Health Forms & Booklet

Notice Regarding Office Visits Related to City Retiree Health

As SDCERS staff teleworks for a portion of each week, there may not always be a retiree health staff member available in the office to assist members in person. Moving forward, if you would like to speak with a retiree health staff member in person, you must travel to SDCERS’ downtown offices on a Tuesday or Thursday (not including holidays) between 9:00 a.m. and 4:00 p.m. You are encouraged to call ahead to confirm availability of a retiree health staff member, especially if you are requesting to have your documents reviewed. SDCERS’ Call Center is open on regular business days from 9:00 a.m. – noon, and 1:00 – 4:00 p.m. You can also reach SDCERS’ retiree health staff via email, at health@sdcers.org.


Important Changes to CITY OF SAN DIEGO RETIREE HEALTHcare Plans

Effective January 1, 2024, Scripps Clinics and Scripps Coastal will no longer be part of the SCAN Health Plan provider network.
 
The Scripps relationship will continue for the following facilities:

  • Mercy Physicians Medical Group

  • Scripps Physicians Medical Group

  • Primary Care Associates of California

  • Prospect Medical Group

  • Optum/PCAMG

  • Greater Tri-Cities IPA (with some minimal changes)

You can find the most up-to-date Primary Care Physician listings on the SCAN Health Plan website at www.scanhealthplan.com. If you choose to enroll or remain enrolled in the SCAN health plan for plan year 2024 and your current provider is associated with Scripps Clinic or Scripps Coastal, you will need to select a new provider. Alternatively, you can choose to enroll in a different City-sponsored Medicare plan. 

As a reminder, the City of San Diego and the San Diego Public Employee Benefits Association (SDPEBA) changed the effective date of their healthcare plan offerings. As of January 1, 2023, the City-sponsored retiree health plans are effective based on the calendar year, rather than the fiscal year. 

However, if you are a City retiree with an annual health reimbursement plan through the City, your annual allowance will remain on a fiscal year schedule. See this chart for fiscal year 2024 allowance amounts, effective as of July 1, 2023.
 

CITY OF SAN DIEGO RETIREE HEALTH OPEN ENROLLMENT - Calendar YEAR 2024

Health Open Enrollment for 2024 will take place from November 1 to November 30, 2023.

Booklets containing rates and additional information will be mailed to all City retirees in late October. You will be able to download an electronic copy and the comparison chart at the bottom of this page no later than October 30th. The health providers are the same as last year – so if you are NOT changing your health plan, you do not have to take any action.

CareCounsel is there to help!
CareCounsel Member Care Specialists are available for your healthcare inquiries and concerns. You can call them at (888) 227-3334 or e-mail staff@carecounsel.com Monday through Friday, 6:30 a.m. to 5:00 p.m. PST. CareCounsel also provides helpful videos on their website that may answer your questions about Medicare, here: https://carecounsel.com/medicare.html.

You may send any health-related documents/forms to SDCERS via email, fax, or U.S. mail:

Email: health@sdcers.org - attachments must be in PDF format only (before sending, please read the important security note below. Also, if you are using an Apple product to send the email, in Mail, please select "Format" and click on "Make Plain Text" - we've received reports of emails not getting through our firewalls if this extra step isn't taken when using an Apple product.)

Mail: SDCERS, Attn. Health Reimbursements, 401 West A Street, Suite 800, San Diego, CA 92101 

Fax: (858) 581-5314 

If you plan to send health forms and other confidential information through email (PDF attachments only), read SDCERS' Privacy Policy here.

The Health Insurance Portability and Accountability Act of 1996's (HIPPA) Privacy Rule gives SDCERS who receive health coverage the right to be informed of the privacy practices of their health plans, as well as to be informed of their privacy rights with respect to their personal health information. 

Note: These plans are only available to eligible City of San Diego retirees.​

City Retiree Health Booklet

Enrollment Forms

Plan Information

Reimbursement Forms