Do federal retirees have to take Medicare Part B?

Asked by: Hertha Ritchie  |  Last update: March 15, 2023
Score: 4.7/5 (22 votes)

You don't have to take Medicare Part B coverage if you don't want it, and your Federal Employee Health Benefits

Federal Employee Health Benefits
The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government.
https://en.wikipedia.org › wiki › Federal_Employees_Health_...
(FEHB) plan can't require you to take it.

Do most federal retirees enroll in Medicare Part B?

About 70% of federal retirees enroll in Part B, which means paying two premiums and in essence two duplicative insurance programs. A portion of the retirees that join Part B might do so as a hedge against the elimination of FEHB retiree benefits.

Do federal employees have to take Medicare Part B?

You don't have to take Part B coverage if you don't want it, and your FEHB plan can't require you to take it. There are some advantages to enrolling in Part B: You must be enrolled in Parts A and B to join a Medicare Advantage plan.

Why do I need Medicare Part B if I have FEHB?

FEHB premiums are not reduced if you enroll in Medicare, but having Medicare Part A and B can allow you to switch to a less expensive version of your current FEHB plan, because some FEHB insurers waive cost-sharing (like deductibles, co-pays and coinsurance) when you have Medicare Parts A and B.

What happens if I don't want Medicare Part B?

Your Part B premium penalty is 20% of the standard premium, and you'll have to pay this penalty for as long as you have Part B. (Even though you weren't covered a total of 27 months, this included only 2 full 12-month periods.) Find out what Part B covers.

Do Federal Employee Retirees Need Medicare Part B or Medicare Advantage?

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Who can opt out of Medicare B?

You have health insurance you purchased on the open insurance market, not provided by an employer. You have health insurance through an employer, but there are fewer than 20 employees. You have retiree benefits from a former employer. You have health benefits from TRICARE.

Can you drop Medicare Part B anytime?

So long as you have creditable coverage elsewhere, you can disenroll from Medicare Part B without incurring late penalties. Although Medicare offers very good coverage for most enrollees, there are various reasons why you may want to cancel your coverage.

Do federal retirees have to go on Medicare?

Most Federal employees do not need to enroll in the Medicare drug program, since all Federal Employees Health Benefits Program plans will have prescription drug benefits that are at least equal to the standard Medicare prescription drug coverage.

Can federal employees have both FEHB and Medicare?

The answer: yes! FEHB coverage is comparable to Medicare coverage. Therefore, beneficiaries in the federal program may delay joining a Part D plan; likewise, they're exempt from any Part D late enrollment penalties.

What happens to my FEHB when I turn 65?

Your FEHB coverage will continue whether or not you enroll in Medicare. If you can get premium-free Part A coverage, we advise you to enroll in it. Most Federal employees and annuitants are entitled to Medicare Part A at age 65 without cost.

Do federal employees have to pay for Medicare?

You are entitled to Part A without having to pay premiums if you or your spouse worked for at least 10 years in Medicare-covered employment. (You automatically qualify if you were a Federal employee on January 1, 1983.)

Do you really need Medicare and FEHB as a federal employee?

Yes, the vast majority of the time you are required to get on Medicare A and B at 65 if you are on Tricare even if you are also covered under FEHB or still working. You can find more information about this here. Should I Enroll in Medicare Part B as a Federal Employee?

Is Medicare Advantage better than FEHB?

Most MA plans are comparable to FEHB plans in hospital and medical benefits, but the prescription drug benefits will not be as good as in the FEHB program because the plans have a “coverage gap” where you are responsible for all or most drug costs until you reach a catastrophic limit.

How do CSRS retirees pay for Medicare?

Those who chose to remain in CSRS are still not covered under Social Security and are not eligible for SS retirement benefits. But they do qualify for Medicare through taxes paid on federal earnings.

Can Medicare premiums be deducted from federal pension?

Frequently Asked Questions Retirement

If you are not receiving social security benefits, you can have Medicare premiums withheld from your annuity payments. We must receive a request for the withholding from the Centers for Medicare and Medicaid Services.

How Medicare works with FEHB plans?

Medicare will pay its share of the bill and your FEHB plan will pay its share. Some services, such as medical supplies and some durable medical equipment, do not have limiting charges.

Are you automatically enrolled in Medicare Part B?

Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

How do I get rid of Medicare Part B?

Voluntary Termination of Medicare Part B

You can voluntarily terminate your Medicare Part B (medical insurance). It is a serious decision. You must submit Form CMS-1763 (PDF, Download Adobe Reader) to the Social Security Administration (SSA). Visit or call the SSA (1-800-772-1213) to get this form.

Do you need Medicare Part B with an Advantage plan?

You must have Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) to join a Medicare Advantage Plan.

Is Medicare mandatory at 65?

At age 65, or if you have certain disabilities, you become eligible for health coverage through various parts of the Medicare program. While Medicare isn't necessarily mandatory, it is automatically offered in some situations and may take some effort to opt out of.

Can I decline Medicare coverage?

So, if you don't want to be enrolled, you may be able to opt out. Follow the instructions in your Welcome to Medicare packet, which Medicare sends you during the three months before you're eligible, in most cases.

Does Medicare come out of your Social Security check?

Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.

What is the cost of FEHB for retirees?

For retirees and non-postal employees in the largest FEHB plan, Blue Cross/Blue Shield standard, biweekly enrollee rates for self-only are increasing by $6.54 to $123.45, for self plus one by $13.66 to $280.81 and for family coverage by $13.38 to $300.12.

Can you collect a federal pension and Social Security?

Yes. There is nothing that precludes you from getting both a pension and Social Security benefits.

Can government pensions be taken away?

California public employees' pension perks can be taken away, court rules.