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Retiree Health Care Benefits

What’s New for 2026?

The following changes to your benefits take effect on January 1, 2026.

New HSA Account Vendor

Fidelity Investments will be the new service provider for TVA’s Health Savings Account (HSA). Please note: This change involves an active enrollment process. You MUST take action during TVA’s 2026 annual Open Enrollment to open an HSA Account with Fidelity. See page 14 for more information about HSAs.

Consumer-Directed Health Plan (CDHP) Gold Deductibles

To comply with IRS regulations, the deductibles for the CDHP Gold are increasing to $1,700 for individuals and $3,400 for families for in-network services. Out-of-network deductibles will also increase to $3,400 for individuals and $6,800 for families.

Increased Health Savings Account Limits

The 2026 annual HSA contribution limits for all HSA participants will increase to $4,400 for those with individual coverage and to $8,750 for those with family coverage.

Dental Plan Open Enrollment

An open-enrollment period for the retiree dental plan, available through Delta Dental of Tennessee, will be held from October 15 through December 1. Coverage will take effect on January 1, 2026.  

TVA retirees (or spouses of deceased retirees) are eligible to enroll if they receive monthly retirement benefits from the TVA Retirement System, the Civil Service Retirement System, or the Federal Employees Retirement System. 

The monthly premiums for 2026 will be $33.42 for individual and $78.87 for family coverage.  Premium payment options will be explained in the enrollment package. 

The Open Enrollment package, which includes information about plan coverage, as well as the enrollment forms, can be found here.   

Enrollment forms must be returned to Delta Dental of Tennessee, P.O. Box 23470, Nashville, TN  37202, Attn: TVA Administrator.  Do not return the enrollment form to TVA. 

Questions about premium payment, effective date of coverage, benefits, confirmation of enrollment, claims, and all other customer service matters can be directed to Delta Dental at 800-223-3104. 

2026 Premiums

The following monthly premiums are the total premiums and do not reflect any pension supplement or contribution you may receive to help offset the cost of your medical coverage.

 IndividualFamily
80% PPO $1,024$2,462
CDHP Gold$623$1,485
CDHP Silver$596$1,419

Medical Insurance

Non-Medicare Retirees

If eligible for retiree medical coverage, retirees and their eligible dependents not yet eligible for Medicare may choose from medical plan options that include medical, prescription drug coverage, and vision benefits.

Note: When retirees or their eligible dependents become eligible for Medicare, they cannot continue in these plans but are instead eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits as described below in Medicare Retirees.

Summary of Benefits and Coverage

In accordance with the Patient Protection and Affordable Care Act, a Summary of Benefits and Coverage (SBC) for the TVA Medical Plan options is being made available to you. The SBC provides information to help you understand your medical plan options and make decisions about which medical plan to choose.

View and/or print the 2025 TVA Medical Plan’s SBCs below. Note that the 2026 SBCs will be updated by early January. 

Medicare Retirees (Age 65 and Older)

If eligible for retiree medical coverage, retirees and their eligible dependents that are eligible for Medicare, and are at least age 65, are eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits. Other plans are available outside of Via Benefits.

Through Via Benefits, eligible retirees and dependents can enroll in medical, prescription drug, dental and vision coverage. They also have access to Benefit Advisors to help them shop for and select the coverage that’s best for their situation.

When becoming eligible for Medicare upon reaching age 65, retirees and dependents have a choice among competitively priced, guaranteed-issued individual health plans through the individual marketplace.

If enrolled in TVA’s retiree medical coverage, retirees and dependents will begin receiving information from Via Benefits as early as their 64th birthday. This information will provide details about their retiree healthcare benefits as well as information about how and when to enroll.

Retirees and their Medicare-eligible dependents can enroll through Via Benefits during the Initial Enrollment Period (IEP). The IEP is a seven-month period that starts three months before their Medicare-eligible date, includes the month of their Medicare-eligible date, and the three months after their Medicare-eligible date.

For more information, contact Via Benefits at my.viabenefits.com/tva or 1-844-620-5725.

Medicare Retirees (Under Age 65)

If eligible for retiree medical coverage, retirees and their eligible dependents that become eligible for Medicare before reaching age 65 due to disability, are given the option to stay in the plan they’re currently enrolled in or enroll in a plan through Via Benefits.

Retirees or dependents who become eligible for Medicare early must contact TVA Benefits & Well-being within three months of their Medicare effective date. Otherwise, they will remain in the plan they’re currently enrolled in.

For additional information on medical benefits available to TVA retirees, contact TVA Benefits & Well-being by calling HR Support Services at (888) 275-8094.

Health Savings Account

A Health Savings Account, or HSA, is available to retirees who are enrolled in TVA’s Consumer-Directed Health Plan (CDHP). The HSA gives you, the consumer, more control over how and when you spend your healthcare resources.

The HSA trustee as of January 1, 2026, will be Fidelity. The HSA trustee holds your balances for you, receives and records contributions, and processes distributions. TVA contributions to the HSA are made to Fidelity. TVA’s contributions for 2026 to the HSA are:

CDHP Gold: $600 per individual and $1,200 per family

CDHP Silver: $450 per individual and $900 per family.

The maximum annual HSA contribution from all sources is $4,400 per individual and $8,750 per family. The maximum is set by the IRS. If you are age 55 or older you can also make additional “catch-up” contributions. The maximum annual catch-up contribution is $1,000 beginning the year you turn 55.

Important: If you would like to continue participation in the 2026 HSA program, you must complete the HSA Section of the TVA Retiree Medical Open Enrollment Form here.   Fidelity will contact you via email to complete the online enrollment process.  These action items must be completed to open your HSA account with Fidelity and receive the annual TVA Employer Contribution.  If you are a new retiree, please refer to the Benefits Summary for Terminating Employees for instructions regarding your HSA.

View information on the Retiree Health Savings Account.

Dental Insurance

The retiree dental insurance plan is designed to help retirees with the cost of dental expenses. This plan is not tied to the retiree's medical plan. Future retirees may choose not to enroll in dental but still maintain their medical coverage. 

Delta Dental Plan of Tennessee is the carrier for this benefit. Delta allows participants to use any dentist but offers incentives to those who choose a participating dentist. Visit Delta Dental's website for a list of participating dentists. 

The monthly premiums are $33.42 for individual coverage and $78.87 for family coverage. 

Future retirees who wish to enroll must sign up within 30 days of their retirement. Coverage will be effective the first of the month following Delta Dental’s receipt of the enrollment form. 

The following documents outline the dental plan and provide forms that can be printed out and mailed to Delta Dental

The Guidelines for Retiree Dental explain participants’ responsibilities under the plan, eligibility, payment of premiums, and more. 

Federal Long-Term Care Insurance

The U.S. Office of Personnel Management (OPM) suspended applications for coverage under the Federal Long Term Care Insurance Program effective December 19, 2022.

This was done to allow OPM and the FLTCIP carrier, John Hancock Life & Health Insurance Company, the time to thoroughly assess benefit offerings and establish sustainable premium rates that reasonably and equitably reflect the cost of the benefits provided, as required under 5 U.S.C. 9003(b)(2).

Prescription Safety Eyewear

The safety eyewear program is a courtesy offering as part of a contract with TVA’s safety eyewear vendor.

Read about the program here.