Retiree Medical Insurance & Pharmacy

MCSD seeks to provide the best possible medical and prescription drug benefits at a reasonable cost. Retirees under the age of 65 or Not Medicare eligible are provided with three medical plan options through Florida Blue:

  • BlueCare HMO Plan 47

  • BlueChoice PPO 117

  • BlueOptions High Deductible Health Plan (HDHP) with Health Savings Account (HSA)

Retirees age 65 or Medicare eligible are provided with four medical plan options: 

  • BlueCare HMO Plan 47

  • BlueChoice PPO Plan 117

  • Florida Blue Medicare Advantage Plan

  • Cigna Medicare Supplement Plan G

Under the Age of 65 and Not Medicare Eligible

For retirees under the age of 65 and not Medicare eligible, the School Board will pay a percentage of MCSD's flat amount contribution (as per School Board policy) toward the cost of single health insurance coverage. Please refer to rate sheets.

medical insurance monthly cost under age 65

Age 65 and Over or Medicare Eligible

For retirees age 65 and over or Medicare eligible with 15 or more years of service with the MCSD and were hired on or before June 30, 2011, the School Board will provide a Martin County Health Insurance Subsidy (MCHIS) in the amount of $5 per month for each year of service with the MCSD, for a maximum of 30 years of service.

 Example: An employee retiring after 15 years of service would receive $5 x 15 = $75/month MCHIS; an employee with 22 years of service would receive $5 x 22 = $110/month MCHIS; an employee with 30 years of service would receive $5 x 30 = $150/month MCHIS.

 Please Note: Any contribution toward retiree insurance will be at the discretion of the School Board. Nothing contained herein creates a right to lifetime healthcare benefits or subsidy for retirees, surviving spouses, and dependents. The School Board may contribute none, some, or all of the costs toward retiree medical coverage. The percentage or amount of payment toward retiree medical coverage has varied over the years and may continue to do so in the future. MCSD’s contribution toward retiree medical coverage is subject to unilateral change.

Medical Insurance Monthly Cost – On Medicare Early or Age 65 and Over

medical insurance monthly cost on medicare early or age 65 and over

Health Savings Account (Available with High Deductible Health Plan Only)

The BlueOptions High Deductible Health Plan (HDHP) PPO 05172/05173 complies with the Internal Revenue Service (IRS) requirements and qualifies enrolled retiree to open a Health Savings Account (HSA). Retiree must be enrolled in the BlueOptions HDHP to be eligible for the HSA. Retiree must be under age 65 to enroll in the HSA. An HSA provides retiree with a way to take ownership of healthcare dollars and help retiree build health savings to control out of pocket costs. HSA pre-tax funds can be used immediately to pay for current and future qualified expenses such as copays, deductibles, coinsurance and other qualified medical expenses. Retiree must re-elect the dollar amount they choose to have deducted each plan year.

HSA Contributions

  • 2022 IRS maximum contribution limitations: $3,650 (individual coverage) and $7,300 (family coverage).

  • Account holder 55 years of age and older may contribute an additional $1,000.

  • Funds can accumulate from year to year. There is no maximum on how much the account balance can grow. This means there are no use-it-or-lose it rules with an HSA.

  • If retiree is enrolled in Medicare, TRICARE or TRICARE for Life, retiree is not eligible to contribute funds into an HSA.

  • Guidelines regarding the HSA are established by the IRS.

Important HSA Information

  • Contributions to retiree's account are tax free.

  • Interest and earnings are tax free.

  • Spending is tax-free when retiree pays qualified expenses from retiree's HSA account.

  • If retiree enrolls in the BlueOptions HDHP PPO 05172/05173 with an HSA plan, an HSA will be automatically opened in retiree's name, if under 65. Any contribution to the HSA account is the responsibility of the retiree.

  • Retiree may not be covered under another health plan that is not a high deductible health plan, including a plan retiree's spouse may have where the spouse has elected family coverage.

  • Retiree owns the HSA funds from day one and can use the funds for qualified medical, dental, vision and prescription expenses.

  • HSA funds can be used for dependents even if the dependent is not enrolled in the retiree’s group insurance plan(s) as long as dependent is a qualified tax dependent and it is used for a qualified health care expense.

  • An account holder will receive a Health Savings Account Debit Card. In addition, retiree is able to request up to three (3) free debit cards for retiree's dependent(s). Additional debit cards will cost $5.00 per card.

  • There is a monthly maintenance fee of $2.70 that will be deducted automatically from retiree's HSA account.

  • HealthEquity provides easy and flexible ways to manage retiree's HSA account and is available to help retiree with payments and deposits. To pay for qualified HSA expenses, retiree can use a HealthEquity debit card, retiree can reimburse themselves from retiree's HSA account or retiree can schedule provider payments and reimbursements for a later date online at