Medicare Blog

fers retiree how does medicare work

by Kolby Barrows Sr. Published 1 year ago Updated 1 year ago
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A newer program called the Federal Employees Retirement System (FERS) replaced CSRS. Workers who participate in FERS are eligible for Social Security. If you chose to stay in CSRS after 1983, you are not eligible for Social Security. However, you are covered under the Medicare program because you pay Medicare taxes on your federal earnings.

Full Answer

How much do you pay into FERS?

Most FERS employees pay 0.8% of basic pay for FERS basic benefits. The agency contributes 10.7% or more to FERS. The FERS basic benefit provides retirement, disability, and survivor benefits and may be reduced for early retirement or to provide survivor protection.

What is the FERS minimum retirement age?

  • 62 with 5
  • 60 with 20 • at your minimum retirement age (MRA) with 30 • at your MRA with at least 10 ADVERTISEMENT MRAs range between 55 and 57, depending on your ...
  • 50 with 20

What is FERS route to retirement?

FERS Route to Retirement is an online program that will walk you step-by-step through planning your federal retirement. It combines education about federal retirement benefits and financial planning all in one do-it-yourself process.

Are you eligible for FERS retirement annuity?

If you are covered by FERS, you have more options. You’d be eligible for an unreduced deferred annuity at age 62 with five years of service, 60 with 20, or at your minimum retirement age (MRA) with 30. You’d also be eligible for a reduced FERS annuity at your MRA with 10 years of service.

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Do FERS retirees get Medicare?

Retired federal employees are entitled to Medicare under the same rules as all other retirees.

How does Medicare work with FEHB plans?

Does My FEHB Plan or Medicare Pay Benefits First? Medicare law and regulations determine whether Medicare or FEHB is primary (that is, pays benefits first). Medicare automatically transfers claims information to your FEHB plan once your claim is processed, so you generally don't need to file a claim with both.

Do most federal retirees get Medicare Part B?

About 70% of federal retirees enroll in Part B, which means paying two premiums and in essence two duplicative insurance programs. A portion of the retirees that join Part B might do so as a hedge against the elimination of FEHB retiree benefits.

Do federal employees have to take Medicare Part B?

You don't have to take Part B coverage if you don't want it, and your FEHB plan can't require you to take it. There are some advantages to enrolling in Part B: You must be enrolled in Parts A and B to join a Medicare Advantage plan.

Can federal employees have both FEHB and Medicare?

The answer: yes! FEHB coverage is comparable to Medicare coverage. Therefore, beneficiaries in the federal program may delay joining a Part D plan; likewise, they're exempt from any Part D late enrollment penalties.

What happens to my FEHB when I turn 65?

Your FEHB coverage will continue whether or not you enroll in Medicare. If you can get premium-free Part A coverage, we advise you to enroll in it. Most Federal employees and annuitants are entitled to Medicare Part A at age 65 without cost.

Why do I need Medicare Part B if I have FEHB?

FEHB premiums are not reduced if you enroll in Medicare, but having Medicare Part A and B can allow you to switch to a less expensive version of your current FEHB plan, because some FEHB insurers waive cost-sharing (like deductibles, co-pays and coinsurance) when you have Medicare Parts A and B.

Do I need both FEHB and Medicare?

Answer #1 —You don't need both. However, to quote OPM “generally, plans under the FEHB program help pay for the same kinds of expenses as Medicare.” In many cases FEHB proves to be more comprehensive, often including emergency care outside the U.S., as well as dental and vision, which Medicare does not cover.

Do you really need Medicare and FEHB as a federal employee?

Yes, the vast majority of the time you are required to get on Medicare A and B at 65 if you are on Tricare even if you are also covered under FEHB or still working.

Do federal employees keep their health insurance after retirement?

Yes, you can keep your existing health benefits coverage if you meet all of the following conditions: You're enrolled in health care insurance under a federal plan when you retire.

Do federal employees pay for Medicare Part A?

Most Federal employees and annuitants are entitled to Medicare Part A at age 65 without cost. When you don't have to pay premiums for Medicare Part A, it makes good sense to obtain coverage.

Do federal employees have to get Medicare?

Most Federal employees do not need to enroll in the Medicare drug program, since all Federal Employees Health Benefits Program plans will have prescription drug benefits that are at least equal to the standard Medicare prescription drug coverage.

Do I need both FEHB and Medicare?

Answer #1 —You don't need both. However, to quote OPM “generally, plans under the FEHB program help pay for the same kinds of expenses as Medicare.” In many cases FEHB proves to be more comprehensive, often including emergency care outside the U.S., as well as dental and vision, which Medicare does not cover.

Do federal retirees with FEHB need Medicare Part B?

If you are working and have FEHB or you are covered under your spouse's group health insurance plan, then you do not have to enroll in Part B when you turn 65. You will have a special enrollment period when you retire or your spouse retires to enroll in Part B without paying a penalty.

Do I need Medicare Part D if I have FEHB?

Healthcare & Insurance Healthcare OPM has determined that the prescription drug coverage offered by plans participating in the FEHBP is, on average, comparable to Medicare Part D prescription drug coverage, thus you do not need to enroll in Medicare Part D and pay extra for prescription drug benefits.

Do federal employees have to pay for Medicare?

Most Federal employees and annuitants are entitled to Medicare Part A at age 65 without cost. When you don't have to pay premiums for Medicare Part A, it makes good sense to obtain coverage. It can reduce your out-of-pocket expenses as well as costs to FEHB, which can help keep FEHB premiums down.

What is a FERS plan?

FERS is a retirement plan that provides benefits from three different sources: a Basic Benefit Plan, Social Security and the Thrift Savings Plan (TSP).

What is TSP FERS?

The TSP part of FERS is an account that your agency automatically sets up for you. Each pay period your agency deposits into your account amount equal to 1% of the basic pay you earn for the pay period. You can also make your own contributions to your TSP account and your agency will also make a matching contribution.

What is a survivor benefit?

Survivors – When a Federal employee dies, monthly or lump sum benefits may be payable to survivors. Learn about these Survivor benefits here. Service Credit – Payment to increase your annuity for civilian service when no CSRS retirement deductions were withheld or were refunded or for military service after 1956.

Who administers thrift savings?

The Thrift Savings Plan is administered by the Federal Retirement Thrift Investment Board. For more information about TSP, see their website (external link). See the SSA website (external link) for more information about the Social Security portion of your retirement benefit.

Do FERS require you to pay Social Security?

The Basic Benefit and Social Security parts of FERS require you to pay your share each pay period. Your agency withholds the cost of the Basic Benefit and Social Security from your pay as payroll deductions. Your agency pays its part too.

What is FERS retirement?

The Federal Employees Retirement System, or FERS, is the retirement plan for all U.S. civilian employees. The plan covers all employees in the executive, judicial, and legislative branches of the federal government. 1  2 . FERS, however, does not cover military personnel or employees of state or local governments.

What is a FERS?

The Federal Employees Retirement System, or FERS, is the retirement plan for all U.S. civilian employees. Employees under FERS receive retirement benefits from three sources: the basic benefit plan, Social Security, and the Thrift Savings Plan (TSP). The plan covers all employees in the executive, judicial, and legislative branches ...

What is FERS 2020?

The Federal Employees Retirement System, or FERS, is the retirement plan for all U.S.

What branches does the federal unemployment plan cover?

The plan covers all employees in the executive, judicial, and legislative branches of the federal government but not military personnel or employees of state or local governments.

Does FERS cover military?

FERS, however, does not cover military personnel or employees of state or local governments. Employees under FERS receive retirement benefits from three sources: the basic benefit plan, Social Security, and the Thrift Savings Plan, or TSP. 3  1 .

Does SF-50 include overtime?

It does not include overtime, bonuses, or other extra payments. Your years of credible service are reported on the SF-50 form you receive at least once per year. Then, the agency you work for adds a 1% multiplier to your high-3. 4 .

Is FERS still available?

Employees eligible for FERS receive benefits from three separate plans. In a world where pensions are being discontinued by corporations and governments, FERS is still seen as one of the best retirement packages available. Some believe, however, that as the federal government continues to rein in costs, FERS could undergo changes that would make it less attractive.

Is CSRS covered by Social Security?

Existing employees who switched from CSRS to FERS in 1984 became covered by Social Security. Those who chose to remain in CSRS are still not covered under Social Security and are not eligible for SS retirement benefits. But they do qualify for Medicare through taxes paid on federal earnings.

Do you have to enroll in Part B if you have FEHBP?

You do not have to enroll in Part B, and your FEHBP plan cannot require you to. But if you lost FEHBP coverage sometime in the future (or the premiums became too expensive to afford) and you needed Medicare, you would then face two consequences.

Key Takeaways

Federal workers enrolled in the Federal Employees Health Benefits Program (FEHBP) may want to delay taking Medicare Part B if you're still working past age 65. Most federal employees and retirees enrolled in FEHBP are not required to enroll into Medicare Part D since all FEHB plans offer prescription drug coverage as good as Medicare’s drug coverage. Activity duty and retired military personnel and veterans also have special considerations for how Medicare will work with TRICARE, TRICARE for Life, and veterans' health coverage..

What is the FICA Tax? And how does it relate to Medicare Part A?

The Federal Insurance Contributions Act or FICA payroll tax helps you earn credits toward Social Security, and helps to fund Medicare Part A and Social Security. Prior to 1983, federal government employees were exempt from contributing toward the Part A, or hospital insurance portion, of FICA.

Medicare & the Federal Employees Health Benefits Program (FEHBP)

Most federal employees participate in the Federal Employees Health Benefits Program (FEHBP), a type of federal health insurance available to non-military, federal government employees and retirees. FEHBP is administered through the Office of Personnel Management (OPM).

Expert Help to Understand Medicare Plan Options

Did you know that Medicare isn’t free, which means you need to consider plan coverage and prices before you enroll? Or that if you don’t enroll on time during your initial enrollment period, you could face a penalty? Navigating your Medicare selection needs and priorities may feel overwhelming.

What is Medicare Part A and B?

Medicare Part A, B, C and D. The Original Medicare Plan (Medicare Part A & B) is available everywhere in the United States. It is the way everyone used to get Medicare benefits and is the way most people get their Medicare Part A and Part B benefits now. You may go to any doctor, specialist, or hospital that accepts Medicare.

How is Medicare Part B premium determined?

Medicare Part B premiums are determined by your Modified Adjusted Gross Income (MAGI). The more you earn the higher your Part B premium. For most beneficiaries, the government pays a substantial portion—about 75 percent—of the Part B premium, and the beneficiary pays the remaining 25 percent.

How much does Medicare cost a month?

This is referred to as "premium-free Part A." If you must buy Part A, it will cost you up to $411 each month.

What is Medicare Advantage Part C?

Medicare Advantage is the term used to describe the various health plan choices available to Medicare beneficiaries. If you are eligible for Medicare, you may choose to enroll in and get your Medicare benefits from ...

How to contact Medicare Advantage?

To learn more about enrolling in a Medicare Advantage plan, contact Medicare at 1-800-MEDICARE (1-800-633-4227) or at www.medicare.gov. Part D (Medicare prescription drug coverage).

How many parts does Medicare have?

Medicare has four parts: Part A (Hospital Insurance). Most people do not have to pay for Part A. If you or your spouse worked for at least 10 years in Medicare-covered employment, you should be able to qualify for premium-free Part A insurance.

What age can I sign up for Medicare?

If you fall under one of the following criteria you are eligible to sign up for Medicare: People 65 years of age and older. Some people with disabilities under 65 years of age. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).

What is Medicare Advantage Part C?

Medicare Advantage is the term used to describe the various private health plan choices available to Medicare beneficiaries.

How to contact Medicare for health insurance?

Other useful publications, such as the Guide to Health Insurance for People with Medicare, are also available at the Medicare number (1-800-633-4227) or from your State Health Insurance Assistance Program (SHIP) counseling office.

Is FEHB a lower cost plan?

Once Medicare becomes the primary payer, you may find that a lower cost FEHB plan is adequate for your needs, especially if you are currently enrolled in a plan's high option. Also, some plans waive deductibles, coinsurance, and copayments when Medicare is primary. I Want to Join a Medicare Advantage Plan.

Does FEHB cover coinsurance?

This may help cover some of the costs that your FEHB plan may not cover, such as deductibles, coinsurance, and charges that exceed the plan's allowable charges. There are other advantages to Part A, such as (if you also enroll in Part B,) being eligible to enroll in a Medicare Advantage Plan.

Does FEHB cover dental?

Generally, plans under the FEHB Program help pay for the same kind of expenses as Medicare. FEHB plans also provide coverage for emergency care outside of the United States which Medicare doesn't provide . Some FEHB plans also provide coverage for dental and vision care.

Is FEHB better than Medicare?

Because all FEHB Program plans have as good or better coverage than Medicare, they are considered to offer creditable coverage. So, if you decide not to join a Medicare drug plan now, but change your mind later and you are still enrolled in FEHB, you can do so without paying a late enrollment penalty.

Does Medicare pay for FEHB?

However, if you choose to enroll in Part D, Medicare benefits for drugs will be primary (will pay first) in most cases for FEHB enrollees. (Medicare C plans that include prescription drugs will also be primary to FEHB benefits.)

What are the benefits of federal retirement?

Employees in the federal employee retirement system, also called FERS, receive three benefits. (1) A retirement annuity (pension). (2) A supplemental pension from ages 57-62.

How long do you have to be in FEHB before retiring?

In addition to MRA+10 you also must have participated in the FEHB for the 5 years prior to your retirement. If you retire with less than 5 years of service in the federal government, you may still be eligible to continue your FEHB if you were enrolled in FEHB for your whole government career.

How many years of service do you need to be a FEHB?

However, FEHB is governed by the “MRA+10 rule”. In general, you need to be at your MRA and have 10 years of service to be eligible. Note: you may be able to get a waiver in certain instances, please check the OPM guidance.

When do you have to enroll in Medicare Part B?

You’re expected to enroll in Medicare Part B when you turn 65 if you are retired. If you do not enroll at age 65, you will be penalized if you try to enroll later. You should know that while you can continue your FEHB benefits for life, your FEHB insurance company expects you to enroll in Medicare Part B.

How old do you have to be to get a full pension?

To receive a full pension, you need to have 30 years of federal service and meet your minimum retirement age (55-57 years old, depending on year of birth). You may also qualify for an immediate annuity at age 62 with 5 years of service or at age 60 with 20 years of service. However, FEHB is governed by the “MRA+10 rule”.

How long can you keep health insurance after retirement?

OPM states that federal employees can keep their health insurance after retirement as long as you meet the following conditions: You retire on an immediate annuity or postponed retirement if you have reached your minimum retirement age and have 10 years of service.

Does FEHB cover prescription drugs?

However, you may want to double check that your FEHB plan does cover the prescription drugs you need before declining Medicare Part D. If you decide you want Medicare Part D, you can add Medicare Part D during a future open enrollment period but may face a penalty in the form of an increased premium.

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