For Enrollees Without Medicare
Coverage under the STRS Ohio Health Care Program is limited for non-Medicare enrollees employed in public or private positions. To determine eligibility, STRS Ohio requires non-Medicare health care plan enrollees to verify their employment status and access to employer health coverage annually. Enrollees without Medicare will be notified the month before their birthday when it’s time to complete the verification process. (If you have Medicare coverage, this requirement does not apply to you.)
Non-Medicare enrollees with an email address on file with STRS Ohio will receive an email with instructions to submit the verification using their Online Personal Account. When you receive the email, promptly log in to your Online Personal Account to complete the verification process.
If you do not have an email address on file, you will receive a letter asking you to register for an Online Personal Account so you can submit your verification online. Registration is easy and takes only a few minutes. You must provide verification to avoid cancellation of your STRS Ohio medical and prescription drug coverage. If you do not respond within 60 days of the initial notification, your STRS Ohio coverage will be canceled.
As a reminder, employed enrollees without Medicare are eligible only for secondary health care coverage through STRS Ohio’s Basic Plan if they: (1) are eligible for medical and prescription drug coverage through their employer, or (2) hold a position for which other similarly situated employees are eligible for medical and prescription drug coverage at the same cost as full-time employees. The rule applies to all employed enrollees who are not eligible for Medicare, regardless of hire date or type of employment.
If you have questions about coverage for employed enrollees or the verification process, please call STRS Ohio’s Member Services Center toll-free at 888‑227‑7877 or email [email protected].
More news and information for STRS Ohio Health Care Program participants is available in the Health Care News section of the STRS Ohio website. Enrollees are encouraged to check it regularly.