Medicare Supplement and Part D Pharmacy Insurance

Description

The County provides Medicare Supplement Plans, and a Medicare Part D Employer Group Waiver Plans (EGWP) benefits to retirees on a fully insured basis for Volusia County government and participating agencies as their County-sponsored health plans for their eligible Medicare retirees and eligible Medicare spouses. The Contractor shall maintain separate eligibility and have the capability of reporting participation for each agency separately. Plans will be effective on January 1, 2027.Medicare eligible retirees and Medicare eligible dependents under the age of 65 are offered the Medicare plans but allowed to remain on the self-funded plan. Medicare eligible retirees and Medicare eligible dependents age 65 and older will only be allowed to enroll in the County’s Medicare plans.The County’s Third Party Administrator (TPA), currently WEX, handles eligibility, enrollment, and billing for Volusia County retirees.