Retiree Benefits

Retiree Insurance Rates

• 2024-25 Retiree Plan Rates Effective January 01, 2025

Medicare Plan Videos

Medicare Plan Options

Option 1 - Regence MedAdvantage + Rx Classic (Retirees Age 65+)*

2025 Idaho Public School MedAdvantage Rates, Summary of Benefits, & Enrollment Packet

Enroll over the phone by calling Regence Customer Service at (888) 319-8904 (TTY: 711)

Or you can complete the paper Enrollment Form

1. Complete, sign and date the Enrollment Form

2. Mail the completed Enrollment Form to Regence at PO Box 1827, Medford, OR 97501, or fax it to (888) 335-2988.

Option 2 - Regence Bridge Medigap Plan G (Retirees Age 65+)*

Regence Bridge Outline of Coverage

Regence Bridge 2023 Decision Guide

Regence Bridge Medigap Enrollment Packet

To Enroll:

1. Complete, sign and date the Enrollment Form

2. Mail the completed Enrollment Form to Regence at PO Box 1106, MS-LC1NW, Lewiston, ID 83501-1106, or fax it to (877) 369-3418.

Option 3 - Regence Preferred Plan (Retirees Age 65+)

2025 Preferred Plan Summary of Benefits and Coverage

Preferred Plan Booklet

• Ready to Enroll?  PSR Preferred Plan Enrollment Form

  1. Complete, sign and date the Enrollment Form. Elect payment method (PERSI or direct bill).

  2. Fax completed form to (866) 303-5117 or mail to PO BOX 1106, Lewiston, ID 83501 or you can email a scanned copy to Sharleen.Lohman@regence.com

Questions? Call customer service at (888)-370-6160

Option 4 - Regence Medicare Script Enhanced PDP (Retirees Age 65+)

2025 ID Public School Retiree PDP Script Rates, Summary of Benefits, & Enrollment Packet

• 1. Complete, sign and date the Enrollment Form. Elect payment method (PERSI or direct bill).

  2. Mail the completed Enrollment From to PO BOX 1827, Medford, OR 97501 or fax it to Regence at (888)-335-2988.

Questions? Call customer service at (888)-319-8904 (TTY: 711)

Delta Dental

• Delta Dental Summary of Benefits

• Delta Dental Flyer

Willamette Dental

• Willamette Dental Summary of Benefits

• Group Certificate of Coverage

VSP (Vision Service Plan), Administered by Ameritas

• Certificate of Insurance

• Vision Service Plan (VSP) Eye Care Highlight Sheet

Cigna Term Life Insurance

• Term Life Insurance Certificate