Browsing: HEALTH INSURANCE

Q. I know one has to have Federal Employees Health Benefits for five years before one quits or retires to get this benefit. Does it have to be family coverage for five years, or can I change my self-only coverage to family in the last year before retirement? Can I change it after retirement? A. You can change from self-only to self and family and from self and family to self-only during any open season. The only requirement to carry your FEHB coverage into retirement is that you be covered continuously for the five years before you retire. Note: I…

Q. I plan to continue my federal health care plan after I retire next year. Will I still have the option to switch providers in the future during open season? Do I have to enroll/sign up for Medicare Part A? Is there any general guidance on whether I should pick up Medicare Part B on top of my existing Federal Employees Health Benefits HMO? A. Yes, you can change your FEHB provider during any open season. While you don’t have to sign up for Medicare Part A, there’s no reason not to do so. You’ve already paid for it through…

Q. I’m 64½ years old, retired FERS with Federal Employees Health Benefits. No dependents. I am also retired military, but I have never used Tricare. I am now considering what to do in this open season and as I reach 65 years of age. This is my plan: 1) Enroll in a cheaper (I have Kaiser now), more reasonably priced FEHB during open season. 2) Suspend that new FEHB coverage using form RI 79-9 to OPM. 3) Use my Tricare Standard until I reach 65 years (five months from now). 4) Find a Physician who take Tricare Standard. 5) Enroll…

Q. As I am about to start receiving Social Security benefits, I find myself confused in regards to Medicare. I am fully covered under my wife’s medical coverage for at least 10 more years, including dental, eye, etc. Can I refuse the government Medicare Part A and all of the other options if I choose to? If so, is the correct form CMS-1763? I have not received any payments thus far, as I opted to wait for full retirement at 66. A. While you can refuse Medicare Part A coverage, I’m not sure why you’d want to do that. It…

Q. I turn 65 in March and would like to suspend my FEHB, but I am concerned that I won’t have health coverage until Medicare kicks in. How should I proceed? I’ve have been told that you can suspend your FEHB, but I don’t know the process or how long the grace period is after such an action. A. There are only two ways you can suspend your FEHB enrollment. 1) If you are enrolling in Tricare,  CHAMPVA or a Medicare Advantage plan or 2) If you are going to be carried under your spouse’s own FEHB enrollment.

Q. My husband has been declared disabled and begins Medicare A and B on Jan. 1. I am a current federal employee with plans to retire in about six years. Will my husband’s Medicare be primary for him, or will my Blue Cross/Blue Shield? I called BCBS to inform them of him becoming Medicare eligible, and they told me I would have to call back in November. I then asked if they pay what Medicare doesn’t, and they said they will be the primary for my husband. I don’t understand this and am wondering why. A. Medicare will be primary…

Q. The cost of optional Medicare Part B coverage goes up by $60 this year and a lot more the year after.  I want to rescind this coverage.  Am I right in assuming that it is still optional? A. Yes, enrollment in Medicare Part B is optional. Call the Social Security Administration at 1-800-772-1213.

Q. I plan on retiring at the end of 2014. I have been with the service 33½ years under CSRS. I have a couple of incurable medical issues, so I go to the doctor and hospital regularly. I have always paid into FEHP and have had BC/BS for more than five years. My question is regarding medical insurance. Do I have to obtain Medicare parts B, C and D? I will be continuing to pay into my FEHP when I retire but want to know if I should get any of those other plans because I do not want to…

Q. My husband retired in CSRS at age 55. He will turn 62 in January and plans to collect his Social Security benefits then. He has BCBS federal basic family plan, which includes me. Is he required to accept Medicare Part A? If so, how does that affect my coverage? I am not collecting any retirement or Social Security benefits at this time, as I am just now 60. A. He isn’t required to apply for Medicare Part A; however, since he has already paid for the coverage and the way his FEHB plan will operate after he becomes eligible…

Q. My husband retired in CSRS at age 55. He will turn 62 in January and plans to collect his Social Security benefits then. He has BCBS federal basic family plan, which includes me. Is he required to accept Medicare Part A? If so, how does that affect my coverage? I am not collecting any retirement or Social Security benefits at this time, as I am just now 60. A. He isn’t required to apply for Medicare Part A; however, since he has already paid for the coverage and the way his FEHB plan will operate after he becomes eligible…

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