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Retiree Health Insurance - Managerial and Professional
Yale is committed to offering comprehensive pre-and post-65 healthcare coverage to retirees and eligible dependents.
Managerial and Professional staff who retire may be eligible to receive a subsidy for part of their health insurance.
Eligibility for retiree healthcare coverage is defined as follows:
- Age 55 or greater,
- the sum of age and vested service is greater than or equal to 75 (e.g., age 55 and 20 years of vested service, or age 60 and 15 years of vested service);
- age 65 and 5 or more years of vested service
Retirees and their spouses who are not Medicare eligible at the time of retirement can continue to participate in the same medical plans as an active employee.
Retirees and their spouses eligible for Medicare (age 65 or Social Security defined disability) at the time of retirement must enroll in Medicare Parts A and B. Centers for Medicare and Medicaid Services (CMS), the federal agency that administers Medicare and issues guidelines for the program, requires timely enrollment in Medicare Parts A and B. Faculty and staff must be enrolled in Medicare Parts A and B in order to enroll in a Yale Medicare plan. Retirees can contact Social Security Administration to enroll in Medicare 90 days prior their 65th birthday, date of Medicare eligibility, or their retirement date by calling 800-772-1213 or by visiting www.ssa.gov.
Yale offers retirees and their spouses two Medicare plans:
- Aetna Medicare Extended Service Area (ESA) Open Access Preferred Provider Organization (PPO) plan:
The ESA plan allows you to see any provider who participates in the Medicare program, including Yale Health (if you were enrolled in Yale Health before retiring).; or,
- Aetna Medicare Preferred Provider Organization (PPO) plan.
The Medicare Advantage (PPO) plan provides access to in-network and out-of-network providers, except for Yale Health which is excluded from this plan’s network and cannot be accessed as an out-of-network provider.
Both Medicare advantage plans include an Aetna Medicare prescription drug plan (PDP) benefits.
The maximum subsidy for retirees and their spouses is attained with completion of 30 years of service. All subsidies are pro-rated for years of service less than 30.
Additional resources to start planning for retirement are on this page in the Financial and Benefits Planning for Retirement checklist.