Retiree Health Benefits at Yale Health

Yale offers retiree medical plans for those who meet benefits eligibility when they retire. Please refer to the Retiree Health page on It’s Your Yale.

Retirees and their spouses/partners, under age 65 along with dependents who may be currently enrolled on your Yale Health coverage at the time of retirement may elect continue to participate in Yale Health. Enrollment is not automatic. Please contact the Aetna Retiree Service Center at 1-800-338-4533 to review your options, premiums and complete the enrollment process for yourself and others who qualify to remain on Yale Health. Benefits remain the same as when you are actively employed and you are still members.

If you have a disabled spouse or dependent on your Yale Health coverage, it is important to discuss these individually with the Aetna Retiree Services Representative. If a family member on your contract has Medicare or is Medicare Eligible, please discuss this with the representative.

Retiree health plan options are the Aetna Medicare plans. You must be enrolled in Medicare Parts A and B to qualify for these plans. Failure to enroll timely in Medicare and the Aetna Medicare plan can create a gap in coverage for you and your family. Please contact the Aetna Retiree Health Center at 800-338-4533 for more information

Retirees and their spouses over the age of 65 at the time of retirement must enroll in Medicare Part A and B. The university currently offers retirees and eligible spouse/partner three options in Medicare Aetna Plans. Those who are current Yale Health patients must elect to enroll in the Aetna Medicare ESA Open Access PPO & Medicare Choice ESA PPO Plan (Silverscripts) option in order to be eligible to continue to receive services at Yale Health Center. Those who are not enrolled in this plan will need to transition their medical care outside of Yale Health.

Retirees are no longer referred to as Yale Health members as Aetna is the prime insurance payer. Only Aetna Medicare ESA Open Access PPO & Medicare Choice ESA PPO Plan (Silverscripts) members will have continued care at the Yale Health Center. 

Claims for services received at Yale Health will be submitted to Aetna.

Retirees over age 65 are no longer members of Yale Health and are designated as Medicare Patients.

The Yale Health Pharmacy participates in the Aetna Silverscripts prescription coverage. This plan is considered a Medicare D plan. You may not enroll in another Medicare D plan.

Enrollment in the Aetna Advantage options is administered by the Aetna Retiree Service Center at 1-800-338-4533, not Yale Employee Services.

The Yale Employee Services Center is available by phone at 203-432-5552 or send an e-mail to employee.services@yale.edu. 

Review https://your.yale.edu/work-yale/benefits/financial-wellness/financial-and-benefits-planning-retirement for more information.