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TRS-Care 2025 Plan Resources

These links and summaries will help you understand your TRS-Care medical and pharmacy benefits and how to make the most of your coverage.

2025 TRS-Care Plan Highlights

Brief overview of your 2025 TRS-Care benefits.

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2025 TRS-Care Standard Guide

Get the most out of your benefits by understanding everything that comes with your plan.

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2025 TRS-Care Medicare Advantage Guide

Get the most out of your benefits by understanding everything that comes with your plan.

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2025 TRS-Care Standard Plan Year Welcome Letters

If I Leave TRS-Care, Can I Come Back?

If a retiree or surviving spouse leaves TRS-Care, he or she will only have the following, limited opportunities to re-enter the program: 1) at age 65, or 2) with a special enrollment event.

In most situations, retirees and surviving spouses can’t re-enroll in TRS-Care. However, retirees and surviving spouses may re-enroll in TRS-Care when they turn 65 or if they have a special enrollment event, which are rare. There are two types or areas of special enrollment: 1) an individual becomes a new dependent; and 2) an involuntary loss of comprehensive coverage.

Aside from your initial enrollment opportunity, here are the opportunities when you can re-enroll in TRS-Care or enroll for the first time in TRS-Care:

If you’re a retiree or surviving spouse who isn’t 65 yet, and you either dropped TRS-Care or didn’t enroll during your initial enrollment opportunity, you can enroll in the program when you turn 65. You may also add dependents at that time. Prior to your 65th birthday, TRS will send retirees a postcard with instructions on how to enroll. You must submit your application for coverage no later than 31 days from the end of the month in which you turned 65 to re-enter TRS-Care.

TRS does not always have information about surviving spouses in its records. Surviving spouses are responsible for requesting and submitting their application for coverage no later than 31 days from the end of the month in which they turned 65.

Please note: This enrollment opportunity is not available to dependent spouses or children when they turn 65.

You will be enrolled in both the TRS-Care Medicare Advantage medical plan and the TRS-Care Medicare Rx plan so long as you are enrolled in Medicare Part B. Your dependents will be enrolled in the appropriate plan based on their own Medicare status.

If they’re eligible for Medicare, they’ll also be enrolled in the TRS-Care Medicare Advantage medical plan and the TRS-Care Medicare Rx plan. If they’re not eligible for Medicare, they’ll be enrolled in the TRS-Care Standard plan, which features a combined medical and prescription deductible. They will stay enrolled in the TRS-Care Standard plan until they become eligible for Medicare.

You must maintain Medicare coverage, including Medicare Part B coverage, to participate in the TRS-Care Medicare Advantage plan. You risk losing all TRS-Care coverage if you do not have Medicare Part B coverage.

If you have a special enrollment event, you can re-enter, but these are rare.

  • The first area is when there is the addition of a new dependent through:
    • Marriage
    • Birth
    • adoption, or
    • being placed for adoption.
  • The second area is when there is an involuntary loss of comprehensive coverage. Comprehensive coverage may include Medicare supplements (e.g., Medigap) and individual Medicare Advantage plans.  Examples include:
    • Divorce or legal separation results in you losing coverage under your spouse's health insurance;
    • A dependent is no longer considered a "covered" dependent under a parent's plan;
    • Your spouse's death leaves you without coverage under his or her plan;
    • Your employment ends along with coverage under your employer’s health plan, or your spouse’s employment ends along with your coverage under your spouse’s employer’s health plan;
    • Your employer reduces your work hours to the point where you are no longer covered by the health plan;
    • Your plan decides it will no longer offer coverage to a certain group of individuals (for example, those who work part time);
    • An individual loses coverage under a State Children’s Health Insurance Program (CHIP) or Medicaid, or becomes eligible to receive premium assistance under those programs for group health plan coverage;
    • An individual involuntarily loses coverage under a Medicare supplement plan (e.g., Medigap) or an individual Medicare Advantage plan; and

      You no longer live or work in an HMO’s service area.

      However, an increase in premiums or a change in benefits for coverage that you purchased outside of TRS-Care is not considered a loss of coverage that allows you to re-enter TRS-Care.

Please note: The vast majority of participants who are past age 65 do not experience another enrollment opportunity. You can find current requirements related to special enrollment events in the TRS-Care Benefits Booklets (pdf).

Online TRS-Care Events

Register for these online events at TRS Health Care Events.

Retire Healthy with TRS-Care

If you're nearing retirement, you're in the right place! This quarterly webinar will help you make a fully informed decision about health care during your retirement years. You'll get an overview of TRS-Care and the different plans it offers; a review of eligibility criteria and the enrollment process; and information on what to expect after you enroll in TRS-Care.

TRS-Care Medicare Advantage​ & You Webinar

Eligible for Medicare soon? Attend this webinar to learn about the enrollment process and benefits available to you through TRS. Learn how TRS-Care Medicare Advantage​ provides the care you can count on for this next stage of life.

TRS-Care Medicare Advantage ​Welcome Webinar

Are you newly enrolled in TRS-Care Medicare Advantage​? Join this welcome webinar with UnitedHealthcare (medical) and Express Scripts (prescription drugs) to learn more about your TRS-Care Medicare Advantage​ plan benefits. We review frequently asked questions, explore covered benefits and outline what to expect in the first 90–120 days of being in TRS-Care Medicare Advantage​.​​

Previous Year Plan Information