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MEDICARE PREPARATION MEDICARE PREPARATION

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MEDICARE PREPARATION - PPT Presentation

TopicsUnderstanding Medicarenrolling in Mediorking past age 65Medicare and your th Split householdsvate Part C and Part D plansResources MEDICARE PREPARATION What is MedicareMedicare is a federal hea ID: 943682

preparation medicare plan part medicare preparation part plan retiree health advantage dependent 146 employee enroll eligible active premium private

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MEDICARE PREPARATION TopicsUnderstanding Medicarenrolling in Mediorking past age 65Medicare and your th Split householdsvate Part C and Part D plansResources MEDICARE PREPARATION What is Medicare?Medicare is a federal health insuranc

e program for peopleage 65+;medically disabled and under age 65 orage with disease. MEDICARE PREPARATION Four Parts of MedicareMedicare Part A HospitalMedicare Part B Medical ServicesMedicare Part CCombines Part A & Medicare Part D

Prescription drugs MEDICARE PREPARATION Paying Your Medicare PremiumsMedicare premiums will be:educted from your Social ty check (if you’re drawing it);illed to you every onths; oreducted from your bankter you set up Medicare E

asy Pay MEDICARE PREPARATION Enrolling in Medicare MEDICARE PREPARATION Automatic EnrollmentFor individualsrawing its, ordisabled (aftve received 24 months of payment).The Social Security Administration will send you information in

the mail. MEDICARE PREPARATION Initial Enrollment PeriodIf you’re retiredand not receiving SSA benefits enroll during the:three months prior to your birthday,month of your 65birthday ormonths after your birthday.If you miss your

initial enrollment period you may have a penalty for signing up late. MEDICARE PREPARATION Return to Work RetireesNot eligible for HealthSelectMedicare Advantage.enrolled in previous Medicare Advantage health plan.Option to choose

active employee benefits. MEDICARE PREPARATION Split Households MEDICARE PREPARATION Private Part C and Part D Plans MEDICARE PREPARATION Enrolling in Private Part C and D PlansEnrolling in a private or group Part C plan cancels you

r GBP Medicare Advantage planEnrolling in a private or group Part D plan cancelHealthSelectMedicare Rx You can cancel your private or group Part C and Part D plan to reenroll in your GBP coverage. MEDICARE PREPARATION THANK YOU! MED

ICARE PREPARATION MEDICARE PREPARATION Understanding Medicare MEDICARE PREPARATION Secondaryays secondaryto Medicare.ou pay a $200 calendarble 30% coinsurance you pay 30% of the 20% not covered by Covered by Medicare edicare. Youpay

HealthSelectays MEDICARE PREPARATION Works together with your Medicare Part A &B to cover 100% of most of your services.no deductible o coinsurancea lower hly premium for Medicaregible dependents and survivors Make sure your doctor

accepts Medicare and is willing to bill United Healthcare. United Healthcare bills Medicare their portion 100% MEDICARE PREPARATION How Much Does Medicare Cover? 80%Covered by Medicare Not Covered by Medicare Traditional Medicare onl

y covers 80% after you’ve met the $198 deductible.If you don’t enroll in Medicare Part A & B you’ll be responsible for paying the 80% Medicare would have covered. MEDICARE PREPARATION Medicare and Your State Health Ins

urance MEDICARE PREPARATION Working Past Age 65Active state employees and their Medicareeligible dependents can delay Medicare Part Contact SSA beforeyour retirement date to enroll yourself or dependent in Medicare Part B SSA will s

end you a form your employer must fill out to verify your employment. You can enroll in Medicare Part A even if you’re delaying Medicare Part B MEDICARE PREPARATION How Much Does It Cost? Part APart BPart CPartmonthly premium St

andard monthly premium is $170.10*No monthly premium forfulltime retirees**No monthly premium for most* *Premium will increase if you are subject to the IncomeRelated Monthly Adjustment Amount (IRMAA).** Unless you are subject to the

tiered insurance premiumsContact the SSA for details about Medicare premiums and how they’re calculated MEDICARE PREPARATION ResourcesSocial Security Administration Tollfree (800) 772or online at www.ssa.govMedicareTollfree (80

0) 633or online at www.medicare.govERSTollfree (877) 275Monday Friday, 8:00 a.m. 5:00 p.m. CT or online at www.ers.texas.gov MEDICARE PREPARATION Active Employee with MedicareEligible DependentActive employee with a dependent who is

eligible for Medicare ActiveEmployee ependent Active employee remains on his or her current health plan.Dependent can delay Medicare Part Bremains on same health plan as active employee. MEDICARE PREPARATION Retiree Is Not MedicareEl

igibleThe retiree is not eligible for Medicare Parts A and B? Retiree DependentRetireeremains on his or her current health plan.Dependentcan enroll in HealthSelectMA PPO. MEDICARE PREPARATION Retiree is MedicareEligibleThe retiree is

eligible for Medicare, the dependent is not Retiree Dependent RetireeShould provide ERS with Medicare info and can enroll in HealthSelectMA PPO.Dependentremains on his or her nonMedicare Advantage health plan. MEDICARE PREPARATION

Freedom of MovementIf you switch from a Medicare Advantage plan to a nonMedicare Advantage plan, it will be effective the first of the month following your request.If you switch from a nonMedicare Advantage plan to a Medicare Advant

age plan and there’s a day Medicare enrollment period before the plan will be effectiveSwitch between a Medicare dvantage plan and your previous Medicare Advantage plan anytime. MEDICARE PREPARATION Call ERS to enrollDeclining c

overage means, you’l lose all GBP prescription drug If you decline, sign up for a private P D plan within 63 days or may be penalized. MEDICARE PREPARATION Active Employee with MedicareEligible DependentActive employee with a de

pendent who is eligible for Medicare ActiveEmployee ependent Active employee remains on his or her current health plan.Dependent can delay Medicare Part Bremains on same health plan as active employee. MEDICARE PREPARATION Retiree Is

Not MedicareEligibleThe retiree is not eligible for Medicare Parts A and B? Retiree Dependent Retireeremains on his or her current health plan.Dependentcan enroll in HealthSelectMA PPO. MEDICARE PREPARATION Retiree is MedicareEligib

leThe retiree is eligible for Medicare, the dependent is not Retiree Dependent RetireeShould provide ERS with Medicare info and can enroll in HealthSelectMA PPO.Dependentremains on his or her nonMedicare Advantage health plan. MEDI