependents (who are enrolled in Medicare Part A and Part B) having mandatory enrollment as negotiated. 

     

    Union Retirement Date Passport PPO Forever Blue
    BCSA Before 9/20/2017 Voluntary Ineligible
    BCSA On or after 9/20/2017 Ineligible Mandatory
           
    BEST Before 7/1/2021 Voluntary Ineligible
    BEST On or after 7/1/2021 Mandatory Ineligible
           
    BTF Regardless of retirement date Voluntary Ineligible
           
    Local 264 Cook Managers Before 7/1/2014 Voluntary Ineligible
    Local 264 Cook Managers On or after 7/1/2014 Ineligible Mandatory
           
    Local 264 Service Center Before 7/11/2012 Voluntary Ineligible
    Local 264 Service Center On or after 7/11/2012 Ineligible Mandatory
           
    Local 409 Before 12/21/22 Voluntary Ineligible
    Local 409 On or after 12/21/22 Mandatory Ineligible
           
    PCTEA Before 7/1/2012 Voluntary Ineligible
    PCTEA On or after 7/1/2012 Ineligible Mandatory

     

    In addition to basic insurance coverage, the plan offers added value benefits such as:

     

    $500 annual dental allowance for each enrolled participant

    $400 annual vision allowance for each enrolled participant

    No-cost gym membership at all Silver Sneakers participating facilities

    •Annual physical – Zero co-pay

    •Most immunizations– Zero co-pay (shingles shot only $7)

    •Preventative care (such as mammograms and bone density tests) – Zero co-pay

    Zero co-pay for physician visits following hospitalization or admission to an outpatient hospital facility for follow-up

    •Zero co-pay  for compression stockings

    •Zero co-pay for diabetic supplies

    •Tru Hearing benefit: Hearing aids at a cost of either $699 or $999 per device, based on the model selected by the member.

     

    Below you will find enrollment forms and a summary of the benefits for the two plans.

     

    In-Area

    Applicants whose address with Medicare is registered within one of the five counties of Western New York. 

     

    Out-of-Area 

    Applicants whose address with Medicare is registered outside of the five Western New York counties.

     

    Email or call the Benefits Office: Benefits@buffaloschools.org or 716-816-3754 to obtain an information packet and enrollment form.

     

     

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