Eligible retirees have five (5) Medicare plans available to choose from.
Please click on the following links to find the information you are looking
for, or contact the Retirement Services Department at (408) 392-6700 for additional
information.
Please note: You will need Adobe
Acrobat Reader in order to open PDF documents.
Summary Plan Information | Cost
| Evidences of Coverage |
HIPAA Privacy Notices |
Authorization To Release Information Forms | Contact
The Plan Providers
SUMMARY OF PLAN INFORMATION | top
of page |
 - 2009 Quick Reference Sheet (File Size: 91kb)
- 2008 Quick Reference Sheet (File Size: 91kb) - Medicare Plan Comparison (File Size: 117kb)
COST | top
of page |
- 2009 Medical Plan Ratea (pg 2) (File Size: 144kb) - 2008 Medical Plan Rates (pg 2) (File Size: 143kb)
EVIDENCES OF COVERAGE | top
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- Kaiser California Senior Advantage (File Size: 194kb) - Blue Shield Medicare HMO (File Size: 3,345kb) - Blue Shield Medicare PPO (File Size: 3,482kb) - PacifiCare Sr Supplement Plan F (File Size: 798kb) - AARP (Secure Horizons) (File Size: 2,143kb) - Kaiser Northwest Sr. Advantage 2007 EOC (File Size: 1,137kb)
HIPAA PRIVACY NOTICES | top
of page |
- California Kaiser Permanente (File Size: 82kb) - Blue Shield of California (File Size: 76kb) - United Healthcare (PacifiCare/Secure Horizons) (File Size: 166kb) - Northwest Kaiser Permanente (File Size: 648kb)
AUTHORIZATION TO RELEASE INFORMATION FORMS | top
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- Kaiser Senior Advantage (File Size: 68kb) - Blue Shield of California (File Size: 61kb) - United Healthcare (PacifiCare/Secure Horizons) (File Size: 166kb) - Northwest Kaiser Permanente (File Size: 822kb)
CONTACT THE PLAN PROVIDERS | top
of page |
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