How do I verify eligibility, file a claim, reach customer service, or file an appeal?
Kaiser participants should go to KP.org or reference their ID card.
Do we have a telemedicine option?
Kaiser participants can get after hour nurse advice at (888) 576-6625 or for telemedicine call (800) 464-4000
My family is in crisis, we need help. Does our insurance cover therapy? Through the Employee Assistance Program (EAP) Our district pays for 5 free visits. EAP is benefit for both members and their dependents. The resources available range from being affected by a tragedy or natural disaster to planning a move, divorce, handling legal and financial matters or finding child, elder and pet care. If you need behavioral health services, EAP can help. The program is to help advise, answer questions and provide a listening ear during times of stress or uncertainty. EAP services are completely confidential.
- If you are a Teacher please call Anthem Blue Cross at 1-800-999-7222 or visit www.anthemeap.com (enter SISC to log in)
What are the requirements to receive retiree health benefits?
Employees must be at least fifty-five (55), have taught in the California public system for at least fifteen (15) years, and have taught in the Oxnard School District for eight (8) years. For eligible members, the District will contribute the full amount of the employee and dependent coverage for group health, vision, and dental insurance until the employee reaches age sixty-nine (69). The coverage will become secondary coverage when the employee reaches Medicare eligibility currently at sixty-five (65)
I am actively working and turning sixty-five (65) soon, do I need to enroll in Medicare?
If you are actively working, you are not required to enroll in Medicare coverage or A or B. But you will need to contact Risk Management for a proof of coverage form 3 months before you plan to enroll in Medicare to avoid paying penalties. You can also enroll in Medicare part A and defer part B until you retire for additional health coverage.
Once I am retired, when do I need to apply for Medicare?
Participant, spouse, and dependents must each apply for Medicare Parts A and B when eligible at age 65. KAISER participants must assign Parts A and B to Kaiser and enroll in the Kaiser Senior Advantage Plan, as soon as eligible for Medicare. When you receive your Medicare card, you must forward a copy of your Medicare card, along with your completed Senior Advantage Card (if you are enrolled in Kaiser) to the plan administrator, Delta Heath Systems, PO Box 1147, Stockton, CA 95201, no later than the 15th of the month, before the month of your 65th birthday, in order to maintain your plan enrollment.