Designed with you in mind. The Exclusive Care Select Plan is established and administered by the County of Riverside for eligible public agency retirees enrolled in Medicare. The Select Plan provides additional benefits including services that Medicare doesn’t cover, such as yearly physical exams. To accommodate your active lifestyle, the plan gives you the flexibility to seek care from any provider who accepts Medicare assignment. Exclusive Care Select Plan is a PPO plan that offers three tiers of coverage.
-
Tier 1: The Exclusive Care Network (In-Network) - Offers the highest benefits and lowest out-of-pocket costs. Provides comprehensive coverage through a focused network of physicians, medical groups and hospitals that have contracted with Exclusive Care. Click our online Exclusive Care Network provider directory to see what is available in your area.
-
Tier 2: MultiPlan/PHCS Network or any provider that accepts Medicare Assignment - This tier provides comprehensive, affordable benefits for members who live or travel outside the Exclusive Care network. Our MultiPlan/PHCS Network provides excellent coverage throughout the state, as well as coverage anywhere in the country. You may also access a physician who is not part of the MultiPlan network as long as they accept Medicare Assignment. If there are no Tier 1 providers in your area, Tier 2 will be your preferred provider network.
- Tier 3: Non-Network Providers - are covered by the plan as long as they are licensed providers. Keep in mind your out-of-pocket costs will be higher, as these providers do not offer discounted rates.
Exclusive Care is committed to keeping our members informed with the latest information. Our benefits at a glance link for Non-Medicare Eligible Public Agency Retirees will provide you key information on coverage type, deductibles and co-pays for each tier described above. *Please pay special attention to those services which would require prior authorization when reading this document. Links to informational brochures that summarizes the key features of the Exclusive Care Select Medicare Coordination Plan are provided for you in the Resource Center section of this website. Please refer to the Summary Plan Document for exact terms and conditions of coverage. Our Member Services department is available to answer your questions at (800) 962-1133, option 1.