Medicare Blog

why does fepblue basic option get reimbursed for medicare premiums but not standard option

by Samanta Waters Published 2 years ago Updated 1 year ago

Who is eligible for Medicare Part B reimbursement?

For Part B, you pay a premium. Basic Option members who have Medicare Part A and Part B can get up to $800 with a Medicare Reimbursement Account. 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.

What is FEP in healthcare?

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. Upon approval, you will receive reimbursement by direct deposit or check depending how you set up your account. Each member in your household with Medicare …

Are you eligible for a Medicare reimbursement?

1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards.

How does Medicare reimbursement work?

Another reason to combine your coverage is to get access to benefits not covered by Medicare. COVERING THE THINGS MEDICARE DOESN’T COVER Standard Option Basic Option FEP Blue Focus Hearing aids Receive an allowance of up to $2,500every 3 calendar years for the purchase of hearing aids and hearing aid supplies.

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.

How do I get my $800 back from Medicare?

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.

Can I get reimbursed for Medicare premiums?

Call 1-800-MEDICARE (1-800-633-4227) if you think you may be owed a refund on a Medicare premium. Some Medicare Advantage (Medicare Part C) plans reimburse members for the Medicare Part B premium as one of the benefits of the plan. These plans are sometimes called Medicare buy back plans.Jan 20, 2022

What is Blue Cross Blue Shield 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.

Who qualifies for Medicare premium refund?

1. How do I know if I am eligible for Part B reimbursement? You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in both Medicare Parts A and B. 2.

Who gets Medicare reimbursement?

Only the member or a Qualified Surviving Spouse/Domestic Partner enrolled in Parts A and B is eligible for Medicare Part B premium reimbursement. 4.

What happens if you overpay your Medicare premium?

When Medicare identifies an overpayment, the amount becomes a debt you owe the federal government. Federal law requires we recover all identified overpayments. When you get an overpayment of $25 or more, your MAC initiates overpayment recovery by sending a demand letter requesting repayment.

Can you get reimbursed for Medicare Part B?

As a reminder, Part B reimbursement only applies to Retirees or Qualified Survivors who are eligible for an LAFPP health subsidy and are enrolled in both Medicare Parts A and B. Any additional Part B penalties or fees charged by CMS are not eligible for reimbursement.

How does Medicare refund work?

Medicare refunds 75% of the Schedule fee. Private health funds will pay at least the remaining 25% of the Schedule fee. Private fund gap cover (no gap or known gap) may refund part or all of the gap between the Schedule fee and the doctor's charge. You will be charged for accommodation.Apr 10, 2019

What is Medicare reimbursement?

Medicare reimbursement is the process by which a doctor or health facility receives funds for providing medical services to a Medicare beneficiary. However, Medicare enrollees may also need to file claims for reimbursement if they receive care from a provider that does not accept assignment.Dec 9, 2021

What is the Medicare reimbursement plan?

Traditional Medicare reimbursements Instead, the law states that providers must send the claim directly to Medicare. Medicare then reimburses the medical costs directly to the service provider. Usually, the insured person will not have to pay the bill for medical services upfront and then file for reimbursement.May 21, 2020

How much do you pay for Medicare Part B?

1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards.

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 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) .

What is Blue365 discount?

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. View all the current available deals at

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 to contact Medicare for service benefits?

or call 1-800-MEDICARE (TTY: 1-877-486-2048) . << Previous Next >>. 3. Combining your Service Benefit Plan coverage with Medicare is a choice. Here are some things to know that can help you decide: Keep your future healthcare needs in mind before making a decision.

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 the penalty for late enrollment in Medicare?

The penalty is a 10% premium increase for each year you choose to delay your enrollment.

How much is the penalty for delay in Medicare?

The penalty is a 10% premium increase for each year you choose to delay your enrollment. So, if you decide to enroll five years after you’re first eligible, your premium would be 50% higher than it would be if you had taken Medicare initially. There is an exception to this.

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.

Get the details

Want to see detailed benefits for this plan? Download the 2022 Blue Cross and Blue Shield Service Benefit Plan Brochure below. For a convenient summary of our three coverage options, download the 2022 Benefit Summary Book.

2022 Basic Option Rates

Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you.

Not sure which plan is right for you?

Our AskBlue SM FEP Medical Plan Finder tool can help you select the right option for your needs.

How much is Medicare Part B?

In 2017 the Medicare Part B premium for most newly enrolled Federal retirees was $134 per month, although it could range between $187.50 to as high as $428.60 for high-income retirees who are subject to the Income Related Monthly Adjustment Amount (IRMAA).

What is the penalty for not signing up for Medicare Part B?

It will also help cover the additional costs of those Federal retirees who chose not to sign up for Medicare Part B when they were first eligible, but have changed their mind and now face a late enrollment penalty of 10% for each full 12-month period that they could have had Part B, but didn’t sign up for it.

How much will BC/BS reimburse you for an annuity?

Then whenever you have paid at least $600 in premiums, you can send BC/BS proof of your payments (copy of your annuity statement, or whatever form shows your premium payments) and they will reimburse you up to $600.

Is Medicare Part A taxable?

Chances are if you have Medicare Part A an B you are retired and your whole premium is taxable anyways. Employees health insurance premiums are deducted AFTER taxes, retirees pay taxes on their entire income. Therefore, BC/BS reimbursing your premium money would be money you have ALREADY paid taxes on.

Does HDHP reimburse Medicare?

HDHP plans do reimburse you for Medicare Part B premiums, but only to the extent that funds are available in your HRA. HRA dollars are allocated to you each plan year and are available whether or not you participate in Part B. All you are doing is redirecting dollars from actual medical expenses to premium expense.

Does Medicare cover hospitalizations?

While full reimbursement is unlikely because the plan still has to pay for the 20% Medicare doesn't, hospitalizations and Part A deductibles that Medicare doesn't completely cover, physicians not participating in Medicare, and prescriptions also. see more. Show more replies. Show more replies.

Does FEHB cover Medicare Part B?

In 2018, a number of FEHB plans are offering at least partial reimbursement for Medicare Part B premiums to offset part of the cost of enrolling in Medicare Part B. Most, but not all, of the plans are High Deductible Health Plans (HDHP), which have higher annual deductibles and out-of-pocket maximum limits than other types of FEHB Program plans.

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.

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 there a one size fits all prescription?

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

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