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Forever Blue - Retiree Medicare Advantage Plan
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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.
Related Files
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Acupuncture Massage Therapy Reimbursement Form
CL024_MA2022AcupunctureMassageThereapyReimbursementForm_WNY_v3.pdf 94.92 KB (Last Modified on October 11, 2022)