Montgomery College Retiree Group Insurance Enrollment Form: This form is used to notify the Office of Human Resources of any changes a retiree wishes to make to his/her benefits.

Retiree Group Insurance Rates: Rates for retirees with 10 or more years of service.

Health Insurance Information, Forms and Links

CIGNA PPO (Preferred Provider Organization)

• PPO Claim Form

• Summary of Benefits

• CIGNA Health Care Website

CIGNA POS (Point of Service)

• POS Claim Form

• Summary of Benefits

• CIGNA Health Care Website

 

Caremark Prescription Drug Plan

Effective January 1, 2008 for those insured with either of the CIGNA plans, prescription coverage is through CVS Caremark. All members were mailed new ID cards with the CVS Caremark and Montgomery College logo printed on it.

• PPO Prescription Benefits-at-a- Glance
• POS Prescription Benefits-at-a-Glance
• Mail Service Order Form
• Prescription Drug Claim Form
• Caremark Formulary List – January 2009
• Caremark Website

Customer Care: 1-888-790-4266

Dental Insurance Information, Forms and Links

CIGNA (PPO Preferred Provider Organization )Dental

• Summary of Benefits
  
  
• PPO Dental Claim Form

• CIGNA Website

CIGNA DentalCare Plan

Cigna DentalCare Plan
This plan provides dental coverage under an HMO-like structure. This plan provides coverage based on a predetermined fee schedule with many basic services being covered at NO CHARGE. There are no patient charges for most preventative procedures, no claim forms, no deductibles and no annual dollar maximums. Complex procedures are available at low, pre-set patient charges.

• Fee Schedule

• CIGNA Website

Important Information on Medicare Part D

Retiree Prescription Drug Benefits

• Montgomery College coverage versus the new Medicare coverage

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Retiree Blog Spot

Wellness Connection