Browsing: Blue Cross/Blue Shield

Medicare Part B

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Q. I am a recent retiree and have to decide whether to obtain Medicare Part B coverage. I have, and intend to keep, my Blue Cross coverage. I am trying to determine whether I should opt for Medicare Part B for my wife and I, even though I have Blue Cross. The Medicare Part B monthly payments would range about $150 for each of us.

Turning down Medicare Part B but taking it later

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Q. I am 65 years old and am employed full time by the federal government. I will continue my federal employment for several years. I am covered under Federal Employees Health Benefits and pay for Blue Cross/Blue Shield insurance. If I decline Part B now and decide to take it later, will I be subject to the Medicare Premium penalty? A. Yes, you can decline Part B while you are still employed without penalty. When you are no longer employed, you’ll have an eight-month window in which to enroll, penalty-free, which begins the first full month after you retire.

Retirees, Medicare and the 'creditable plan'

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Q. I am retired with Blue Cross/Blue Shield and will be signing up for Medicare Part A soon to avoid penalties for Part B and Part D. Does my BC/BS meet the “creditable plan” requirement to avoid penalties? I have been told “yes and no” on the phone by Medicare. If I sign up for an HMO with a lower cost, will I meet “creditable plan” standards if I drop Federal Employees Health Benefits? Can I re-sign up for BC/BS later if I don’t like the coverage? A. The “creditable plan” feature you’re referring to only applies to those who…

Medicare

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Q. I am an unmarried 64-year-old CSRS annuitant who will turn 65 on July 15. I’ve had Blue Cross/Blue Shield coverage for many years. What should I do about Medicare and when? A. You can apply online at www.ssa.gov/medicareonly. Do it a few months in advance to avoid delays in being covered.

FEHB and Tricare for Life

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Q. On Jan. 18, there was question about which is primary between these two programs, and the answer ended with “whether you keep both [Federal Employees Health Benefits] and Tricare is something you’ll have to decide.” How do you decide? Where can I find a clear, side-by-side comparison of my FEHB (BC/BS standard in my case) and Tricare for Life — one that is not comparing apples to oranges? I have been told I don’t really need FEHB because TFL is “very comprehensive,” but how can I find out exactly what, if anything, FEHB would cover that TFL wouldn’t. P.S.…

Health insurance

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Q. I am enrolled in Medicare Part A and B. I also have Tricare for Life and Federal Employees Health Benefits (Blue Cross/Blue Shield). My doctor has opted out of Medicare and wants $5,000 for a hip replacement. Will FEHB pay his fee? A. The only way to find out how much of your doctor’s fee your FEHB plan will pay is to ask them.

Medicare Part B

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Q. I am retired and have Blue Cross/Blue Shield Basic for my health plan. I will be 65 in May and need to make a decision on whether I should get Part B when I have my current FEHB coverage. If I decide to take Part B, there will be another monthly cost. Is there any FEHB plan that would benefit me to enroll in and also keep the costs down if I decided to take Part B? This is confusing to me. A. It’s confusing to you because it’s confusing to everyone faced with that decision. Unfortunately, there isn’t…

Jan. 1, 1983

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Q. I am reading in a Blue Cross/Blue Shield brochure that you have to be a federal employee as of Jan. 1, 1983, to get free Medicare Part A. I joined in March 1983 and do not have Social Security eligibility. Will I get Part A for free or not? What is the significance of Jan. 1, 1983? A. Here’s the scoop from the Social Security Administration: “Federal employees are required to contribute to the Medicare Trust Fund and are therefore eligible for Medicare. This provision is referred to as the Medicare Qualified Government Employees (MQGE) provision. “All wages paid…

CSRS and Medicare eligibility

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Q. My father was a federal employee for many years and he retired in 1983. He passed away in 2004 at the age of 80. My mother has been receiving an annuity benefit since that time. The only insurance that my father ever had was his Blue Cross/Blue Shield Federal. Why was he (and now my mother) not eligible for Medicare Part A? Shouldn’t he have been paying into the Medicare system through payroll deductions when he was employed with the Federal Communications Commission? A. Because he was a CSRS employee who retired before December 31, 1983, he didn’t have…

Health insurance change

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Q. I am a 69-year-old female FERS retiree, covered under parts A and B of Medicare and Blue Cross/Blue Shield basic for federal employees. I also have my spouse insured on this plan. My spouse is a military retiree, so we have Tricare for Life, and he also has parts A and B of Medicare. I would like to change to the less expensive BC/BS health insurance, but I want to keep the doctors we currently have. Is there a possibility I would have greater out-of-pocket expense with the standard BC/BS? I would like to take the difference in premiums…

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