If you are Medicare-eligible, you are only eligible for the Oxy Medicare Advantage PPO Plan. Review the Oxy Medicare Advantage PPO Plan Summary for details.
Retiree Medical
Here is a high-level overview of the 2024 Retiree medical plan options.
Important!
Eligibility
Generally, you are eligible for retiree medical benefits if you are 55 or older and have 10 or more years of Oxy service. If you enroll, you may also cover your
. Check the plan documents for other eligibility requirements that may apply.
Costs
Oxy sets a base contribution rate for retiree medical coverage. Your cost will be one to four times the retiree base contribution, depending on your combined age and service at the time of your retirement and your Medicare eligibility status. See 2024 Retiree Health Care Rates.
Plan Options
Your retiree medical plan is based on your eligibility for Medicare and your dependents’ eligibility for Medicare. As a result, you and your dependents may have different retiree medical plans.
Oxy Medicare Advantage PPO Plan
You are age 65+ and/or eligible for Medicare. You may enroll in the Oxy Medicare Advantage PPO Plan (including prescription drug coverage) administered by Aetna if you meet all the following requirements:
- You have a physical U.S. address. If you are living outside the U.S., you are not eligible for this plan, but you are eligible for the Oxy Retiree Medical Plan (see below).
- You are enrolled in Medicare Part A and Part B.
- You provide OxyLink Employee Service Center with your Medicare ID number. Call the OxyLink Employee Service Center at
800-699-6903.
For details, review the Oxy Medicare Advantage PPO Plan Overview or go to the Oxy-Aetna Medicare website.
Oxy Retiree Medical Plan
You are under age 65 and not eligible for Medicare.
- The Oxy Retiree Medical Plan is administered by Aetna, with prescription drug coverage through Express Scripts.
- You and your dependents will remain in this plan until becoming eligible for Medicare. At that time, if you meet plan requirements, you and your dependents will be eligible for the Oxy Medicare Advantage PPO Plan.
Here is a high-level overview of the 2024 Retiree Medical Plan. For details, review the Oxy Retiree Medical Plan SPD.
Plan Features
| Network | Non-Network | |
|---|---|---|
| Annual Deductible |
|
|
| Annual Out-Of-Pocket Maximum |
|
|
* If you were eligible for Medicare prior to January 1, 2020, refer to the Retiree Medical SPD for additional information.
Covered Services
| Network | Non-Network | |
|---|---|---|
What You Pay |
||
Office Visits
|
20% after deductible | 30% after deductible |
Preventive Care
|
100% covered, no deductible | 30% after deductible |
| Acupuncture Care (Up to 26 visits per year) |
20% after deductible | 30% after deductible |
| Chiropractic Care (Up to 26 visits per year) |
20% after deductible | 30% after deductible |
| Hearing Aids (Up to a $2,500 allowance every three years) |
20% after deductible | 30% after deductible |
| Infertility (Lifetime limit: $20,000 medical; $10,000 prescription) |
20% after deductible | 30% after deductible |
| Physical Therapy | 20% after deductible | 30% after deductible |
| Physician Home Visit | 20% after deductible | 30% after deductible |
| X-rays and Lab | 20% after deductible | 30% after deductible |
| Vision Exam (one per calendar year) |
100% covered, no deductible | 30% after deductible |
| Eyeglasses | Aetna Discount Program | Aetna Discount Program |
Inpatient Hospital
|
10% after deductible | 30% after deductible |
Skilled Nursing Facility
(Limited to 120 days/calendar year) |
10% after deductible | 30% after deductible |
| Surgery (Inpatient/Outpatient) Note: Cosmetic surgery not covered unless medically necessary |
10% after deductible | 30% after deductible |
| Mental Health/Substance Abuse |
Inpatient (treatment must be certified): 10% after deductible Outpatient: 20% after deductible |
30% after deductible |
| Emergency Room (No benefits for non-emergency use of emergency room) |
10% after deductible | 10% after deductible |
Other Services
|
20% after deductible | 30% after deductible |
Prescription Drugs
| Express Scripts | |
|---|---|
What You Pay |
|
Deductible |
No deductible |
Out-Of-Pocket (OOP) Drug Limit |
$1,500 |
| Retail (up to 30-day supply) | |
| Generic | $10 |
| Preferred Brand | 25% after deductible; $10 min, $50 max |
| Non-Preferred Brand | 25% after deductible; $25 min, $100 max |
| Mail Order (up to 90-day supply) | |
| Generic | $20 |
| Preferred Brand | 25% after deductible; $20 min, $100 max |
| Non-Preferred Brand | 25% after deductible; $50 min, $200 max |
Western New York Medical Plan
You live in Western New York, retired before December 31, 2015, and are not eligible for Medicare.
- The Western New York Plan is administered by Blue Cross Blue Shield (BCBS). You must select a primary care physician to coordinate all your care.
- In general, you must receive medical services from network providers.
- You and your dependents will remain in this plan until Medicare eligibility. At that time, if you meet plan requirements, you and your dependents will be eligible for the Oxy Medicare Advantage PPO Plan.
For details, review the Western New York Medical Plan Overview or go to the BCBS of Western NY Website.
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