Postal Service Health Benefits (PSHB) Program

Yes, RCBP has been approved to participate in the PSHB Program. Your plan will be available in the new PSHB Program.

No. You will be automatically enrolled in your current plan in the Postal Service Health Benefits (PSHB) Program. As always, you have the ability to change plans during Open Season, but you are not required to make an election to keep your plan.

Your prior authorizations for medical services and prescriptions should transfer. If any action is needed for your prescriptions, you will receive notification and have access to a transition fill.

Yes, as long as your doctor is still participating.  Your network is not changing.

Yes, if you are actively employed and stay in the same plan, your pharmacy network will not change.

If you are enrolled in a SilverScript® (EGWP) Employer PDP for RCBP Part D prescription drug plan for your prescription drug coverage, your PDP plan will have a similar network of participating pharmacies. You must use in-network pharmacies.

All Postal Service Health Benefits (PSHB) health plans are required to have a Medicare Part D prescription drug plan (PDP) for retirees. If you’re enrolled in Medicare Part A and/or Part B, your RCBP plan will automatically enroll you in SilverScript® (EGWP) Employer PDP for RCBP.

Please note: If a Medicare-eligible PSHB participant opts out of or disenrolls from the PDP included with their PSHB plan, they will NOT have any access to prescription drug benefits through their PSHB plan. An individual who opts out or disenrolls from the PDP would be allowed to reenroll in the PDP through their PSHB plan during the next Open Season or during an appropriate qualifying life event (QLE).

If your income is above a certain limit, the Social Security Administration (SSA) will require IRMAA based on your yearly income. This extra charge is in addition to your monthly Medicare premiums for Part B and/or Part D. If IRMAA applies SSA will notify you with information on how to pay IRMAA and your right to appeal. Aetna® is not responsible for IRMAA, please see the SSA website for more information.

Yes, you will receive new ID cards for your plan after Open Season ends. You should continue to use your current ID card until 12/31/24.