PPO Plan Update for Medicare-Eligible Retirees & Covered Dependents

Understanding & Accessing Your New Benefits

If you are a Medicare-eligible retiree (or a covered dependent of a retiree) of Fresno Unified School District currently covered by PPO Plan A or PPO Plan B, you will be affected by a mandatory change to your current health benefits. Read on to learn more about what’s happening and how to continue using your benefits.

After an extensive review of various market options, two new PPO plans have been identified as programs that meet the JHMB’s high standards. The new Aetna Medicare Advantage PPO plan from the Joint Health Management Board and Fresno Unified School District offers additional benefits for Medicare-eligible members and Medicare-eligible dependents, including no deductibles, no out-of-pocket charges, and no co-pays in many cases. The Aetna Open Choice PPO plan, for non-Medicare-eligible dependents, resembles PPO Plan A. These plans will provide you with medical and prescription drug coverage featuring a provider network available in Fresno County and throughout most of the United States. The new plan(s) will automatically go into effect for eligible members on Saturday, July 1, 2023. We are pleased to present a program that provides a balance of quality, access, and affordability for our members.

The new Aetna Medicare Advantage PPO plan offers:

  • Provider access on a national scale
  • Customer service at a high level
  • Broad coverage with low to zero out-of-pocket expenses for members, in many cases
  • Additional services, including:
    • Transportation services
    • Meal delivery services
    • Audiology hearing aid benefits
    • Virtual behavioral health support from MDLIVE® through Aetna®

Using Your Benefits

To start using benefits, you don’t have to do anything. You’ll be automatically enrolled in the appropriate plan. The JHMB is committed to ensuring quality benefits for all its members, and to that end, the Board regularly reviews health programs that will deliver on that expectation. Great care is taken to ensure that provider access, customer service, and benefit levels all meet the high standard of quality that our members deserve.

Special Open Enrollment Session

If you want to transfer to the Kaiser Permanente Senior Advantage plan or opt out of the new plan, you must do so by Friday, April 28, 2023. Just call the Fresno Unified School District Benefits Department at 1-559-457-3520, Monday through Friday, 8 a.m. to 5 p.m. PT. If you opt out, you’ll lose all medical and prescription coverage through the Fresno Unified School District Employee Healthcare Plan. PPO Plan A and PPO Plan B will no longer be available to Medicare-eligible retirees and their dependents.

Informational Meetings Near You

Join representatives from Aetna® and the Joint Health Management Board at upcoming local, in-person meetings to learn more about your updated benefits. Invite a dependent, family member, or someone who helps you with your health care decisions to join. Reservations are required. Call 1-800-307-4830 (TTY: 711), Monday through Friday, 5 a.m. to 6 p.m. PT to RSVP or request accommodations for people with special needs.

Why You Should Attend:

  • Learn more about medical and prescription drug (Part D) coverage through the Aetna Medicare Advantage PPO plan.
  • Have your questions answered by Aetna plan specialists and Fresno Unified School
  • District Benefits Department representatives.
  • Hear helpful questions from other Fresno Unified School District retirees.
  • Enjoy complimentary refreshments and giveaways.
  • Parking is no cost to you.
Date Time Location
April 11, 2023
9 a.m.–11 a.m. PT
1 p.m.–3 p.m. PT

DoubleTree by Hilton Hotel
Fresno Convention Center
2233 Ventura Street
Fresno, CA 93721

April 12, 2023
9 a.m.–11 a.m. PT
1 p.m.–3 p.m. PT

Wyndham Garden Inn
Yosemite Airport
5090 East Clinton Way
Fresno, CA 93727

April 13, 2023
9 a.m.–11 a.m. PT
1 p.m.–3 p.m. PT
Wyndham Garden Inn
Yosemite Airport

5090 East Clinton Way
Fresno, CA 93728

Additional Member Support

Click the button to find answers to some of our most frequently asked questions, provided in our downloadable FAQ document. If you or your covered dependents have any further questions, you can call one of the numbers below to talk to a representative from Aetna or the Fresno Unified School District Benefits Department one-on-one.

Aetna®

1-800-307-4830 (TTY: 711)
Monday through Friday,
5 a.m. to 6 p.m. PT
AetnaRetireePlans.com

One-on-one support to help you with:

  • Aetna Medicare Advantage PPO plan medical and prescription drug coverage details
  • Questions about your doctors and verifying that they accept your new plan
Fresno Unified School District Benefits Department

1-559-457-3520
Monday through Friday,
8 p.m. to 5 p.m. PT
JHMBHealthConnect.com

The Fresno Unified School District Benefits Department can help you with:

  • General enrollment and eligibility questions
  • Updating your personal information

Visit AetnaRetireePlans.com to learn more about how Medicare works.

If you believe you have received this letter in error or if you do not receive additional information by mail from Aetna® or the JHMB by Friday, March 31, 2023, please email JointHealthManagementBoard@yahoo.com.

Join Our Email List

To stay informed about the upcoming changes to your coverage and benefits, please subscribe to our email notifications, and let us know your member status to receive messages tailored to you.

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