
you and your loved ones
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.

APPOINTMENTS
What do I need to bring to the appointment?
To make the appointment an effective use of your time, please bring the following items:
- Social Security card
- Marriage certificate
- Other proof of spouse’s insurance (if any)
- Birth certificate
- Projection Report — Obtained from the San Antonio Fire & Police Pension Fund (this is a separate office). Call (210) 534-3262 or visit safppf.org

FAMILY
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?
No.
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.

COVERAGE & MEDICARE
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.

MEDICAL PLAN
WEBTPA
- Provider Services: (877) 349-4400
- Member Services: (866) 652-4237
- Other proof of spouse’s insurance (if any)
WELLDYNE
Alternative Therapy List
- Effective January 1, 2023
- Effective January 1, 2022
- Effective July 1, 2021
- Effective January 1, 2020
Welldyne Member Services: (800) 479-2000
Pharmacy Help Desk: (888) 886-5822
Specialty Rx Member Services: (800) 641-8475
For any issues or concerns members, call (800) 652-4237
FEDERAL NOTICES
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2023
- MEDICARE PART D / CREDITABLE COVERAGE / Effective October 1, 2022
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2022
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2021
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Women’s Health and Cancer
- HIPAA Policy and Procedures
- Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)