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Medicare and FEHB?



 
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annut1



Joined: 01 Jan 1970
Posts: 1

PostPosted: Wed Nov 08, 2017 8:34 pm    Post subject: Medicare and FEHB? Reply with quote

I'm a retired Federal employee and I will be 65 this summer. My HMO will no longer be participating in 2018 so I must choose a new insurance provider. I was thinking I should continue with a high option insurance coverage and then switch to a lower option when medicare kicks in. Any thoughts, opinions or experiences?

Thanks!
Ann
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LS



Joined: 13 Feb 2011
Posts: 6

PostPosted: Thu Nov 09, 2017 12:40 pm    Post subject: Federal Employee Health Benefits (FEHB) and Medicare Reply with quote

Ann:

You did not state if there is anyone else covered on you FEHB and why you need high option coverage. First, if you have a spouse or someone else covered and that person will not be eligible for Medicare at the time that you are, that person will only be covered by your FEHB plan. If that person has high medical expenses, switching to a low option plan may not be adequate coverage for them.

If you do not have any other person covered by your FEHB plan, Medicare Part A and Part B, if you elect it, becomes your primary insurance and your FEHB plan will pay secondary. Most FEHB plans will waive the deductible, except for prescriptions, and the co-pays and co-insurance because Part B is primary. Unless you have very high medical expenses in areas that Part B does not cover or prescriptions that are not adequately covered by the low option of your FEHB plan, switching to a low option FEHB plan would provide you very good total coverage along with Part B Medicare.

You also have the option to suspend (not terminate) your FEHB coverage if you enroll in a Medicare Advantage plan. These would be like the HMO plan you are currently in under FEHB. You would have to check if there are Medicare Advantage plans available in your area. They would have the same type of restrictions on which doctors you can use and getting approval from your primary care doctor to see a specialist. Advantage plans may also offer dental and vision benefits either as included or as an extra cost option.
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admin
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Joined: 20 Sep 2006
Posts: 64

PostPosted: Thu Nov 09, 2017 12:49 pm    Post subject: Moving this discussion to our Medicare Blog post Reply with quote

Dear Ann

Thanks for your question. We moved the discussion to our Blog post on Medicare, where many others have had similar questions. We love to see good questions like this, but please try to post them in a relevant thread (this one is about where you are looking to retire). There are other topics where it fits better. Thank you LS for replying with such a helpful answer!
https://www.topretirements.com/blog/health-issues/medicare-open-enrollment-period-almost-here-medicare-advantage-vs-original-medicare-which-is-best-plan-for-you.html/#comment-307106
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