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File #: 2020-0948    Version: 1 Name:
Type: Resolution Status: Preliminary Item
File created: 8/14/2020 In control: Board of Commissioners
On agenda: 9/8/2020 Final action:
Title: Commission District(s): All Commission Districts 2021 Medicare Plan Renewal
Attachments: 1. Copy of Medicare-eligible Agenda Item Attachment for 08.18.2020 BOC


Public Hearing:  YES      NO                                                   Department: Finance - Risk Management                                     




Commission District(s): All Commission Districts

2021 Medicare Plan Renewal




Information Contact: Larry Jacobs, Assistant Director of Finance/Risk Management

Phone Number: 404-371-2050




To approve Medicare-retiree group health benefits and rates for new plan year commencing January 1, 2021.




To ensure the County is offering an affordable and valuable health plan for Medicare-eligible retirees. The plan year for Medicare-eligible retirees expires December 31, 2020. The proposed healthcare costs and plan designs have been reviewed by the ERPS Committee.



See Attachment




Recommended Action

1.                     Choose an item and add the information stated in the Purpose above.  Approve Aetna’s proposed 2021 Medicare rate of $231.72 PMPM; down from $255.30. Including the following plan enhancements:

a.                     New meal delivery program (one week of precooked frozen meals delivered to members who recently discharged from an inpatient hospital stay)

b.                     Transportation benefit (24 trips per year; 60 miles allowed per trip; allows members to get non-emergency rides to their medical appointments)

2.                     Approve Kaiser Permanente’s proposed 2021 Medicare rate of $204.01 PMPM, which is unchanged from current. The rate hold includes the following plan enhancements:

a.                     Quarterly $50 credit for OTC Rx

b.                     Diabetic supplies - eliminated $25 copay to 100% coverage

c.                     Reduction to the Outpatient dialysis treatment copay from $35 to $30

d.                     Reduction to Generic drugs copay from $15 to $10 copay

3.                     Accept the proposed Dental rates with a 0.0% increase over current rates.


Authorize the Chief Executive Officer to execute all necessary documents.