Medicare Blog

why does fedblue not give a medicare reimbursement allowance for standard plan

by Berneice Konopelski Published 2 years ago Updated 1 year ago

Standard Option and FEP Blue Focus members are not eligible. You pay for Medicare Part B. This is additional coverage beyond the Medicare Part A that Americans over age 65 automatically receive.

Full Answer

How much does Medicare pay for reimbursement?

Medicare Reimbursement Account Basic Option members with Medicare Part A and Part B can get up to $800 back. Medicare Part A is free for most people. For Part B, you pay a premium.

Are you eligible for a Medicare Part B reimbursement under FEHB?

Current or retired federal employees under FEHB can get reimbursements for Medicare Part B premiums in some instances. Who among us couldn’t use a little extra cash? If you’re a federal employee or retiree, you could be eligible for an extra $800 in your pocket this year, and there really are no strings attached.

How much does BCBS reimburse for Medicare Part B?

If you have the BCBS Basic plan through the Federal Employee Health Benefits Program, BCBS will reimburse you up to $800 for your Medicare Part B premiums. An eligible spouse can also receive this reimbursement, so a couple could enjoy a mini-windfall of $1,600. The best part is that ths reimbursement is yours to do with as you please.

How does the service benefit plan work with Medicare?

Together, the Service Benefit Plan and Medicare can protect you from the high cost of medical care. Medicare works best with our coverage when Medicare Part A and Part B are your primary coverage. That means Medicare pays for your service first, and then we pay our portion. Usually if you’re retired, Medicare is primary.

How do I get my $800 back from Medicare?

All you have to do is provide proof that you pay Medicare Part B premiums. Each eligible active or retired member on a contract with Medicare Part A and Part B, including covered spouses, can get their own $800 reimbursement.

Can I get reimbursed for Medicare premiums?

You may be reimbursed the full premium amount, or it may only be a partial amount. In most cases, you must complete a Part B reimbursement program application and include a copy of your Medicare card or Part B premium information.

Who is eligible for Medicare reimbursement account?

Reimbursement Account for Basic Option Members Enrolled in Medicare Part A and Part B. Basic Option members enrolled in Medicare Part A and Part B are eligible to be reimbursed up to $800 per calendar year for their Medicare Part B premium payments. The account is used to reimburse member-paid Medicare Part B premiums.

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.

How do you qualify for $144 back from Medicare?

How do I qualify for the giveback?Are enrolled in Part A and Part B.Do not rely on government or other assistance for your Part B premium.Live in the zip code service area of a plan that offers this program.Enroll in an MA plan that provides a giveback benefit.

How do I claim Medicare reimbursement?

Contact your doctor or supplier, and ask them to file a claim. If they don't file a claim, call us at 1-800-MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Ask for the exact time limit for filing a Medicare claim for the service or supply you got.

What is Blue Cross Blue Shield Medicare reimbursement account?

Medicare Reimbursement Account (MRA) Basic Option members who pay Medicare Part B premiums can be reimbursed up to $800 each year! You must submit proof of Medicare Part B premium payments through the online portal, EZ Receipts app or by fax or mail.

How much is the Medicare Part B reimbursement?

If you are a new Medicare Part B enrollee in 2021, you will be reimbursed the standard monthly premium of $148.50 and do not need to provide additional documentation.

How much is Medicare reimbursement?

The rate at which Medicare reimburses health care providers is generally less than the amount billed or the amount that a private insurance company might pay. According to the Centers for Medicare & Medicaid Services (CMS), Medicare's reimbursement rate on average is roughly 80 percent of the total bill.

Does FEP follow Medicare guidelines?

Use Your Benefits If you decide to combine your Medicare and Service Benefit Plan coverage, we'll pay for covered services not covered by Medicare.

How does the Part B reimbursement work?

The Medicare Part B Reimbursement program reimburses the cost of eligible retirees' Medicare Part B premiums using funds from the retiree's Sick Leave Bank. The Medicare Part B reimbursement payments are not taxable to the retiree.

Do most federal retirees take 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.

How does Medicare work with service benefit plan?

Combine your coverage to get more. Together, the Service Benefit Plan and Medicare can protect you from the high cost of medical care . Medicare works best with our coverage when Medicare Part A and Part B are your primary coverage. That means Medicare pays for your service first, and then we pay our portion.

How much does Medicare reimburse for a B plan?

Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums.

What is Medicare for seniors?

What's Medicare? 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.

Does Medicare cover foot care?

Routine Foot Care. If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments. If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary ...

Does Medicare Part A and Part B cover prescription drugs?

Medicare Part A and Part B don’t include prescription drug coverage, but your Service Benefit Plan coverage does. The prescription drugs covered in each tier vary by plan. Check our approved formularies to see what’s covered. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan.

What happens when you retire with Medicare?

When you retire and have Medicare, it typically becomes your primary coverage and they pay first. If you decide to combine your Medicare and Service Benefit Plan coverage, we’ll pay for covered services not covered by Medicare. When you receive care, you should show your providers both your Service Benefit Plan member ID card ...

What is the service benefit plan?

When you’re an active federal employee, the Service Benefit Plan is typically your primary coverage, which means we pay for your healthcare services first.

Does Medicare pay for its own network?

Medicare has its own network of Participating providers who accept Medicare’s assignment or payment. When you visit a provider (regardless of if they accept Medicare’s assignment), we’ll pay the difference between what Medicare pays and what you owe the provider.*.

What happens if you have Medicare Part B?

1 If you have Medicare Part B primary, your costs for prescription drugs may be lower.

Do you need to file a claim for a drug that requires prior approval?

2 On limited occasions, such as for certain drugs that require prior approval, you will need to file a claim for services received from Preferred providers.

Does cost sharing apply to Medicare?

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). * If you use a Non-preferred provider under Standard Option, you generally pay any difference between our allowance and the billed amount, in addition to any share of our allowance shown in the table above.

Does Medicare pay for cost sharing?

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

What is Medicare Part B?

You pay for Medicare Part B. This is additional coverage beyond the Medicare Part A that Americans over age 65 automatically receive. Note that your spouse is also eligible for their own reimbursement of up to $800 if they also meet these requirements.

How long does it take to get a reimbursement check?

Applications processed by fax or mail can take up to 10 business days, and your reimbursement will be mailed as a paper check.

When is the deadline to apply for Medicare Part B?

A copy of your bank statement. You will also need to submit your Medicare Part B premium bill that matches the amount you paid. The deadline to apply is December 31 of the following benefit year.

Who is eligible for the $800?

Who Is Eligible for the Reimbursement? To be eligible for the $800, you need to meet the following requirements: You are a current or retired federal employee. You have the BCBS Basic Option for health insurance. Standard Option and FEP Blue Focus members are not eligible. You pay for Medicare Part B.

Can you spend reimbursement on future healthcare?

The best part is that ths reimbursement is yours to do with as you please. There are no limitations or regulations about how you spend the money, so you could put it toward future healthcare spending, repairs on your home, or a vacation you’ve been longing to take. It’s all up to you!

How much does BCBS reimburse for Medicare?

If you have the BCBS Basic plan through the Federal Employee Health Benefits Program, BCBS will reimburse you up to $800 for your Medicare Part B premiums. An eligible spouse can also receive this reimbursement, so a couple could enjoy a mini-windfall of $1,600.

Who Is Eligible for the Reimbursement?

To be eligible for the $800, you need to meet the following requirements:

What are the benefits of being a federal employee?

As a federal employee, you enjoy some amazing benefits — and one of the biggest is your healthcare plan. Fortunately, these benefits continue into your retirement and can make enjoying good health insurance affordable.

How to apply for Medicare Part B?

To apply, you’ll need to provide proof of payment of your Medicare Part B premium. There are several acceptable ways to do this: 1 A Social Security Cost of Living Adjustment (COLA) statement 2 A canceled check 3 A copy of your credit card statement 4 A copy of your bank statement

Is FEP Blue Focus eligible for Medicare?

Standard Option and FEP Blue Focus members are not eligible. You pay for Medicare Part B. This is additional coverage beyond the Medicare Part A that Americans over age 65 automatically receive. Note that your spouse is also eligible for their own reimbursement of up to $800 if they also meet these requirements.

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