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OP&F has posted two presentations that includes information the Board
of Trustees received in recent meetings relating to the retiree health
care plan. Each of the presentations below contain options that are
under consideration by the Board, but no decisions have been made as of
June 24. 2016. The potential changes are designed to lengthen the
solvency period for OP&F’s health care reserves, therefore prolonging
the years OP&F is able to subsidize a health care program. These options
could be implemented as soon as the 2017 plan year, or in future years.
Any changes approved by the Board will be reported to membership in a
To view these presentations, please click on the links below.
OP&F Presentation for May Board Meeting
Medical Necessity: Important changes in your UnitedHealthcare medical benefit plan
The Ohio Police & Fire Pension Fund (OP&F) continues to sponsor health
care benefits to eligible benefit recipients and their dependents according
to the plan design and enrollment guidelines as summarized in the Member’s
Guide to Health Care Coverage. Adoption of this plan came as a result of a
vote by the Board of Trustees and reaffirms their commitment to providing
current and future retirees with quality health care and to develop a plan
that would ensure the availability of some form of health care subsidy.
Currently, OP&F makes available medical, prescription drug, dental,
vision, and long term care coverage in accordance with the Benefit Funding
Policy and the OP&F Health Care Plan (only medical and Rx plans are
The OP&F plan is being administered
by United Healthcare (UHC) and all questions should be directed to UHC at
1. Prescription Drug Plan (subsidized if eligible)
OP&F provides one prescription drug plan for all eligible retirees, both
non-Medicare and Medicare eligible members, unless you enroll in Medicare
Part D. The Plan is managed by UnitedHealthcare and administered by OptumRx.
The OP&F-sponsored prescription drug coverage allows participants to
purchase medications through the mail or at retail locations.
2. Medical Plans (subsidized if eligible)
OP&F offers different medical plans depending on your eligibility:
a) If over 65 and eligible, you will be in the AARP ® Medicare
Supplement Insurance Plans insured by UnitedHealthcare Insurance
Company. With Medicare Supplement plans, you have the freedom to choose any
doctor, specialist, hospital, or other provider that accepts Medicare,
anywhere in the U.S. with no referral required.
Click here to learn more about If you are eligible to apply as
a retiree of Ohio Police & Fire you will receive an AARP Medicare Supplement
enrollment package in the mail.
Existing AARP Medicare Supplement plan holders can manage their account
online by visiting www.aarphealthcare.com.
Click here to access useful account information and services
including billing and payment information, claims status, and replacement
b) If under 65 or not eligible for AARP, you will be in the OP&F
self-insured plan administered by UnitedHealthcare. Utilizing
participating network providers typically will allow you to receive maximum
benefits under the plan. You may choose a doctor or hospital from
UnitedHealthcare’s provider listing at the time services are needed.
3. Voluntary Dental and Vision Plans (non-subsidized)
Voluntary dental and vision coverage are separate non-subsidized
plans offered as a supplement to healthcare coverage. Enrollment in these
plans is offered annually or at a qualifying event to all eligible benefit
recipients. These plans are offered by UnitedHealthcare as a separate plan,
with a separate non-subsidized contribution amount. Routine vision and
dental services are not covered under the OP&F-sponsored healthcare
4. Long Term Care (non-subsidized)
For members who enrolled in Long Term Care
through Prudential Insurance of America between June 30, 2009 and July 1,
2013 the contact information is: 1-800-732-0416.
For members enrolled in Long Term Care with Aetna prior to July 1, 2009 the
contact information is: 1-800-537-8521.
Group Name: ohiofund
Access Code: opfltc
Click here to view the Fast Facts Brochure.