Retiree Benefits
Eligibility for insurance benefits and employer contribution Under current state law, if you were retired from or employed in a benefits-eligible position with the A&M System on Aug.31, 2003, you are eligible for the employer contribution toward your premiums as a retiree when:
- you are at least age 55 and have at least 5 years of TRS or ORP service credit or your age plus years of service equal at least 80, or you have at least 30 years of service and,
- 3 of those years of service are with the A&M System,
- the A&M System is your last state employer, and
- you have an intact TRS or ORP account. *
If you left A&M System employment before Sept. 1, 2003, but you met the above criteria as of Aug. 31, 2003, you qualify for retiree benefit coverage under these criteria. If you were hired by the A&M System in a benefits-eligible position after Aug. 31, 2003, or if you left A&M System employment before Aug. 31, 2003, and did not meet the criteria listed above as of Aug. 31, 2003, you are eligible for the employer contribution as a retiree when:
- you are at least age 65 and have at least 10 years of TRS or ORP service credit, or your age plus years of service equal at least 80 and you have 10 years of service credit, and,
- 10 of those years of service are with the A&M System, or you have a combined total of 10 or more years of service with the A&M System, UT System, and ERS and the A&M System has the most years of service, or the A&M System has the same amount of service as the other highest System and A&M is your last employer, and,
- you have an intact TRS or ORP account. *
Things to do at least 6 months before retiring for Texas A&M
The A&M Care and A&M Care 65 Plus Health Plans are administered by Blue Cross and Blue Shield of Texas. Express Scripts administers the prescription drug portion of both plans.
65 Plus Medicare Advantage Plan (PPO)
Effective January 1, 2024, Medicare-eligible retirees and Medicare-eligible dependents will transition from the 65 Plus Plan for medical coverage to a new plan, the 65 Plus Medicare Advantage Plan (PPO). Prescription coverage will continue under your same Express Scripts Medicare Part D Prescription Drug Plan. Your premiums paid to the A&M System will not change.
For coverage and benefit information, provider finder, and tools and resources, go to the TAMUS 65 Plus Medicare Advantage Plan (PPO) website.
A&M Care Plan Summary of Benefits and Coverage
A&M Care Summary Plan Description Booklet – 2023-2024 Plan Year
65 PLUS A&M Care Plan Description
A&M Care Plan Claim Form (PDF)
All formulary lists are covered by the Express Scripts Medicare Part D Prescription Drug plan.
Express Scripts Medicare Formulary List – 2024
Express Scripts Medicare Part D FAQ
Medicare Part D Creditable Coverage Notice
Medicare Information:
- Social Security and Medicare Enrollment Information
- Transitioning to 65 Plus Medicare Advantage Plan (PPO)
- Medicare Coordination of Benefits(PDF)
- Medicare Coordination FAQ(PDF)
- Medicare Website – Forms and Publications
- Medicare Part D Coordination of Benefits/Direct Claim Form
Low Income Subsidy – Qualifying for Extra Help
2024 Resource and Cost-Sharing Limits for Low-Income Subsidy (LIS)
Part D Income-Related Monthly Adjustment Amount
If your modified adjusted gross income is above a certain amount, you may pay a Part D income-related monthly adjustment amount (Part D-IRMAA). Learn more about this adjustment on the Medicare website.
Silver Sneakers – Fitness program providing various opportunities for seniors to get healthy. Retirees and spouses must be 65 or older to participate.
MDLive Virtual Visits – Available to all retirees and survivors for a $20 copay regardless of whether you are medicare primary or not.
2nd.Md – Medical second opinions about a new diagnosis, your treatment plan, a surgery, your medications or a chronic condition.
The SBA Insurance Billing Office provides billing and payment processing services for insurance premium payments for all Retirees, Survivors, Graduate Fellows, summer billing, and employees on leave.
Options:
- TRS Annuity Draft Form: This option is available to those that retire with a TRS account, and will be receiving TRS annuity. This option will have insurance premiums deducted prior to the annuity payment depositing into your account.
- ACH Draft Form: This option is available to everyone with a bank account. Your premium will be deducted from your account on the 5th business day of each month.
- Check: The final option for payment is by mailed invoices where payments are due on the 5th of each month via personal check or money order. Keep in mind, if payments are late, your insurance coverage may get canceled.
Due to mailing and processing time, the first one to two payments will be sent via mailed invoice to the address in Workday. This means the first month’s insurance payment must be sent to the System Insurance Billing Office along with your draft election form.