TRS Illinois · Retiree health (TRIP)

TRS Illinois health insurance after you retire

Illinois teacher retirees with 8 or more years can buy health coverage through TRIP. Here's who qualifies and what it costs.

Illinois specificsShort answer: retirees with 8 or more years of TRS Illinois service can buy coverage through TRIP. For July 1, 2026 - June 30, 2027, managed care costs a retiree $389.30 a month at 26 to 64; at 65 with Medicare you move to TRAIL, $8.11 a month in 2027. Medicare rules are on the Social Security page; to see the pension that pays the premium, use the calculator; survivors' coverage is on survivor benefits.

Who can join TRIP

Members with 8 or more years of TRS Illinois service receiving a monthly retirement benefit; survivors of such members receiving a monthly benefit; disability recipients regardless of service. Tier 1 Guide p. 23, Health insurance; Tier 2 Guide p. 22

Illinois Department of Central Management Services (CMS) sets benefits and premiums under the State Employees Group Insurance Act of 1971; TRS Illinois determines eligibility and collects premiums. No TRS Illinois monies fund TRIP; it is financed by the THIS Fund. Tier 1 Guide pp. 2 and 23

What retirees pay each month (July 1, 2026 - June 30, 2027)

Who can join TRIP (TRS Illinois)
PlanUnder 2626 to 6465+, no Medicare
Managed care plan$127.24$389.30$529.00
TCHP, where managed care is available$323.82$899.87$1,365.03
TCHP, where managed care isn't available$163.92$453.18$686.26

Premiums for a benefit recipient. TCHP is the Teachers' Choice Health Plan. TRIP Summary FY27, p. 2, Monthly Premium Contributions Through June 30, 2027

At 65: TRAIL

Benefit recipients eligible for Medicare Parts A and B must move to the TRAIL Medicare Advantage (Aetna MAPD PPO) plan within six months of the 65th birth month. TRIP Summary FY27, p. 2, When you turn 65; Medicare Advantage TRAIL Program

From Jan. 1, 2027 the TRAIL premium is $8.11 a month for a member and $29.93 for a dependent. TRAIL Summary 2027, p. 2, Monthly Contributions (effective Jan. 1, 2027)

Two dated figures Check with TRS Illinois

Two TRS Illinois documents show different Medicare (TRAIL) premiums: $7.72 on the FY27 slides and $8.11 from Jan. 1, 2027.

What we use: We show each with its date.

When you can sign up

At retirement (within 60 days of the pension effective date), when other group coverage ends (within 60 days), at 65/Medicare, or in the Benefit Choice Period (usually May; effective July 1). TRIP Summary FY27, p. 2, Enrollment

Dependents may enroll, but their rates are not subsidized. TRS Illinois Tier 2 slides, slide 55

What the guides say

Questions

Do I get retiree health insurance from TRS Illinois?

Yes, through TRIP, if you have at least 8 years of TRS Illinois service and receive a monthly pension. You pay a monthly premium.

What happens at 65?

If you qualify for Medicare Parts A and B, you must move to the TRAIL Medicare Advantage plan. The 2027 member premium is $8.11 a month.

Can my spouse join TRIP?

Yes, dependents can enroll, but their premiums are not subsidized.

Source: TRS Tier 1 and Tier 2 Member Guides, September 2026, Tier 1 Guide pp. 2, 23; Tier 2 Guide p. 22; TRIP Summary FY27 p. 2; TRAIL Summary 2027 p. 2; Tier 2 meeting slide 55. Last reviewed .