U.S. Retirees 2019 Health Care Guide for Annual Enrollment
Welcome to Annual Enrollment for your 2019 health care coverage. This is your opportunity to evaluate your current coverage and determine whether you need to make changes — particularly if your circumstances or health have changed over the last year.
Review the information in this guide to become familiar with the 2018 medical and prescription drug plan options, the plan changes that are being made for 2019, and how to make a coverage change for Jan. 1, 2019.
U.S. Retirees: HealthCare Brochure for Annual Enrollment
Pfizer remains committed to supporting the health of you and your covered dependents through the Pfizer Retiree Medical Plan. This is your opportunity to review your current coverage and determine whether you need to make changes for next year. The enclosed brochure provides important information on the 2019 changes, describes how to enroll or make changes, and outlines the additional resources available to you. The changes to your coverage for 2019 include:
Lower deductibles and out-of-pocket maximums under the High-Deductible PPO option for non-Medicare-eligible retirees; and
A single Medicare Advantage option for Medicare-eligible retirees.
Make Sure Your Dependents Meet Pfizer’s Eligibility Requirements When you enroll, you will be required to confirm that your dependents meet Pfizer’s eligibility requirements. Pfizer regularly verifies dependents covered under the Pfizer Retiree Medical Plan, and you may be asked to provide proof of eligibility. It is your responsibility to report any changes in your dependents’ status, such as a divorce. Changes must be reported within 31 days of the event to the Pfizer Benefits Center.
Update Your Contact Information with the Pfizer Benefits Center Be sure to update your information with the Pfizer Benefits Center. Go to netbenefits.com or call 1-877-208-0950 to ensure you continue to receive information about your benefits in a timely manner. Representatives are available Monday through Friday from 8:30 a.m. to Midnight, Eastern time.
Enroll in Medicare Parts A and B As a reminder, if you or your covered dependent(s) are eligible to participate in Medicare Parts A and B and have not yet enrolled, please begin that enrollment process and provide your Medicare Beneficiary Identifier (MBI) to the Pfizer Benefits Center to ensure your Pfizer retiree medical coverage remains in place. Your MBI is shown on your red, white and blue Medicare ID card as your “Medicare Number.”
Evaluate Your Pfizer Coverage Pfizer medical and prescription drug coverage includes a number of features that many plans in the marketplace do not offer, such as open access to a broad network of providers, a comprehensive list of covered services and comprehensive drug coverage—with most Pfizer medications, including Greenstone generics, covered at no cost, no step therapy requirements, and a broad network of pharmacies. In addition to the level of coverage, retiree utilization and caps or limits on the Pfizer subsidy affect the level of contributions for Pfizer retiree medical coverage. Pfizer recognizes that you may find other insurance that is less costly than Pfizer’s coverage. If you choose to drop your Pfizer coverage, you may re-enroll within 31 days of a qualified life event, including the loss of other medical coverage. However, you must certify that you have maintained continuous coverage in a group medical plan or Medicare while not enrolled in the Pfizer Retiree Medical Plan.
If you need help making enrollment elections or navigating your health care options, call the Pfizer Benefits Center at 1-877-208-0950. Representatives will be available to assist you Monday through Friday from 8:30 a.m. to Midnight, Eastern time.
Materials in This Package
Following is a list of materials included in this package:
U.S. Retirees 2019 Health Care Brochure for Annual Enrollment, which outlines your 2019 medical (including prescription drug) and vision coverage, enrollment information, resources and more. As a reminder, the 2019 Pfizer Zero Cost Prescription Drug List is available at netbenefits.com in the Reference Library. Click the Health & Insurance section on the home page, then click Quick Links and Reference Library;
Legal Notices Booklet with information about your rights under your plans; and
Making Your 2019 Retiree Medical Coverage Election Online Tip Sheet with step-by-step instructions and screenshots of how to enroll online.
As a reminder, if you or your covered dependent(s) are eligible for Medicare, you will also receive information from UHC and SilverScript directly, concerning your Medicare Advantage and/or SilverScript coverage.
Annual Enrollment ends Oct. 26, 2018. Review the enclosed benefits information so you can select the right coverage for you and your family. During this time, you can enroll online at netbenefits.com or call the Pfizer Benefits Center at 1-877-208-0950. Benefits representatives are available Monday through Friday from 8:30 a.m. to Midnight, Eastern time.