Retiree Health & Wellness San Antonio Fire and Police or The Fund, is an organization dedicated to helping you navigate your retiree health care benefits.
From helping with your transition from active duty to retiree, to helping with health care questions, our office is here to make sure San Antonio’s retired Fire and Police Department members take full advantage of their funded benefits.
All Fund clinics and wellness centers are staffed by Health by Design. Health by Design is a revolutionary health care service who helps define true Well+Being™ as a healthy body, sound mind, and hope-filled spirit that inspires patients to live more productive and rewarding lives.
Explanation of benefits
frequently asked questions
Some of the questions and concerns you have about our process and around benefits may already be answered here. This office helps administer the retiree's health care benefits plan. Some of those specific questions are answered here, but are expanded on more formally in the Plan Document.
How do I make an appointment with a Fund Benefit Specialist?
Call our office at (866) 652-4237 to make an appointment with a Fund Benefit Specialist representative.
What do I need to bring to the appointment?
To make the appointment an effective use of your time, please bring the following items:
Will my spouse be covered?
Spouses as of the date of retirement are covered. If you get a divorce, your ex-spouse will no longer be covered. If you re-marry, your spouse will not be covered.
Can I add my spouse and children at a later date?
Will my spouse remain on the plan if I die?
Your spouse can remain on the plan unless they re-marry. If an eligible widow/widower on the plan marries, they will lose their eligibility.
Are children covered?
Children are covered up to age 23. Children adopted after retirement date are not covered.
Am I covered while traveling?
Yes, under out-of-network policies.
Can I keep my doctor?
The plan has a considerable amount of doctors who qualify as in-network options. You can keep your doctor even if they are not in-network, but you will be responsible for out-of-network billing.
Is dental or vision covered?
No. The plan is for medical health care coverage only.
Are there any Medicare requirements?
Once a covered person is eligible for Medicare either by age or established criteria for Medicare eligibility a covered person is required to apply for, purchase and maintain Medicare Part A & B Benefits. If a covered person does not have the eligible quarters for Medicare Part A the covered person will need to provide a copy of the Notice of award letter to the Health Fund Office.
Rates are primarily based on the retiree’s number of years of service.
Here’s the Contribution Rates.
CHANGE OF ADDRESS
Have you recently changed or are you planning to change your address?
1. Download the form below.
2. Print and sign the form.
All forms must include a member signature.
3. Send the form to us by fax or mail.
4. Emails and phone calls per change of address will NOT be accepted.
11603 W. Coker Loop, Suite 130
San Antonio, Texas 78216 (Near US 281 and Nakoma)
Contact our office directly at:
Office Hours: 8:00 – 11:30 am and 12:30 – 5:00 pm
Due to COVID-19 pandemic our office is open for phone calls during our normal business hours. If you would like to speak to a Benefit Specialist in person please request an appointment this will allow us to comply with social distancing guidelines set in place by the CDC.
NOTE: Unsolicited emails will not be viewed or responded to
by the office. Call to schedule or for specific questions.
Have questions about items other than health care?
Contact the San Antonio Fire and Police Pension Fund.