Medicare Blog

van you get a cheaper bcbs gederal plan when you get medicare

by Quentin Moore I Published 2 years ago Updated 1 year ago

If you and someone you live with both have a Blue Cross Blue Shield of Michigan Medicare Supplement or Legacy Medigap plan, you might be eligible for a household discount. The discount saves you 5% on your monthly premium. Discount requirements

Full Answer

How much does BCBS basic option reimburse for Medicare Part B?

Based on my cursory reviews, it appears the BCBS Basic Option reimbursement for Medicare Part B is, “Up to $600.00.” Whether this includes both single and single plus 1, I am not sure. Even if the, “Up to $600.00” applies to single individuals, that is only a little over 5 months reimbursement for Medicare Part B premiums.

Why BCBS Medigap plans a and B?

Seniors who want basic coverage and lower premiums BCBS' Medigap Plans A and B take care of your copayments and coinsurance from Original Medicare Part A and Part B. This can make the cost of routine appointments, home health care, hospice care, and hospital stays more predictable and affordable.

Does Blue Cross Blue Shield cover Medicare Part A and B?

However, you will be responsible for all Part A and B insurance deductibles and cost sharing amounts. For help evaluating these and other relevant factors, contact your local Blue Cross Blue Shield company for assistance with choosing the Medicare option available in your area that will best meet your needs and finances.

Should I switch from BCBS standard to BCBS basic?

Even if the, “Up to $600.00” applies to single individuals, that is only a little over 5 months reimbursement for Medicare Part B premiums. Thus, the lower cost of Mail Order generic RX’s, given the number I use regularly, would not substantially advantage me financially to switch to BCBS Basic over my current BCBS Standard Option.

Does Fepblue pay Medicare deductible?

Is combining our coverage with Medicare right for you? Even though you pay a premium for Part B and your Service Benefit Plan coverage, when you combine, we wipe out all your other out-of-pocket costs (deductibles, copays and coinsurance) for covered medical services.

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.

How Medicare works with FEHB plans?

Since you are retired but covered under your working spouse's policy, your spouse's policy is your primary coverage. Medicare will pay secondary benefits and your FEHB plan will pay third.

Is Medicare Advantage better than FEHB?

Most MA plans are comparable to FEHB plans in hospital and medical benefits, but the prescription drug benefits will not be as good as in the FEHB program because the plans have a “coverage gap” where you are responsible for all or most drug costs until you reach a catastrophic limit.

Is Medicare cheaper than FEHB?

Although FEHB coverage can be more generous overall than Medicare Advantage or Original Medicare, having additional coverage may not be helpful if you can't afford its premiums. If you qualify for the Medicare Savings Program (MSP) or Medicaid, you may find your healthcare costs are lower overall if you don't use FEHB.

What is the cost of FEHB for retirees?

For retirees and non-postal employees in the largest FEHB plan, Blue Cross/Blue Shield standard, biweekly enrollee rates for self-only are increasing by $6.54 to $123.45, for self plus one by $13.66 to $280.81 and for family coverage by $13.38 to $300.12.

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.

What is the most popular FEHB plan?

The rankings were released as part of the 2020 FEHB Plan Performance Assessment, which rates 83 health plans across the country in the areas of quality and customer satisfaction. “I could not be any more proud that CDPHP has been named the preeminent health plan in the country for federal employee health benefits.

Does FEHB have a Medicare Advantage plan?

FEHB Plans Offering MA Plans Three of the FEHB's Medicare Advantage plans are available nationally for all federal retirees with Medicare Parts A and B: Aetna Advantage, APWU High, and MHBP Standard MA plans.

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.

Do most federal retirees enroll in 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.

Should I keep FEHB when I retire?

Keeping FEHB in Retirement is Very Important Being able to continue FEHB into retirement allows you more flexibility in your retirement planning. You get to keep better coverage for a lower cost, and the government will continue to pay for the lion's share of your premium costs.

How much is the 2021 Plan G deductible?

In 2021, Plan G has a $2,370 deductible.

What is the best way to spend retirement?

International travel is a popular way to spend your retirement years. Any senior with the travel bug should consider plans C, D, F, G, M, or N. Having 80 percent of qualifying emergency care costs covered will lessen the financial blow if you experience a medical emergency while traveling abroad.

Is BCBS a single company?

Unlike other insurance companies, such as Aetna, BCBS isn't a single company. It's actually an umbrella term for an association of 36 locally operated BCBS companies. Here's where it can get confusing: Many of these companies go by a different name. Some of these names include: Highmark Blue Shield. Capital BlueCross.

Does Blue Cross Blue Shield offer Medigap?

If you're in the market for a Medigap plan, Blue Cross Blue Shield (BCBS) might be exactly what you're looking for. They offer all 10 available Medigap plans and support millions of seniors across the country. Depending on where you live, you may even have access to add-ons like hearing aid coverage or dental insurance.

Do you need to look elsewhere for health insurance when you retire?

Many adults rely on their job or their spouse's job for health insurance, but once you retire, you'll need to look elsewhere for coverage. In America, most retired seniors turn to Original Medicare. Having access to Medicare is certainly a perk, but it won't fully protect you against the rising costs of prescriptions and health care.

Does BCBS offer all Medicare plans?

BCBS, as a whole, provides all 10 Medicare plans. Not every individual BCBS company offers every plan, though. You'll need to check with your local provider to see which plans are available to you. FYI: Plan C and Plan F are no longer available to new enrollees.

When can I enroll in Medicare Advantage Plan A?

You're automatically eligible for Plan A if you’re 65 or older. If you’re under age 65, you are eligible for Plan A if you’ve lost coverage under a group policy after becoming eligible for Medicare. You can also enroll if you had Plan A, then enrolled in a Medicare Advantage plan, and now would like to return to Plan A.

How long do you have to be in Medicare Advantage to return to Plan C?

You can do this as long as it’s within the first 12 months of your Medicare Advantage plan. You're automatically eligible for Plan A if you’re 65 or older. If you’re under age 65, you are eligible for Plan A ...

How to get Medicare Supplement Discount?

Log in to your online account to fill out the discount form. Just select the Application for Medicare Supplement Household Discounts. Or download and fill out the paper application. You can also call Customer Service, 1-888-216-4858.

What information do I need to apply for Medicare Supplement?

While filling out your application (PDF), you'll need some information from your household member. If your household member is applying at the same time as you are, you'll need their: First and last name. Social Security number. If your household member already has a Medicare supplement plan with us, you'll need their:

What is the Medicare deductible?

The Medicare deductibles, coinsurance and copays listed are based on the 2019 numbers approved by the Centers for Medicare and Medicaid Services. You can go to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare.

Is Blue Cross Medicare endorsed by the government?

This is a solicitation of insurance. We may contact you about buying insurance. Blue Cross Medicare Supplement plans aren't connected with or endorsed by the U.S. government or the federal Medicare program. If you're currently enrolled in Plan A or Plan C, you can stay with your plan as long as you pay your premium.

Can I stay with Medicare Plan C?

If you're currently enrolled in Plan A or Plan C, you can stay with your plan as long as you pay your premium. You may enroll in Plan C if you’ve lost coverage under a group policy after becoming eligible for Medicare. You're also eligible if you had Plan C, then enrolled in a Medicare Advantage plan, and now would like to return to Plan C.

When can I enroll in Medicare Advantage Plan A?

You're automatically eligible for Plan A if you’re 65 or older. If you’re under age 65, you are eligible for Plan A if you’ve lost coverage under a group policy after becoming eligible for Medicare. You can also enroll if you had Plan A, then enrolled in a Medicare Advantage plan, and now would like to return to Plan A.

How to find out how much Medicare Supplement is in Michigan?

It may be different depending on where you live in Michigan. There are a few ways you can find out how much a Blue Cross Blue Shield of Michigan Medicare Supplement plan costs: online, by phone or using our rate tables. The prices you'll see are estimates and won't include taxes. They'll give you a good idea of what your monthly bill will be ...

Can I go to a doctor for Medicare?

The Medicare deductibles, coinsurance and copays listed are based on the 2019 numbers approved by the Centers for Medicare and Medicaid Services. You can go to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare. You don't have to use our network.

Does Blue Cross Blue Shield of Michigan cover Medicare Supplement?

Blue Cross Blue Shield of Michigan administers Blue Cross Medicare Supplement plans. Where you live, your age, gender and whether you use tobacco may affect what you pay for your plan. Your health status may also affect what you pay. This is a solicitation of insurance. We may contact you about buying insurance.

Can I enroll in Plan C if I lost my Medicare?

You may enroll in Plan C if you’ve lost coverage under a group policy after becoming eligible for Medicare . You're also eligible if you had Plan C, then enrolled in a Medicare Advantage plan, and now would like to return to Plan C.

Can special enrollment affect my rate?

You'll need to determine if you're eligible for special enrollment to find your specific rate. Your eligibility can affect your rate, so you'll want to be sure which circumstance applies to you. Keep in mind your rate could change based on: Your ZIP code.

Does Medicare stay the same?

The government decides how Medicare supplement, also known as Medigap, plans are structured. So they pretty much stay the same from company to company. However, health insurance companies that sell these types of plans decide what to charge. So, prices vary.

How to contact Medicare for a new drug?

Or, you can contact. Medicare's Limited Income Newly Eligible Transition (NET) Program at 1-800-783-1307 for more information (TTY: 711).

What is Medicare copay?

This program helps pay for your Medicare drug coverage, such as plan premiums, deductibles, and costs when you fill your prescriptions, called copays or coinsurance.

What happens if you don't qualify for extra help?

If you don't qualify for Extra Help, your state may have programs that can help with drug coverage costs. Contact your Medicaid office or your State Health Insurance Assistance Program (SHIP) for more information.

How to lower prescription costs?

To lower your prescription drug costs, you can: Ask about generic drugs—your doctor can tell you if you can take a generic drug instead of a brand-name drug or a cheaper brand-name drug. Look into using mail-order pharmacies. Compare Medicare drug plans to find a plan with lower drug costs. Apply for.

Is Medicaid covered by Medicare?

Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid. A monthly benefit paid by Social Security to people with limited income and resources who are disabled, blind, or age 65 or older.

Is SSI the same as disability?

A monthly benefit paid by Social Security to people with limited income and resources who are disabled, blind, or age 65 or older. SSI benefits aren't the same as Social Security retirement or disability benefits. If you don’t automatically qualify, you can apply for Extra Help at any time.

Do you qualify for extra help if you have Medicare?

Some people automatically qualify for Extra Help. You'll get the Extra Help program if you have Medicare and get any of the following: A joint federal and state program that helps with medical costs for some people with limited income and resources.

How much does it cost to join Part B?

For those who pay the higher part B income-tested premiums, this is a very considerable cost, at least $700 a year extra, and for some almost $6,000 extra to join Part B, depending on exact income level.

Is there a one size fits all prescription?

So, there is no simple “one size fits all” answer.

Do Part B plans cost extra?

Some plans cost very little extra for Part B, taking into account both premium and enhanced benefits. These are sometimes the plans that offer the best premium reimbursements, and sometimes not. What Federal Annuitants Need to Know About the FEHB Program and Medicare.

Is BCBS a primary or secondary insurance?

Depends on what type of insurance that is. If it’s commercial insurance (usually via employer); then that is primary. If BCBS is a Medicare advantage plan, then it is first as it combines Medicare A, B, and Prescriptions all in one, Secondary would be like Medicaid. If it’s

Is Medicare first billed?

Medicare is always first billed. Is the BCBS a Medigap supplement insurance or is it an employer insurance plan? Medicare covers 100% for 20 days, then there is a co-payment to 100 days. Then you have to pay full price or leave.

How much does Medicare pay for Part B?

For Part B-covered services, you usually pay 20% of the Medicare-approved amount after you meet your deductible. This is called your coinsurance. You pay a premium (monthly payment) for Part B. If you choose to join a Medicare drug plan (Part D), you’ll pay that premium separately.

What is Medicare Advantage Plan?

Medicare Advantage Plan (Part C) A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Health Maintenance Organizations. Preferred Provider Organizations.

What happens if you don't get Medicare?

If you don't get Medicare drug coverage or Medigap when you're first eligible, you may have to pay more to get this coverage later. This could mean you’ll have a lifetime premium penalty for your Medicare drug coverage . Learn more about how Original Medicare works.

What is the original Medicare?

Original Medicare. Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles). (Part A and Part B) or a.

Does Medicare Advantage cover prescriptions?

Most Medicare Advantage Plans offer prescription drug coverage. . Some people need to get additional coverage , like Medicare drug coverage or Medicare Supplement Insurance (Medigap). Use this information to help you compare your coverage options and decide what coverage is right for you.

What happens if you don't enroll in Medicare?

As a federal retiree, if you don’t enroll in Medicare, your FEHB plan will act as your primary insurer and won’t pay less because you qualify for Medicare.

How long before you can change your FEHB coverage?

You may want to make changes to your FEHB coverage when you are nearing Medicare eligibility, and will have the option to do this starting 30 days before you qualify for Medicare. Changes can only be made once during this window. You can also wait until FEHB Open Season to change your coverage. Back to top.

What is FEHB insurance?

The FEHB provides comprehensive health insurance to federal retirees and their spouses. If you qualify for FEHB as a retiree, optional Medicare coverage can lower your out-of-pocket costs, but you’ll have to pay a premium for this extra coverage. Back to top.

Is FEHB more generous than Medicare?

Although FEHB coverage can be more generous overall than Medicare Advantage or Original Medicare, having additional coverage may not be helpful if you can’t afford its premiums. If you qualify for the Medicare Savings Program (MSP) or Medicaid, you may find your healthcare costs are lower overall if you don’t use FEHB.

Can you suspend your Medicare Advantage plan?

You can suspend your enrollment in FEHB to enroll in Medicare Advantage or other eligible coverage by contacting your agency’s retirement system, and providing them documentation that you enrolled . If you do this , you’ll be allowed to leave your Medicare Advantage plan and return to FEHB.

Does FEHB cover dental?

Conversely, FEHB plans cover emergency care received outside the United States, and this isn’t covered by Original Medicare at all – and is rarely covered by Medicare Advantage. FEHB plans may also pay for vision and dental care that’s not covered by Original Medicare and is limited in Medicare Advantage.

Is FEHB covered by Medicare?

While FEHB plans cover most of the same types of expenses that Medicare covers, FEHB plans’ coverage may be more limited than Medicare Part B when it comes to orthopedic and prosthetic devices , durable medical equipment, home healthcare, medical supplies, and chiropractic care.

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