Medicare Blog

when does federal retiree on blue cross have to go medicare

by Mr. Otto Dibbert Jr. Published 2 years ago Updated 1 year ago

Although unnecessary, retirees may choose to have benefits from both programs. Retiring and Medicare eligibility begin at age 65. Once benefits begin, Medicare takes over as the primary insurance.

age 65

Full Answer

How long has Blue Cross been covering federal employees and retirees?

Medicare is a federal health insurance program for people age 65 or older, people under 65 who have certain disabilities and people of any age who have End-Stage Renal Disease. It has four parts that cover different healthcare services. Watch this video to see how FEP and Medicare can work together and help you have a happy and healthy retirement. Learn more at medicare.gov …

Is Blue Cross and blue shield good for retirees?

Apr 04, 2022 · If you have FEHB and do enroll in Medicare, then Medicare will be your primary coverage and your FEHB plan will pay after Medicare does. Having Medicare could reduce your out-of-pocket costs, because many FEHB plans waive …

Do federal retirees have to enroll in Medicare Part A and B?

Jan 17, 2019 · Fran, age 66, is a federal employee and intends to retire from federal service on Dec. 31, 2019 at the age of 67. When Fran became age 65 in 2017, she enrolled in Medicare Part A but did not enroll in Part B. This is because she continued to work in federal service and is enrolled in a FEHB plan.

Will my FEHB coverage continue even if I enroll in Medicare?

You or your spouse must have five (5) years of continuous coverage in the FEHB in order to continue your FEHB coverage into retirement. If you cancel your FEHB coverage while retired, you cannot re-enroll in the Program. If you want to try out a non-FEHB plan (such as Medicare Part C), you should suspend your FEHB coverage—don’t cancel it.

Are federal retirees automatically enrolled in Medicare?

If you are retired and receiving Social Security you will automatically be enrolled in Part A and B and should receive your Medicare card three months before your 65th birthday.

Do federal retirees need Medicare Part B FEHB?

Unlike most people with retiree coverage, who must enroll in Medicare Part A and Part B when they're first eligible, enrollment in Medicare is not mandatory if you have federal retiree coverage through the Federal Employee Health Benefits Program (FEHB).Nov 19, 2021

Do federal employees have to take Medicare Part B?

Healthcare & Insurance Healthcare 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.

Is Medicare Part B worth the cost for federal retirees?

Overall, we see far less expense for retirees in BCBS Basic compared to BCBS Standard, and with Basic there is an additional benefit of a partial Part B premium reimbursement. Medicare Advantage Eligibility—By joining Part B, federal retirees gain access to Medicare Advantage (MA) plans offered by a few FEHB carriers.Nov 14, 2021

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.

Should I keep FEHB when I retire?

As a rule, at retirement you may keep your Federal Employees Health Benefits program coverage if you are currently enrolled and have been enrolled in the FEHB for at least five years or from your earliest opportunity to enroll. It makes no difference if you've bounced around from plan to plan.Nov 1, 2021

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.Nov 14, 2019

How does Medicare work with FEHB plans?

Medicare will pay its share of the bill and your FEHB plan will pay its share. Some services, such as medical supplies and some durable medical equipment, do not have limiting charges.

Do retired postal workers get Medicare?

Law requires postal retirees to enroll in Medicare. The landmark Postal Service Reform Act (H.R. 3076) Congress passed this week ends the mandate that the Postal Service pre-fund its retiree health benefit costs and requires postal workers to enroll in Medicare Parts A and B when they turn 65.Mar 10, 2022

Is the Medicare Part B premium going up in 2022?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $170.10 in 2022, an increase of $21.60 from $148.50 in 2021.

How do I not pay for Medicare Part B?

Those premiums are a burden for many seniors, but here's how you can pay less for them.Sign up for Part B on time. ... Defer income to avoid a premium surcharge. ... Pay your premiums directly from your Social Security benefits. ... Get help from a Medicare Savings Program.Jan 3, 2022

Which is better BCBS standard or basic?

Basic Option provides coverage for preventive dental care services only, while Standard Option provides coverage for preventive dental care and some other non-routine services.

What is the Federal Employee Health Benefits Program (FEHB)?

The FEHB provides comprehensive health insurance to federal retirees and their spouses. If you qualify for FEHB as a retiree, optional Medicare cov...

Are Medicare rules different if I have FEHB coverage?

Most people who have retiree coverage must enroll in Medicare Part A and Part B when first eligible. If they don’t enroll, their retiree plan may p...

Will FEHB be my primary coverage? or Medicare?

If you have FEHB and do enroll in Medicare, then Medicare will be your primary coverage and your FEHB plan will pay after Medicare does. Having Med...

If I'm in the FEHB, should I enroll in Part A?

Most people don’t have to pay a premium for Part A. When combined with FEHB coverage, having Part A would limit your out-of-pocket costs for the ex...

Should I enroll in Part B if I have FEHB coverage?

Deciding whether to enroll in Part B is complicated. And unlike Medicare Part A, all enrollees pay a premium for Medicare Part B ($144.60/month in...

Will I pay less for FEHB premiums if I enroll in Medicare?

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 yo...

When should I change my 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...

Should I suspend my FEHB cover to enroll in other coverage?

You can suspend your enrollment in FEHB to enroll in Medicare Advantage or other eligible coverage by contacting your agency’s retirement system, a...

What happens if I decline FEHB coverage?

If you decline FEHB coverage, you would give up the subsidy the government pays toward it, which ranges from a low of about $350 for self-only cove...

Should I enroll in Medicare Part D if I have FEHB coverage?

You generally don’t have to sign up for a Part D plan if you are covered through FEHB. The prescription coverage through your FEHB plan may have fe...

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.

Does FEHB lower out of pocket costs?

If you qualify for the FEHB Program 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. | Image: StockImageFactory / stock.adobe.com

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.

Can I suspend my FEHB?

You may choose to suspend your FEHB coverage to enroll in Medicare Advantage or other eligible coverage. You generally don’t have to enroll in Medicare Part D if you have FEHB coverage. Q: I have retiree coverage through the Federal Employee Health Benefits Program (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.

What happens if you decline FEHB?

If you decline FEHB coverage, you would give up the subsidy the government pays toward it, which ranges from a low of about $350 for self-only coverage to $1,000 or more if you’re also covering family members. (These amounts are from premiums for federal employees other the Postal Service, which pays different rates.)

What are the parts of Medicare?

It is important to first review the different parts to Medicare. There are four parts to Medicare – Part A , Part B , Part C and Part D. Part A (Hospital Insurance). Helps pay for inpatient hospital care, home health care, and hospice care and prescriptions dispersed in a hospital or skilled nursing facility. Part B (Medical Insurance).

How long do you have to work to qualify for Medicare Part A?

Federal employees are eligible for Part A if they, or their spouse, worked in a Medicare Part A-covered employment for at least 10 years (40 credits), are 65 years or older, and are a citizen or permanent resident of the U.S. If an individual is eligible for Medicare Part A, then the individual and the individual’s spouse is automatically eligible ...

When is Medicare open season?

As long as the individual has FEHB coverage, they may enroll in a Medicare prescription drug plan from during the Medicare Part D “open season” (October 15 to December 7 of each year) at the regular monthly premium rate.

How much is Medicare Part B deductible?

The annual deductible for all Medicare Part B beneficiaries is $185 in 2019, an increase of $2 from the annual deductible $183 in 2018. Since 2007, a beneficiary’s Part B monthly premium is based on his or her MAGI.

How long does it take to change a FEHB plan?

Since enrolling in Medicare is considered a “life event”, an annuitant or employee can change his or her FEHB plan to any available plan or option at any time beginning 30 days before becoming eligible for Medicare and ending 30 days after the day the individual becomes eligible for Medicare.

How much is the penalty for not enrolling in Part B?

Because there is a 10 percent per year premium penalty for not enrolling in Part B within a few months of the deadline, annuitants are under great pressure to make a decision and about 70 percent decide to enroll. It can be surmised that this is usually an “everybody does it” rather than well-calculated decision.

Who is Walton Francis?

He is the principal author of Checkbook’s Guide to Health Plans for Federal Employees. Individuals can subscribe to the online version for $11.95 and also see a listing of the many agencies that provide free Guide access to their employees at www.guidetohealthplans.org. My Federal Retirement readers get a 20-percent discount and should use the promo code MyFederal at checkout.

Why combine Medicare Part A and B?

Another reason to combine your coverage is to get access to benefits not covered by Medicare.

What is Medicare for people over 65?

GET TO KNOW MEDICARE. Medicare is a health insurance program provided by the federal government, available to people: • 65 and older • Under 65 with certain disabilities • With permanent kidney failure who need dialysis treatment or a transplant (End-Stage Renal Disease) .

How much can I earn with Blue Health?

Open to Standard and Basic Option members, you can earn up to $170 in 2020 by completing your Blue Health Assessment and up to three Online Health Coach goals. You can use the money for qualified medical expenses, which include prescription drug costs, hearing aids, glasses and more.

When can I sign up for Medicare if I don't have a Medicare card?

This is January 1 to March 31 every year. You may be able to sign up for coverage outside of this period if a special circumstance (such as the exception noted above for the late enrollment penalty) applies.

Does Medicare Advantage cover prescription drugs?

Medicare Advantage Private health insurance that helps cover things Part A and B don’t cover Benefits and premiums vary based on the plan you choose. Part D. Prescription drug coverage Covers prescriptions which aren’t included in Part A and B coverage Benefits and premiums vary based on the plan you choose .

What is Blue365 for Blue Cross?

Blue365 is a discount program exclusively for Blue Cross and Blue Shield members. Through the program, you can get discounts on different products and services that can help you live a healthy lifestyle, such as diet and exercise plans, gym shoes and athletic apparel, hearing aids and more.

How long do you have to enroll in Part B?

Once you retire, you’ll have eight months to enroll in Part B before the penalty kicks in. . General Enrollment Period .

What happens if you don't enroll in Medicare?

If you don't enroll in Medicare, your FEHB plan will pay benefits in full. Your FEHB premiums will not reduce if you enroll in Medicare. You may change your enrollment to any option of any available plan at any time beginning on the 30th day before you become eligible for Medicare.

When can I get 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. It can reduce your out-of-pocket expenses as well as costs to FEHB, which can help keep FEHB premiums down.

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 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.

Do federal employees have to enroll in 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.

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 to get a suspension form for an annuitant?

Annuitants can call OPM's Retirement Information Office at 1-888-767-6738 to obtain a suspension form. Callers within the local Washington, DC calling area must call 202-606-0500. Section 9 of your FEHB plan covers the different Medicare options and what costs they will waive and pay when you sign up.

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 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.

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.

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