What are some benefits of FEP Bluevision?
Medicare Part A is free for most people. 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 ...
What is FEP Blue focus plan?
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 ...
Is FEP Blue focus good?
Use Your Benefits. Get the most out of your Service Benefit Plan coverage with Medicare. 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. When you retire and have Medicare, it typically becomes your primary coverage and they pay first.
Which Medicare plan is best for me?
reimbursement. All options require you to submit documents verifying that you paid for a Medicare Part B premium. Below is an overview of each submission method, so you can choose the one that works best for you. Medicare Reimbursement Account (MRA) Basic Option members who pay Medicare Part B premiums can be reimbursed up to $800 each year ...
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.
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.
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.
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 age is Medicare?
Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities, and any age person with End-Stage Renal Disease (ESRD ). There are many different parts to Medicare; with all of these options, it can be confusing. This forum will allow members to share their experience with medicare and seek advice* on certain ...
Can you delete a post on this forum?
You cannot delete your posts in this forum.
What is the fourth choice for Medicare?
As a fourth choice, you can enroll in a relatively low-premium plan like Aetna Direct, Blue Cross FEP Blue Focus, Blue Cross Basic, CareFirst Blue Value Plus, GEHA Elevate Plus, or either CareFirst or MHBP HDHP, along with Part B, and get a rich Medicare wraparound benefit or simply the ability to use Medicare to go outside the plan’s network should you choose to do so.
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.
Does Aetna Direct pay for Part B?
A second option is to enroll in one of the few low-premium plans that contributes a substantial amount toward your Medicare premium, such as Aetna Direct CDHP or Blue Cross Basic. In both CDHP and HDHP plans your special account will pay towards the Part B premium (or in the Aetna Direct plan for drug or dental costs not otherwise covered), and you also get a Medicare wraparound. Several HDHP plans give you an equivalent value through their Health Reimbursement Account. We rate MHBP HDHP and CareFirst HDHP as particularly good buys.
Is there a one size fits all prescription?
So, there is no simple “one size fits all” answer.
When does a FEHB plan pay?
Your FEHB Plan must also pay benefits first when you are under age 65, entitled to Medicare on the basis of disability, and covered under FEHB based on you or your spouse's employment status.
When you have ESRD and FEHB, what is the primary payer?
When You or a Covered Family Member Have Medicare Based on End Stage Renal Disease (ESRD) and FEHB, and: The Primary Payer is: Are within the first 30 months of eligibility to receive Part A benefits solely because of ESRD. FEHB. Have completed the 30-month ESRD coordination period and are still eligible for Medicare due to ESRD. Medicare.
What happens if a doctor doesn't accept assignment?
When your doctor doesn't accept assignment, you can be billed up to the difference between 115 percent of the Medicare approved amount (limiting charge) and the combined payments made by Medicare and your FEHB plan. Medicare will pay its share of the bill and your FEHB plan will pay its share.
Does Medicare cover out of pocket costs?
Not always. A fee-for-service plan's payment is typically based on allowable charges, not billed charges. In some cases, Medicare's payment and the plan's payment combined will not cover the full cost. Your out-of-pocket costs for Part B services will depend on whether your doctor accepts Medicare assignment.
What is a FEHB?
An annuitant. Medicare. A reemployed annuitant with Federal Government. FEHB, if position not excluded from FEHB.
Do you pay the same premiums if you change to another plan?
You will continue to pay the same premiums, unless you change to another plan or option. Medicare & FEHB Primary Payer Chart. When Either You or Your Covered Spouse are Age 65 or over, Have Medicare and FEHB, and You are: The Primary Payer is:
Is my spouse's policy my primary coverage?
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.
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.
Is Medicare Part B mandatory?
Medicare Part B is not mandatory, but highly encouraged. On the other hand, for enrollees, signing up for Medicare Part B means taking on an additional monthly cost beyond their FEHB premium.
Do you have to pay additional medical expenses with Medicare?
If you have Medicare Parts A & B AND use physicians participating in Medicare then you will have, in nearly all instances, no additional medical expenses (all the co-pays, co-insurance, and deductibles are waived if you have Medicare Parts A & B) other than prescription co-pays and your Medicare Part B premium.
Can you use Medicare Part B for prescription drugs?
If you're not enrolled in Medicare Part B or prefer to use the Medical Fund for other expenses, it can be used for other covered services including prescription drugs."
Does HDHP reimburse for Medicare Part B?
I won't call this an outright lie, but it is very deceptive. 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.
Is Medicare Part B full reimbursement?
I agree. I was talking about the FULL reimburse that you mentioned. Reimbursements for Medicare Part B should be all across the FEHB health plans. 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.
Is Aetna Direct a Medicare plan?
I wasn't really referring to Aetna Direct. That plan is specifically designed for those participating in Medicare. I'm referring to other providers like BC/BS. If you are in BC/BS Basic, you are paying the same amount as an active employee that the company is required to cover a much larger portion of their medical care than a retiree who is on Medicare A/B.