| Transition of Care For Members Enrolling in an Aetna Medical Plan on 1/1/2026 Members currently enrolled in the Highmark Basic PPO and Geisinger Custom HMO plans and transitioning to an Aetna medical plan for 2026 may be eligible to request Transition of Care (TOC) coverage if currently receiving treatment from a provider who is not in Aetna’s network. You may qualify for TOC if you are in an active course of treatment for a serious condition such as pregnancy, cancer, or have a chronic illness requiring ongoing treatment. TOC allows you to continue se...... READ MORE |
| Form 1095-B Distribution Update For Active Employees, Non-Medicare Eligible Retirees Enrolled in the Retired Employees Health Program (REHP) and Retired Pennsylvania State Police Health Program (RPSPP) Members As we approach the tax filing season for your 2025 taxes, we wanted to provide some information about the Form 1095-B. The Pennsylvania Employees Benefit Trust Fund (PEBTF) will not be mailing the 1095-B forms for tax year 2025 to Active Employees, however one can be mailed to you upon reque...... READ MORE |
| Form 1095-B Distribution Update For Active Employees, Non-Medicare Eligible Retirees Enrolled in the Retired Employees Health Program (REHP) and Retired Pennsylvania State Police Health Program (RPSPP) Members As we approach the tax filing season for your 2025 taxes, we wanted to provide some information about the Form 1095-B. The Pennsylvania Employees Benefit Trust Fund (PEBTF) will not be mailing the 1095-B forms for tax year 2025 to Active Employees, however one can be mailed to you upon reque...... READ MORE |
| Now is the Time to Get Your Flu Shot Flu season is just around the corner and getting your annual flu shot is one of the best ways to protect yourself and those around you from serious illness. PEBTF members – get your annual flu shot: At your doctor’s office: Present your medical plan ID card. There is no cost for the flu shot but your doctor may choose to charge an office visit copay, if applicable. At a CVS Caremark Flu Shot network pharmacy: READ MORE |
| PEBTF Announces Medical Plan Choices for 2026 For 2026 There are no changes to the PEBTF Plan of Benefits. Copayments remain the same. The PEBTF has selected Aetna, a CVS Health company, to provide medical benefits to Active Commonwealth of Pennsylvania employees and their dependents who are enrolled in PEBTF benefits. Additionally, the Aetna medical plans will be offered to non-Medicare eligible Commonwealth...... READ MORE |
| Who to Call with Benefit Questions Health Advocate, which was an additional resource to answer benefit questions, will no longer be offered as of March 20, 2025. As always, you may contact the PEBTF for any benefit questions. A PEBTF Benefit Services Representative will be able to help you, and connect you with your health plan, if necessary. You may also reach out to your medical and prescription drug plans (and for Active members, the vision and dental plans). For Active members, the Commonwealth’s HR Service...... READ MORE |