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.
Important Clinic Announcement
The three Fire and Police Healthcare Fund clinics are managed and operated by Health by Design. The current clinics are properties leased by the Fund for the sole purpose of providing private health care.
The first clinic was opened in September 2015 at Paesano Parkway on the Northwest part of San Antonio. The utilization was higher than expected and the need to add capacity prompted the addition of the second clinic in May 2017 at City Base on the Southeast part of town. Despite the second clinic, the utilization of the Paesano clinic continued to grow to a critical level. A third clinic was opened in June 2020 at Tezel and Culebra.
In 2020 the Board began a process to replace the leased facilities with larger Fund owned clinics. Based on demographics, four areas (1-10 corridor outside of 1604, 1-35 corridor north of 1604, City Base, and 151-1604) were identified and suitable land was sought. Three of the locations have been purchased and construction is underway. The new clinics will be larger than we need today but will make adding capacity to meet demand quicker and more affordable in the future.
- The I-10 corridor location is at 7926 Callie Rialto (78257). This site is just off I-10 at Ralph Fair Road behind Bill Miller’s. This site will be replacing the Paesano Parkway. Construction should be completed in fall of this year. When opened, this site will have 50% more capacity with the ability to meet future demand.
- The 151 and 1604 area clinic will be at 5230 Rogers Road, Building 4 (78251). This site is on Rogers Road between Wiseman Blvd. and Culebra Rd. This site will be replacing the Tezel Rd. clinic. Construction should be completed by early summer of the year.
- The I-35 location is 5009 Schertz Parkway (75154). This site is just East of I-35 before Wiederstein Rd. This is a new site to service the Northeast and reduce the pressures on the Paesano clinic. Construction is expected to be completed in 2022.
- The Fund is working on a site for a new Cite Base Clinic. As soon as we close on a piece of land, we will announce the location and expected completion date.
The failure to meet the growing demand for appointments by the clinics is a high priority for the Fund. The commitment to build adequate capacity for today and tomorrow’s demands is underway. The results of these efforts should have a positive impact on the care available to retirees later this year.
Updates and photos will follow as progress takes shape.
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.