Medicare is health insurance for people age 65 or older, certain people under 65 with disabilities, and people of any age with End-Stage Renal Disease (ESRD).

Whether you are an active or a retired City of Houston employee, you become eligible for Medicare on the first day of the month in which you turn age 65, or if your birthday is on the first of the month, on the first day of the prior month.

Medicare Advantage Plan Options

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2022 Monthly Medicare Advantage Plan Contributions

Monthly per person contributions
Aetna Basic PPO $18.00
Aetna Premier PPO $63.00
KelseyCare Advantage HMO $42.00

Under all plans, you must pay a monthly premium to cover eligible family members. You also must pay the federal government for your premiums for Medicare Part A (if any) and Medicare Part B.

The premiums shown below apply to Medicare eligible retirees and their dependents, for whom the City of Houston pays 75% of the cost of monthly premiums. For monthly contributions for dependents under 65, see Monthly Medical Plan Rates for Retiree Under 65 Without Medicare.

Pharmacy Coverage

All of the City of Houston’s Medicare Advantage Plans include Part D, and offer comparable or better pharmacy benefits. The drug formularies established by Medicare for 2022 serves as the model for Medicare plan formularies.

If requested from your chosen provider*, you will receive a formulary list when you enroll in a plan. You can also find out how much your prescriptions will cost by calling the plan, visiting the plan’s website or viewing the Prescriptions chart found in the guide on page 12.

Department Information

611 Walker, 4th Floor
Houston, TX 77002
Benefits: 832-393-6000
Main: 832-393-6100
Safety Hotline: 832-393-7233