Question: How Does BCBS FEP Work With Medicare?

Can I have BCBS and Medicare?

Some employers offer Blue Cross and Blue Shield Medicare coverage to their eligible retirees.

To find out if you are eligible, reach out to your company benefits representative and ask if a company-sponsored Blue Cross and Blue Shield Medicare plan is available when you retire.

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Is Medicare or Blue Cross Primary?

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. Usually if you’re retired, Medicare is primary. If you’re still actively working, we’re your primary coverage.

Which is better a federal retiree plan or Medicare Part B?

Part B provides more generous benefits than most FEHB plans in a few categories, such as physical therapy and home health care, and it covers more of the costs of prostheses and durable medical equipment than many. Still, Medicare Part B rarely reduces overall costs enough to pay for the extra premium.

Do I need Medicare Part B if I have health insurance?

If the insurance is a COBRA or individual policy, or retiree coverage provided by a union or employer, enrollment in both Part A, hospital insurance, and Part B, medical insurance, is necessary. These types of insurance are secondary to Medicare, paying for any covered care after Medicare has paid its share.

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. … If you don’t enroll in Medicare, your FEHB plan will pay benefits in full.

How does FEHB and Medicare work together in retirement?

Here’s where having Medicare Part B and FEHB together really makes a lot of sense. We’re still under the 80%, 20% rule, so Medicare picks up 80% and FEHB picks up 20%. But, if you receive services or equipment that’s not covered by Medicare, then FEHB steps in to be your primary coverage for those expenses.

What Medicare does and does not cover?

While Medicare covers a wide range of care, not everything is covered. Most dental care, eye exams, hearing aids, acupuncture, and any cosmetic surgeries are not covered by original Medicare. Medicare does not cover long-term care.

How does Medicare work with FEHB?

your FEHB plan is the primary payer of health benefits expenses and Medicare is the secondary payer if you are employed in the federal service; Medicare is the primary payer and FEHB is the secondary payer if you are not employed in the federal service.

Do I need Medicare with FEHB?

If you have FEHB and do enroll in Medicare, then Medicare will be your primary coverage and your FEHB plan will pay after Medicare does. Having Medicare could reduce your out-of-pocket costs, because many FEHB plans waive cost sharing for enrollees who have Medicare. … Some states don’t allow excess Medicare charges.

Do federal retirees need Medicare Part B?

In order to get coverage for physicians’ services, you’d have to enroll in Medicare Part B and pay the premiums. And every year the premiums for Part B keep going up. … The consensus of opinion among the experts is that most Medicare-eligible federal retirees only need their FEHB enrollment and premium-free Part A.

What does Medicare Blue Cross cover?

Medicare Advantage plans provide Medicare coverage through private health insurance companies approved to participate in the Medicare program. … Medicare Advantage plans provide all Part A and B services while generally including some additional services, such as wellness programs, hearing aids and vision services.

How does Medicare work as a secondary insurance?

The insurance that pays first (primary payer) pays up to the limits of its coverage. The one that pays second (secondary payer) only pays if there are costs the primary insurer didn’t cover. … If your employer insurance is the secondary payer, you may need to enroll in Medicare Part B before your insurance will pay.

Do federal retirees pay for health insurance?

Most Federal and U.S. Postal Service employees and annuitants, active and retired members of the uniformed services, and their qualified relatives are eligible to apply for insurance coverage under the FLTCIP.

Do military retirees pay for Medicare Part B?

TRICARE for Life is specifically for Medicare eligible military retirees. Medicare pays first for Medicare-covered services. … TRICARE for Life beneficiaries must enroll in Medicare Parts A and B. They do not need to enroll Medicare Part D because TRICARE for Life provides Medicare Part D creditable coverage.