Retiree/dependents benefits Eligibility
City of San Antonio employees who leave the City with at least 20 years of service or have five years of service and are 60 years of age are eligible for City of San Antonio retiree medical benefits as follows:
Employees with a hire date prior to October 1, 2007 are eligible to enroll in a City retiree medical plan with a total combined premium subsidy of 67%.
Employees with a hire date on or after October 1, 2007 are eligible as follows:
5-9 years of City service are eligible to participate with no City subsidy
10+ years of City service are eligible to participate with 50% City-subsidized premium
Retirees who meet eligibility requirements for retiree medical benefits must enroll in a City retiree medical plan within
31 days from the date of separation from service.
Waiving medical coverage
Retirees also have the option to waive coverage. If a retiree chooses to waive coverage,
they must do so at the time they separate from the City. Those who choose to waive coverage are allowed one
opportunity to re-enter the City's medical plan at a later date, as long as they provide proof of continuous health insurance
The continuous coverage can be a spouse’s plan, employer plan, or individual plan and enrollment must
be requested within 31 days of the loss of that coverage. Retirees may only enroll those dependents who were
covered at the time coverage was waived and must return to the plan when you do; they will not be added to the
plan at a later date.
Those who do not enroll in retiree health insurance coverage at the time of separation and do not elect to waive
coverage will not be allowed on the plan at any time.
Dependents may be enrolled in City retiree health benefits if they were covered at the time of your retirement and you enroll them at the time of your initial retiree medical election. Dependents who continue to meet eligibility requirements will remain on the plan until you remove them, cease to make the required contribution, or the dependent no longer meets the eligibility criteria.
Retirees who waived coverage at the time of separation and are eligible to come back and enroll in a City retiree medial plan, may only enroll those dependents who were covered at the time coverage was waived. Dependents must return to the plan along with the retiree; they will not be added to the plan at a later date.
Selections made during Annual Enrollment will be effective for the upcoming plan year, January 1 through December 31. There are certain life events that can happen during the year that will allow you to change the level of coverage (retiree only, retiree plus one, or retiree plus two or more) for your health plan.
Those life events are:
- Divorce, Annulment, Dissolution of a Domestic Partnership
- Death of a dependent
You must notify the Employee Benefits Office within 31 calendar days of your life event and provide all required documentation in order for the changes in your coverage to take effect during the calendar year. If you fail to notify the Employee Benefits Office within 31 days and do not provide documentation, you forfeit any past premium refund.
Under the City of San Antonio's Benefits Program, if you are a Medicare-eligible, non-uniformed retiree or a uniformed retiree who retired prior to October 1, 1989, you are eligible to participate in excellent benefit plans through Aetna which help pay for your health and dependent care needs. Contact the Employee Benefits Office at 210.207.0073 for detailed information about the medical benefit plans for Medicare-eligible retirees.
Retirees continue to have a voluntary vision plan benefit available to them. The City's vision plan benefit, administered by Davis Vision, provides you and your dependents with access to a national network of doctors and retail providers to help you care for your eyes. Eye exams, eyeglasses, and contacts are available to you at only the cost of applicable co-pays. To locate a vision provider near you or for additional information, log onto www.davisvision.com, click on the Members tab, and enter the 2471 (City's Client Code) in the Open Enrollment section. You can also call Davis Vision at 1.800.448.9372.
View page 18 of the 2020 Retiree Benefit Matters for additional vision plan details.
Frame Benefits and contact lens
With Davis Vision's Frame Collection, you have access to several designer and brand name frames (in lieu of contacts) at only the cost of applicable co-pays. For frames outside of the Davis Vision Collection, you are allowed a $130 retail allowance. In 2019, when you shop at a Visionworks store, you will receive a $155 retail allowance toward any frame. Plan eyewear includes a one-year eyeglass breakage warranty at no cost to you.
Contact lenses selected (in lieu of eyeglasses) from Davis Vision's Contact Lens Collection are covered in full.
Davis Vision Collection
To maximize your vision plan benefit, consider purchasing frames or contact lenses from the Davis Vision Collection. The Davis Collection is available at most participating independent provider locations. Independent providers do not include retail stores such as Visionworks or Walmart. To locate a participating independent provider near you, visit www.davisvision.com.
Comprehensive Eye Exam - $10 co-pay, one exam per year
|Frames (in lieu of contacts)
||Contacts (in lieu of eyeglasses)
|Once per calendar year beginning January 1.
||Once per calendar year beginning January 1.
|$130 retail allowance toward any frame from provider, plus 20% off balance³.
||$150 retail allowance toward non-Davis Collection Contact lenses, plus 15% off balance1.
|Visionworks Allowance: $155 retail allowance toward any frame from a Visionworks provider, plus 20% off balance.
||Any contact lenses from Davis Vision's Contact Lens Collection2.
|Any Fashion or Designer frame from Davis Vision’s Collection¹ (value up to $195).
Contact Lens Evaluation, Fitting & Follow Up
Care - Once per calendar year beginning January 1. Davis Collection contact lenses covered in full, including fitting fee. Fitting fee is an additional charge minus 15% discount if non-Davis Collection contact lenses².
|One year eyeglass breakage warranty included at no additional cost.
|Spectacle Lenses - Once per calendar year beginning January 1. For standard single-vision, lined bifocal, or trifocal lenses.
- ¹For dependent children, monocular patients, and patients with prescriptions of 6.00 diopters or greater.
- ²Davis Vision Collection is not available at retail providers. It is only available at participating independent provider locations.
- ³Additional discounts not applicable at Walmart or Sam’s Club locations.
Retirees now have the opportunity to participate in a voluntary dental benefit administered by Delta Dental. For detailed plan information, including a directory of dental providers, the enrollment form, premiums, and plan highlights, visit the
Delta Dental website. You can also call 1.800.422.4234 (DeltaCare DHMO) or 1.800.521.2651 (DeltaDental PPO).
DeltaCare Dental HMO administered by Delta Dental
The DeltaCare Dental HMO is a dental plan that provides comprehensive dental care when services are obtained from an
in-network primary dentist. During open enrollment, select a dentist within a 35-mile radius of your zip code from the DeltaCare network to serve as your primary dentist.
With this plan, you are only responsible for the co-pays for any covered services you receive from your selected dentist. There are no deductibles, yearly maximums, or paperwork claims to file. Examples of common services and co-pays are listed below.
|Oral exam, x-rays, and fluoride treatment
Note: Fluoride treatment specific for children up to age 19.
|Prophylaxis (teeth cleaning twice a year)
|Periodontal scaling and root planning, per quadrant
|Amalgam Fillings for one surface, anterior
|Surgical extraction and erupted tooth
|Root canal – Endodontic Therapy, molar
(excluding final restoration)
Orthodontics for children and adults
|D8070 (children) / D8090 (adults)
||$1,700 / $1,900
Citident ppo administered by Delta Dental
The CitiDent PPO is a dental PPO plan that allows you to obtain care per the chart below from the dentist of your choice. Obtaining services from an in-network provider will lower your out-of-pocket costs.
|Type A - Preventive Care (cleanings and oral exams)
||Covered at 100%
|Type B- Basic Care (fillings, simple extractions, and periodontics)
||Covered at 100%
|Type C- Major Care (bridges and dentures)
||Covered at 50%
|Deductible (individual / family)
||$50 / $150
|Annual Maximum Benefit (per person)