HMO Overview
HMOs are also available to Retirees and access is determined by geographic location and Medicare eligibility status.

HMO Wrapper
Download the HMO/Insured Health Plan Summary Plan Description (SPD) Wrapper. Besides the HMO SPD Wrapper, you will need to contact the specific HMO for a brochure that describes coverage information and terms and conditions.

HMO Wrapper
CIGNA Ohio Plan Summary Plan Description
HealthPartners Minnesota Summary Plan Description

State Specific HMO Charts
To download state specific HMO charts, select the state in which you live from the list below.

Arizona (118KB PDF)
California (147KB PDF)
Connecticut (108KB PDF)
Florida (104KB PDF)
Illinois (131KB PDF)
Louisiana (96KB PDF)
Maryland (100KB PDF)
Michigan (118KB PDF)
Minnesota (104KB PDF)
New Jersey (133KB PDF)
New York (124KB PDF)
North Carolina (9KB PDF)
Ohio (9KB PDF)
Pennsylvania (9KB PDF)
Texas (9KB PDF)
West Virginia and Maryland (9KB PDF)

Who to Contact for HMO’s
UltraLink Helpline: (800) 282-0424

Who to Contact for Triple-S PPO:
Triple-S Phone: (787) 749-4777
Web site: Triple-S

Triple-S PPO
Download specific information about Triple-S PPO Plan for Retirees living in Puerto Rico.
2006 Triple-S PPO Chart (9KB PDF)