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Enroll in the Health Options Program

Here are a few situations when it might make sense for you to enroll in the Health Options Program:

  • Your public school employer’s coverage terminates upon retirement
  • Your public school employer does not provide health care coverage after you become eligible for Medicare
  • Your health coverage under your spouse’s employer plan terminates
  • You experience another Qualifying Event
  • The PSERS Board declares an Open Enrollment
  • Please note the following The Plans available to you will be listed in your Personalized Statement. Call the HOP Administration Unit at 1-800-PSERS25 (1-800-773-7725) with any questions.

Enrollment Periods: Option Selection Period vs. an Open Enrollment

Option Selection Period (OSP) is an annual opportunity for members who are currently enrolled in the Health Options Program to change their plan options, as applicable. OSP typically takes place in the fall.

An Open Enrollment is a special enrollment period declared by the PSERS board that allows all eligible PSERS members, including current members, to elect coverage in the Health Options Program without the need for a Qualifying Event.

Enrolling is easy. Just follow these steps:

Step 1: Review available options and costs.

The Personalized Statement that you receive from the Health Options Program shows your health care coverage options and corresponding costs. Use the Statement and the information in the Enrollment Guide for Medicare-Eligible Members and the HOP Pre-65 Medical Plan Guide, which can also be found on the Resources page, to help you choose the option that is best for you.

Step 2: Make sure you have the correct enrollment form.

The PSERS Health Options Program Application/Change Form is to be used only to enroll in one or more of the following:

  • HOP Medical Plan
  • Enhanced Medicare Rx Option
  • Basic Medicare Rx Option
  • MetLife Dental Plan
  • Value Medical Plan
  • Value Medicare Rx Option

If you want an enrollment form or information for a Medicare Advantage plan offered through the Health Options Program, you can visit the Forms page or call the HOP Administration Unit at 1-800-773-7725. To enroll in a Medicare Advantage plan, you must request and submit the correct enrollment form.

Step 3: Complete the enrollment application.

Complete the PSERS Health Options Program Application/Change Form for the plan you want to enroll in within 90 days of your desired effective date. Do not sign or submit your application more than 90 days before that date.

Step 4: Return your completed application to the HOP Administration Unit even if you are electing a Medicare Advantage plan.

All enrollment forms must be returned to:

The HOP Administration Unit
P.O. Box 1764
Lancaster, PA 17608-1764

This ensures you are enrolled in the right plan and you receive Premium Assistance, if you are eligible. Do not send any completed application forms directly to a Medicare Advantage plan.

Last modified on March 30, 2018