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for Retirees—2009 Plan Year

PERACare is PERA's health benefits program for retirees and benefit recipients. PERACare is composed of health, dental, and vision care programs. You may be enrolled in any or all three types of coverage, and you may also enroll your eligible dependents in any of the plans in which you participate. If you are not currently enrolled and would like more information about PERACare, you should review the information below or e-mail your request. The information below is for coverage effective for the calendar year 2009.

 

PERACare Health Benefits Program Booklets

PERACare 2009 Health Benefits Program Pre-Medicare Coverage (PDF)

PERACare 2009 Health Benefits Program Medicare Coverage (PDF)

PERACare 2009 Combination Coverage Premium Information/Enrollment Form (PDF)

PERACare Enrollment/Change Forms

Medicare

PERACare Medicare Enrollment/Change Form (PDF)

Instructions to Help You Complete a PERACare Enrollment/Change Form

Pre-Medicare

PERACare Pre-Medicare Enrollment/Change Form (PDF)

Instructions to Help You Complete a PERACare Enrollment/Change Form

Combination Pre-Medicare and Medicare

PERACare Combination Coverage Premium Information/Enrollment Form (PDF)

Instructions to Help You Complete a PERACare Enrollment/Change Form

Other PERACare Information

Calculate Your PERACare Premium

Provider Directories

Certification of Previous Health Care Coverage form

Information About the PERAFit Program

PERACare Program Cancellation form

Retirees may e-mail questions to Customer Service or call 1-800-759-7372 or 303-832-9550.

 

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