The Exclusive Care Select Medicare Coordination Plan was established by the County of Riverside and is administered for eligible public agency retirees enrolled in Medicare. Medicare pays first, the plan pays second. The Select Plan provides additional benefits including services that Medicare does not cover, such as yearly physical exams.
The Exclusive Care Select Medicare Coordination Plan is like a Preferred Provider Organization (PPO) plan that offers two tiers of coverage for Medicare-Eligible Retirees. To accommodate your active lifestyle, the plan gives you the flexibility to seek care from any provider within our network and providers who accept Medicare assignment.
Tier 1: The Exclusive Care Network (In-Network) - This tier offers the highest benefits and lowest out-of-pocket costs. It also provides comprehensive coverage through a focused network of physicians, medical groups and hospitals that have contracted with Exclusive Care.
Search for a Tier 1 Doctor or Facility to see what is available in your area.
Tier 2: National Provider 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 National Provider 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 National Provider 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.
Our benefits at a glance link for Medicare Eligible Public Agency Retirees will provide you key information on coverage type, deductibles and co-pays for each tier described below. Please pay special attention to those services which would require prior authorization when reading this document.
For additional questions please call our Member Services department.