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Plan Materials for 2020

If you have questions about your 2020 options, please contact the applicable customer service unit, as shown below:

  • The HOP Medical Plan, Value Medical Plan or HOP Pre-65 Medical Plans: Contact the HOP Administration Unit 1-800-PSERS25 (1-800-773-7725).
  • The Medicare Advantage plans (i.e. plans administered by Aetna, Capital Blue Cross, Highmark, Keystone/Independence Blue Cross and UPMC) available under the Health Options Program: Contact the plan directly at the number shown on the Contact Us page.

Click on the links below to access and download 2020 Plan information for the Health Options Program.

PSERS Notice of Non-Discrimination and Language Assistance PDF

Notice of Nondiscrimination and Language Assistance (PDF 332 KB)

A notice describing PSERS' non-discrimination policies and information on where to get language translation assistance for reviewing Health Options Program materials.

2020 Medicare Star Rating

Medicare Star Rating

Each year, Medicare evaluates prescription drug plans and awards a star rating to each plan based on performance. The Health Options Program’s prescription drug plans have maintained a 4-star rating or better since inception, indicating that the program is highly rated in comparison to other prescription drug plans nationwide.

Materials for Medicare-Eligible Members

2020 HOP Medical for Medicare Eligible Participants Overview Thumbnail

2020 Enrollment Guide for Medicare-Eligible Members (PDF 1.72 MB)

Overview of the Health Options Program, the benefits it offers, and the type of coverage available.

Managed Care Plans Thumbnail

Managed Care Plans for Medicare-Eligible and Non-Medicare-Eligible Members

Find out which Managed Care Plans are available where you live, the benefits they offer and their rates.

Health Options Program Personalized Statement cover

Personalized Statements

During the Option Selection Period, current participants receive a personalized statement showing current coverage, available coverage for the next year, and monthly premium rates. To see your personalized statement, log in to your Member Area page.

Cover of Fall Newsletter for current Health Options Program Members

Health Options Program News (Fall 2019) (For current members) (PDF 977 KB)

  • 2020 Option Selection Period
  • Individual Appointments—Fall 2019
  • OSP Checklist

Enhanced and Basic Medicare Rx Formulary Cover

2020 Materials for the Enhanced and Basic Medicare Rx Options

  • Evidence of Coverage (PDF 2.12 MB) and an errata letter describing two changes that were made after this booklet was published.
    Overview of the 2020 Enhanced and Basic Medicare Rx Options, including how to get your Medicare prescription drug coverage through the Health Options Program, your rights and responsibilities, what is covered, and what you pay as a member of the plan.
Value Medicare Rx Formulary Cover

2020 Materials for the Value Medicare Rx Option

  • Evidence of Coverage (PDF 1.73 MB)
    Overview of the 2020 Value Medicare Rx Option, including how to get your Medicare prescription drug coverage through the Health Options Program, your rights and responsibilities, what is covered, and what you pay as a member of the plan.
MetLife Dental Flyer Cover

2020 MetLife Dental Flyer (PDF 74 KB)

Overview of the MetLife Dental Plan for Medicare-eligible Health Options Program members.

Health Options Program Application/Change Form

Application/Change Form (PDF 78 KB)

Download the Health Options Program Application/Change Form.

Materials for Pre-65 Members

HOP Medical for Pre-65 Participants Overview Cover Thumbnail

2020 HOP Pre-65 Medical Plan Guide (PDF 1.50 MB)

Overview of the HOP Pre-65 Medical Plan and the benefits it offers for pre-65 participants.

Health Options Program Personalized Statement cover

Personalized Statements

During the Option Selection Period, current participants receive a personalized statement showing current coverage, available coverage for the next year, and monthly premium rates. To see your personalized statement, log in to your Member Area page.

Health Options Program Pre-65 Medical Plan Critical Care Drugs List

2020 HOP Pre-65 Medical Plan Critical Care Drugs List (PDF 82KB)

Critical Care Drugs are specific high-cost brand-name drugs with no generic equivalent in their therapeutic class that are used to treat serious conditions. The list of Critical Care Drugs is updated every calendar year but does not change during the year.

Last modified November 15, 2019