County Retirees
Open Enrollment is your opportunity to make/change your plan elections, add/drop dependents for the upcoming year, and change your monthly sick leave usage.
Selections made during Open Enrollment will be effective January 1, 2026
You will be able to make changes October 14th through November 7th, with a January 1, 2026 effective date.
What's New for Retirees...
Aetna OAMC PPO Plan Consolidation
For 2026, The OAMC PPO $200 and OAMC PPO $300 Deductible plans will be consolidated into one OAMC PPO $300 Deductible plan.
Members previously enrolled in the $200 deductible plan will now transition to the $300 deductible plan design, with updated coverage guidelines requiring deductibles to be met before coinsurance applies (except for preventive care). At the same time, members will see lower out-of-pocket costs, including hospitalization and inpatient mental health services reduced from a 20% coinsurance to 0% coinsurance, emergency room visits reduced from $100 to $0, and lower prescription copays ($20 for mail-order generics and $40 for mail-order formulary brands).
Members already enrolled in the $300 plan will see no benefit changes to their benefits, but premiums will be impacted.
Visit hr.smcgov.org/oe-retiree for a full comparison of the 2025 and the 2026 plan summaries.
Vision Service Plan Enhancement – Increased Frame Allowance
County retirees will see an increased allowance to their Frame Allowance for all VSP plans.
VSP Core and Voluntary Plan: Increase in frame allowance from $150 to $170
