Retiree Health Care Benefits

What’s New for 2022?

The following changes to your benefits begin Jan. 1, 2022.

Enhancements to Prescription Drug Benefits

  • Coupled with diet and exercise, prescription weight loss drugs can help you achieve a healthier weight. Effective January 1, 2022, prescription weight loss drugs will be covered under the pharmacy plan. Consult with your medical provider to see if this might be a good option for you.
  • Prescriptions filled via mail-order now qualify for discounts via coupons. Beginning on 9/1/2021, all applicable coupons will automatically be applied to the cost of prescriptions fulfilled via mail.
  • Filling a 3-month supply of your long-term maintenance medication can help you save time, money and trips to the pharmacy. Express Script’s Smart90 program is being expanded beyond Walgreens to Smart90 Anywhere. Employees’ 90-day prescription coverage can be obtained at any participating pharmacy beginning January 1, 2022. To find a participating Smart90 pharmacy, login to express-scripts.com/tva and click “Find a pharmacy” from the menu under “Prescriptions,” and search for pharmacies in your area.

Expanded virtual behavioral health services (effective 9/15/21)

BlueCross BlueShield of Tennessee has partnered with AbleTo to provide high-quality virtual mental health care and personalized mental health programs. You’ll be paired with a licensed virtual therapist who will provide confidential 1-on-1 support by video chat or phone. These programs can help you manage depression, stress, and anxiety and teach you skills to help you feel better and live better. Standard cost share (deductible/coinsurance) will apply. For more information or to register, visit member.ableto.com/bcbst/ .

Changes to the 80 Percent PPO Plan

In-network deductibles for the 80 Percent PPO will be $550 (Individual) and $1,100 (Family). Out-of-network deductibles will be $1,100 and $2,200. In-network out-of-pocket maximums will be $3,250 (Individual) and $6,500 (Family). Out-of-network out-of-pocket maximums will be $6,500 and $13,000.

There are no changes to the deductibles or out-of-pocket maximums for the Consumer-Directed Health Plan (CDHP).

HSA Limits

The 2022 annual HSA contribution limit for CDHP participants will be increased to $3,650 for those with individual coverage and to $7,300 for those with family coverage.

Family Building Benefit

Through TVA’s partnerships with BCBST and Express Scripts, TVA has expanded its medical and pharmaceutical coverage to include fertility medications and treatments for members enrolled in TVA’s medical plan.

 

Premiums

2022 monthly premiums will be:

 Individual Family
80 Percent PPO $769 $1850
CDHP $460 $1095

Medical Insurance

Non-Medicare Retirees

If eligible for retiree medical coverage, retirees and their eligible dependents not yet eligible for Medicare may choose from medical plan options that include medical, prescription-drug coverage, and vision-care benefits. The benefit plans available to eligible retirees are described in the Medical Plan 2022. More detailed information can be found in the More detailed information can be found in the Medical Plan Description.

Note: When retirees or their eligible dependents become eligible for Medicare, they cannot continue in these plans but are instead eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits as described below in Medicare Retirees.

Summary of Benefits and Coverage

In accordance with the Patient Protection and Affordable Care Act, a Summary of Benefits and Coverage (SBC) for the TVA Medical Plan options is being made available to you. The SBC provides information to help you understand your medical plan options and make decisions about which medical plan to choose.

View and/or print the TVA Medical Plan’s SBCs below.

80-percent PPO
Consumer-Directed Health Plan

Medicare Retirees (Age 65 and Older)

If eligible for retiree medical coverage, retirees and their eligible dependents that are eligible for Medicare, and are at least age 65, are eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits. Other plans are available outside of Via Benefits.

Through Via Benefits, eligible retirees and dependents can enroll in medical, prescription drug, dental and vision coverage. They also have access to Benefit Advisors to help them shop for and select coverage that’s best for their situation.
When becoming eligible for Medicare upon reaching age 65, retirees and dependents have choice among competitively priced, guaranteed-issued individual health plans through the individual marketplace.

If enrolled in TVA’s retiree medical coverage, retirees and dependents will begin receiving information from Via Benefits as early as their 64th birthday. This information will provide details about their retiree healthcare benefits as well as information about how and when to enroll.

Retirees and their Medicare-eligible dependents can enroll through Via Benefits during the Initial Enrollment Period (IEP). The IEP is a seven-month period that starts three months before their Medicare-eligible date, includes the month of their Medicare-eligible date, and the three months after their Medicare-eligible date.

Medicare Retirees (Under Age 65)

If eligible for retiree medical coverage, retirees and their eligible dependents that become eligible for Medicare before reaching age 65 due to disability, are given the option to stay in the plan they’re currently enrolled in, or enroll in a plan through Via Benefits.

Retirees or dependents becoming eligible for Medicare early must contact TVA Employee Benefits within three months of their Medicare effective date. Otherwise, they will remain in the plan they’re currently enrolled in.

For additional information on medical benefits available to TVA retirees, contact TVA Employee Benefits by calling the People First Solution Center at (888) 275-8094.

Retiree Medical Forms

Retiree Medical Plan Bank Draft Authorization Form (TVA Form 17534)

To be used by retirees to authorize automatic bank drafts for collection of medical coverage premiums.

Retiree Status Change Form (TVA Form 17312A)

To be used by retirees to report life-event changes affecting medical coverage, including death, divorce or changes in dependent eligibility.

Health Savings Account

A Health Savings Account, or HSA, is available to retirees who are enrolled in TVA’s Consumer-Directed Health Plan (CDHP). The HSA gives you, the consumer, more control over how and when you spend your healthcare resources.

The HSA trustee is HSA Bank. The HSA trustee holds your balances for you, receives and records contributions and processes distributions. TVA contributions to the HSA are made to HSA Bank. TVA’s contributions for 2022 to the HSA are $600/individual and $1,200/family. The maximum annual HSA contribution from all sources is $3,650/individual and $7,300/family. The maximum is set by the IRS. If you are age 55 or older you can also make additional “catch-up” contributions. The maximum annual catch-up contribution is $1,000 beginning the year you turn 55.

There is a monthly HSA administrative fee of $0.25 if your account balance is under $3,000. There is no fee if you maintain a balance of $3,000 or more.

Important: If you currently have an HSA with HSA Bank you do not need to take any action. If you continue to be enrolled in the CDHP in 2022, TVA will deposit its HSA contribution into your account.

If you are a new retiree, please refer to the Benefits Summary for Terminating Employees for instructions regarding your HSA.

View information on the Health Savings Account.

Dental Insurance

The retiree dental insurance plan is designed to help retirees with the cost of dental expenses. This plan is not tied to the retiree medical plan. Future retirees may choose not to enroll in dental but still maintain their medical coverage.

Delta Dental Plan of Tennessee is the carrier for this benefit. Delta allows participants to use any dentist, but offers incentives to those who choose a participating dentist. Visit Delta Dental’s Web site for a list of participating dentists.

The monthly premiums are $33.42 for individual coverage and $78.87 for family coverage.

Future retirees who wish to enroll must sign up within 30 days of their retirement. Coverage will be effective the first of the month following Delta Dental’s receipt of the enrollment form.

The following documents outline the dental plan and provide forms that can be printed out and mailed to Delta Dental.

Guidelines for Retiree Dental. Explains participants’ responsibilities under the plan, eligibility, payment of premiums, and more (58 kb).

Retiree Dental Information and Forms

Federal Long Term Care Insurance

The U.S. Office of Personnel Management offers this program to all federal employees and retirees, including those from TVA. Spouses and adult children of retirees are also eligible to enroll.

The program is designed to help with the costs of nursing-home care, assisted-living facilities, in-home care and other expenses not covered by medical plans. It is offered through Long Term Care Partners, a partnership of MetLife and John Hancock.

Those who wish to enroll in the program must request an enrollment application packet from Long Term Care Partners. TVA does not have application packets. Enrollment packets can only be requested from the Long Term Care Partners Web site or by calling (800) 582-3337.

The Web site has information on plan premiums and coverage options, as well as average nursing-home costs for major U.S. cities. The site also lists the health questions that all applicants are required to answer before being approved for coverage.

The premiums for this coverage are paid entirely by the retiree. Premiums can be paid through a deduction from the monthly pension benefit.

Prescription Safety Eyewear

The safety eyewear program is a courtesy offering as part of a contract with TVA’s safety eyewear vendor.

Retirees may purchase prescription safety eyewear at TVA’s discounted price, however, the retiree must be able to access the internet for instructions and to print out the form needed for their prescription eyewear provider.

Read about the program here.