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Retiree Health Benefits 2025
2025 Enrollment Form and Rate Sheets
- 2025 Retiree Health Benefits Rate Sheet (PDF)
- 2025 Uniformed Retiree Health Benefits Rate Sheet (PDF)
- 2025 CareFirst MAPD Enrollment Form* (PDF)
- 2025 Benefit Enrollment / Change Form* (PDF)
*Do not complete this form in the browser window. The browser will not allow you to complete all required fields. Please download and save the form to your computer.
Return completed 2025 Benefit Enrollment / Change Form to Retirement@FrederickCountyMD.gov.
Medical Insurance Plan Options
Medicare Eligible Medical Insurance Plan Option
This plan is for Medicare Eligible retirees and spouses.
- Announcement Letter (PDF)
- Welcome Brochure (PDF)
- Benefit Guide (PDF)
- Rate Sheet (PDF)
- Uniformed Rate Sheet (PDF)
- FAQ's (PDF)
- Evidence of Coverage (PDF)
- Open Enrollment Presentation (PDF)
- CareFirst MAPD Education Presentation (PDF)
- CareFirst MAPD Enrollment Form* (PDF)
- CareFirst MAPD Health Concierge Services (PDF)
For more information about the CareFirst BCBC Group Advantage (PPO) Plan, please visit our dedicated website at www.carefirst.com/frederickgovt or call Member Services at (833) 939-4103 (Monday-Friday, 8:00am-6:00pm EST).
*Do not complete this form in the browser window. The browser will not allow you to complete all required fields. Please download and save the form to your computer. Return completed 2025 Benefit Enrollment / Change Form to Retirement@FrederickCountyMD.gov.
This application gives CareFirst BlueCross BlueShield Medicare Advantage members the ability to manage their health insurance through their mobile devices by providing secure, personalized information on items ranging from claims, deductibles, who's covered, and downloadable ID Cards, to locating a provider or urgent care center near them. Members can also register for the CareFirst BlueCross BlueShield Medicare Advantage secure member site, My Account, and maintain their account and communication preferences using the application.
Search for CareFirst Medicare Advantage in the Google Play Store or the App Store or click on the icons below
Non-Medicare Eligible Medical Insurance Plan Options
Cigna OAP In-Network Plan
- Benefit Summary (PDF)
- Benefit Summary (Ohio Residents) (PDF)
Cigna High Deductible Plan (HDP) with Health Savings Account (HSA)
- Benefit Summary (PDF)
- FAQ's (PDF)
- Benefit Document (PDF)
- Making the Most of Your HSA (PDF)
- Making the Most of Your Retirement with HSA (PDF)
- HSA Bank Investment Options (PDF)
Cigna Open Access Plus Health Plan (Enrollment Closed)
- Benefit Summary (PDF)
- 2025 Retiree Health Benefits Rate Sheet (PDF)
- 2025 Uniformed Retiree Health Benefits Rate Sheet (PDF)
- 2025 Benefit Enrollment / Change Form* (PDF)
*Do not complete this form in the browser window. The browser will not allow you to complete all required fields. Please download and save the form to your computer.
Return completed 2025 Benefit Enrollment / Change Form to Retirement@FrederickCountyMD.gov.
The myCigna app gives you a new and improved way to easily access your important health information. You must be a Cigna customer to use the secure myCigna mobile app. Features available are based on the coverage you have with Cigna.
HealthKit is integrated into myCigna in order to serve the ability to customize your Find Care and Telehealth experience.
With the myCigna App, you can easily:
- View ID Cards
- Find Care
- View and Search Claims
- Access and View Account Balances
- View and Refill Prescriptions
- View Coverage, Authorizations, and Plan Information
- View Wellness Goal Activity and Awards
Languages Supported
- Spanish and English
Search for myCigna in the Google Play Store or the App Store or click on the icons below
Dental Insurance Plan Options
Cigna Dental - Basic Plan
- Benefit Summary (PDF)
- Benefit Summary (Texas Residents) (PDF)
Cigna Dental - Enhanced Plan
- Benefit Summary (PDF)
- Benefit Summary (Texas Residents) (PDF)
Cigna Dental - DHMO Plan (Enrollment Closed)
- Benefit Summary (PDF)
- 2025 Retiree Health Benefits Rate Sheet (PDF)
- 2025 Uniformed Retiree Health Benefits Rate Sheet (PDF)
- 2025 Benefit Enrollment / Change Form* (PDF)
*Do not complete this form in the browser window. The browser will not allow you to complete all required fields. Please download and save the form to your computer.
Return completed 2025 Benefit Enrollment / Change Form to Retirement@FrederickCountyMD.gov.
Vison Insurance Plan Option
VSP Vision Plan
- Benefit Summary (PDF)
- 2025 Retiree Health Benefits Rate Sheet (PDF)
- 2025 Uniformed Retiree Health Benefits Rate Sheet (PDF)
- 2025 Benefit Enrollment / Change Form* (PDF)
*Do not complete this form in the browser window. The browser will not allow you to complete all required fields. Please download and save the form to your computer.
Return completed 2025 Benefit Enrollment / Change Form to Retirement@FrederickCountyMD.gov.
Manage your eye care needs at any time, and from anywhere.
With the VSP Vision Care App, you can easily:
- View your benefit coverage
- Access your Member ID Card
- Find a doctor
- Get Exclusive Member Extras
- Shop eyewear, contacts, and plans
To get started, download the VSP Vision Care App and log in with your vsp.com username and password. Don’t have an account yet? Click create an account from the log in screen.
Search for VSP in the Google Play Store or the App Store or click on the icons below
Post Retirement Health Benefits Policy (updated effective 01/01/2025)
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Use the below information to contact your Frederick County Government Benefit Team and to submit your enrollment forms.
Department of Human Resources · 12 East Church Street · Frederick, MD 21701
Phone: 301-600-1070 · Fax: 301-600-2314
Email: Retirement@FrederickCountyMD.gov
*APPOINTMENTS ARE ENCOURAGED. We welcome you to email, fax, or mail your forms to us.