Medical Options / Back

  • Indemnity Medical Option - Benefits described in the Guide To Your Benefits and
    Summary of Coverage.
  • Kaiser Foundation Health Plan (HMO)
  • Pacificare

You may choose between the Indemnity Medical option or one of the Health Maintenance Organizations (HMOs) available where you live by completing a TBT Medical Option Form (see the Enrollment Materials folder in Your Benefits Package). The Comparison of Medical Benefits folder highlights coverage under the Indemnity Medical option and HMOs. Each HMO provides separate printed materials about its benefits. HMO packets are available through the TBT Plan Administration Office at
(510) 796-4676 or (800) 533-0119.

The Indemnity Medical option is available no matter where you live. To choose an HMO option available through TBT, you and your covered dependents must live within the HMO service area where coverage is available. The service area for each HMO is listed by county in the Comparison of Medical Benefits in Your Benefits Package.

How to Apply for HMO Coverage

If you want coverage under an HMO option when you are newly eligible, send your:

  • TBT Enrollment Form

  • Medical Option Form

  • HMO Application

…directly to the Plan Administration Office for processing. Check your Summary of Coverage for the most current information about your HMO option.

IMPORTANT

Do NOT send any enrollment materials directly to the HMO or your enrollment may be delayed. All enrollment forms (including the required HMO Application) must be sent to the TBT Plan Administration Office.

See Open Enrollment - When you can change your medical (or dental) option



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