Depending on your income and resources, you could save an average of $4,900¹ per year. My employer will use these to determine whether my spouse’s or state-registered domestic partner’s employer-based group medical is comparable to PEBB’s UMP Classic and if I am subject to the premium surcharge. Beginning in 2021 Medicare retirees will have the option of selecting from one of two new Medicare Advantage-Prescription Drug (MA-PD) plans. PEBB Medicare Premiums; PEBB Medicare Supplements; PEBB Medicare Advantage Plans Social Security Office Information LOCAL OFFICE 3809 BROADWAY EVERETT, WA 98201 Office:866-563-4595 Fax:833-950-2616 2021Medicare Details. Because Medicare is health insurance, you share the costs … Learn more about how you can pay for your Medicare Part A and/or Medicare Part B premiums. h�b```b`���������A�D�,�48��'g0.``x5wɀQ��Oa��"6_& ���+5;�-:�FbS���a��׳>�d�$p��]!�ss�$U����]��&_{7sK���m6���K���ML^vNj���e>�qOK���6�;FP��%ԡb0��J��.���)�4�x"|�@��c�&��P��4�0��+� �����" l�$�N0�;�l`�b�i`�a�j`m`Na�i�b`2f�Z������d�`��h�L��� @v+�����L���mx��Q��{��m���� ��:pTH Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and other items. 0000012353 00000 n This is the lowest increase in many years without increases in copays, coinsurance, or deductibles. 0000492010 00000 n A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to Uniform Medical Plan (U… HCA 51-116 (1/17) Retirees 0000035184 00000 n 0000021185 00000 n Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. %%EOF 0000457690 00000 n 0000011316 00000 n These are the same benefits you have as an employee however the monthly premiums you pay are different. If a beneficiary buys Part A, they will pay up to $471 … h���1 0ð4\GbG&`�'MF[����. No appointment needed! <]/Prev 608573/XRefStm 2648>> Certain people younger than age 65 can qualify for Medicare, including those who receive Social Security Disability Income and those who have permanent kidney failure. Review plan benefits & costs. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. 0000008279 00000 n There are also premiums and other out-of-pocket costs to consider. The UnitedHealthcare® Group Medicare Advantage (PPO) Prescription Drug plan (MAPD) designed for Washington’s Public Employee Benefits Board (PEBB) provides participants all the benefits of Original Medicare, plus some great extras. 0 Find a Provider … Medicare offers Extra Help (sometimes called Low Income Subsidy or LIS) to people with low incomes and limited assets. PEBB does not offer a Medicare Part D plan. UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. See How does Medicare work with PEBB retiree benefits below. Surcharges in addition to medical plan premiums. Call Customer Service or go online for more information about the plan. coverage in that month. UnitedHealthcare PEBB Balance Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15993 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. • Medicare premiums are reduced by the state-funded contribution, up to the lesser of $183 or 50 percent of the plan rate per retiree per month. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. Our licensed and board-certified providers are here to see you from 8 a.m. to midnight. 2021PEBB Retiree Monthly Premiums Special requirement for Medicare premiums • To qualify for the Medicare premium, at least one member on the account must be enrolled in Medicare Part A and Part B. 0000498107 00000 n 0000457222 00000 n – Can be used if not electing to deduct premiums from DRS pension > … Medicare premiums shown above have been reduced by the state-funded contribution up to the lesser of $150 or 50 percent of plan premium per retiree per month. 862 87 ... You pay the HCA monthly premium for you and eligible dependents. –Does not include Rx … If you have limited income and resources, your state may help pay your Medicare premiums. 2018 PEBB Continuation Coverage (Leave Without Pay) and COBRA Monthly Premiums Effective January 1, 2018 HCA 50-300R (9/17) For more rate information, contact the PEBB Program at 1-800-200-1004. Please note, these tables exclude the impact of 2019 legislation which increased the Medicare premium reduction (aka explicit subsidy cap) to $183 on January 1, 2020. 0000448191 00000 n The plans for state employees are more generous and expensive than coverage offered in other states. The 2018 PEBB OPEB Valuation relied on the annual healthcare trends displayed below. In 2021, you pay $1,484 deductible per benefit period $0 for the first 60 days of each benefit period The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. 0000015436 00000 n PEBB Medicare Contribution Resolution 2 Resolved, that the PEB Board endorses the maximum $150 employer Medicare Contribution, not to exceed 50% of plan premium set forth in the legislative budget appropriation. 0000011041 00000 n Employee Premium Share. 0000441448 00000 n You have a co-pay when you get prescription drugs at the pharmacy. 2020 PEBB Premium Surcharge Attestation Help Sheet. 0000012326 00000 n The premiums rates for Medicare Care Retirees are the total paid out of pocket by retirees after the state pays its share in the form of the PEBB Medicare Benefit. 0000010173 00000 n All Rights Reserved. If you don't qualify for premium-free Part A, you can buy Part A. 0000007910 00000 n 0000002848 00000 n 0000005450 00000 n %PDF-1.6 %���� 1. Medicare Parts A and B with Premera Blue Cross Medicare Supplement Plan G. Can help pay for some of the health care costs that Medicare Part A and B don’t cover, such as copayments, coinsurance and deductibles. Lower costs 2016. 0000006493 00000 n The . 0000425200 00000 n Learn more about benefits, prescription drug coverage options, enrollment, and getting care from your doctor. AARP’s Medicare Question and Answer Tool is a starting point to guide you through some of the more common questions about costs and options for people with limited incomes. Learn more … AARP’s Medicare Question and Answer Tool is a starting point to guide you through some of the more common questions about costs and options for people with limited incomes. – Medicare Part B; pay monthly premium to Social Security – PEBB Medicare Advantage Plan (ay monthly premium to HCA) > Choose primary care physician – Kaiser Permanente - Cannot go out of network unless approved – United Healthcare – Recommended but not required. Tobacco use is defined as any use of tobacco products within the past two months, except for … The 2018 PEBB OPEB Valuation relied on the annual healthcare trends displayed below. Find out what to do if your payment is late. 0000492334 00000 n Required fields are marked *. The benefit information provided is a brief summary, not a complete description of benefits. Kaiser Permanente is a Cost plan with a Medicare contract. Get a quick overview of your plan benefits and costs and find more detailed information about additional coverage and benefit services. 1�&0�a�b����Ð��{���)¡��_�1�C��i����Ni`#��"�`��Y��54E� d6(D�X�E��c@����F�J��Su&D��� �=�9 0000015409 00000 n 0000491770 00000 n Seconded. We do this by promoting legislation to improve financial and medical benefits, providing information to and otherwise supporting members, and working closely with other organizations. 0000497850 00000 n Please note, these tables exclude the impact of 2019 legislation which increased the Medicare premium reduction (aka explicit subsidy cap) to $183 on January 1, 2020. You must reside in the Kaiser Permanente Senior Advantage (HMO) or Medicare Plus (Cost) service area in which you enroll. 2020 PEBB Premium Surcharge Attestation Help Sheet . Medical and dental plans Find the medical plans available in your county of residence. In 2014, you will see the following medical plan premium changes: •Two plans’ premiums will decrease—Group Health Consumer-Directed Health Plan (CDHP) and Group Health Value. Wednesday, July 17th, the PEBB Board met and passed 8 resolutions regarding the 2014 Premiums and Medical Plan designs. PEBB VSI ION. • Employees pay much less of the premium costs than in other states so they have little incentive to choose more efficient plans. The 2019 plan year’s grace period was … A monthly $25-per-account surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB Program medical uses tobacco products. 0000009236 00000 n 0000008391 00000 n In 2019, retiree medical premiums for an individual and spouse in PEBB (Uniform Medical Classic) are $1,344. Medicare Part A is hospital insurance (inpatient) and Medicare Part B is medical insurance (outpatient). See next years healthcare rates below. Tobacco Use Premium Surcharge The PEBB Program requires a monthly $25-per-account surcharge in addition to your premium if you are not enrolled in Medicare Part A and Part B and you or a family member (age 13 or older) enrolled on your PEBB Program medical coverage uses a tobacco product. 906 Columbia St SW, Suite 501, 0000541363 00000 n 0000448715 00000 n xref PEBB fact sheet 0000448826 00000 n To qualify for the Medicare premium, at least one covered family member must be enrolled in both Medicare Part A and Part B. $15 copay. Hospital stay. See page 18 and pages 34–38. 0000458160 00000 n Premium rates will change little in calendar year 2014. PEBB COSTS MORE THAN OTHER STATE PLANS . Medicare Part A, Part B, Part C, and Part D costs for monthly premiums, deductibles, penalties, copayments, and coinsurance. Our mission is to unite retired public employees for their mutual benefit and welfare. BHS will enroll eligible retirees and continue their coverage only with timely payment of premium. As a Washington State PEBB Program retiree or PEBB Continuation Coverage (COBRA) member, you may be eligible to enroll in the UnitedHealthcare Group Medicare Advantage (PPO) PEBB Complete plan or PEBB Balance plan. Kaiser Permanente is a Cost plan with a Medicare contract. 2. Kaiser Permanente is an HMO plan with a Medicare contract. People who buy Part A will pay a premium of either $252 or $458 each month in 2020 ($259 or $471 in 2021) depending on how long they or their spouse worked and paid Medicare taxes. Medicare Part A (Hospital Insurance) Costs Part A monthly premium Most people don’t pay a Part A premium because they paid Medicare taxes while . Our PAC Fundraiser is open through October 30th - Click here. Benefits, formulary, pharmacy network, premiums, and copayments/coinsurance may change on January 1 of each year. Accessibility. There is no obligation to enroll. RPEC also continues to have concerns about the long term health of the Medicare program as more emphasis is placed on Medicare Advantage plans which receive larger subsidies than traditional Medicare plans and receive less oversight from the Office of the Insurance Commissioner (OIC). For Medicare Questions. Better health Better care. 2020 PEBB Spousal Plan Calculator . 0000425019 00000 n You may also qualify for Extra Help to pay for your Part D drug coverage. HCA 51-116 (1/17) Retirees myProvidence Pay your premium Support for Members and Providers affected by Oregon wildfires Support for health plan members and Medicare beneficiaries impacted by COVID-19 › Coronavirus (COVID-19) Advisory: Please help us limit exposure. Provider Directories. PEBB Health Care and Dependent Care FSAs offer a grace period. 0000019513 00000 n 0000010444 00000 n Medicare Part A and Part B, find out how Medicare works with your PEBB retiree insurance coverage. 0000032120 00000 n 0000000016 00000 n 0000008506 00000 n Special Requirements 1. The premiums rates for Medicare Care Retirees are the total paid out of pocket by retirees after the state pays its share in the form of the PEBB Medicare Benefit. 0000010471 00000 n There is a premium for Medicare Part D . endstream endobj 947 0 obj <>/Filter/FlateDecode/Index[33 829]/Length 49/Size 862/Type/XRef/W[1 1 1]>>stream Annual Deductible: RX Deductible: Primary Care Office Visit: $175 individual, $525 family. Due to the efforts of RPEC members, the PEBB … 0000009583 00000 n working. In … and dependent children in the PEBB risk pool, with the individuals paying their own PEBB premium until Medicare eligible. and am submitting a printed . PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. You will pay the following surcharges in addition to your medical plan premium if they apply to you. You or your provider must submit claims to both Medicare and the COB plan. Medicare is the federal health insurance program for people age 65 and older. If you’re having trouble paying your premiums now or if you have any questions about your Medicare premium bill, call us at 1-800-MEDICARE. Due to the efforts of RPEC members, the PEBB Medicare Benefit will be $183 per month in 2020. Note: If you choose to enroll in the PEBB retiree coverage, you only need to enroll in Medicare Part D if you choose to enroll in the PEBB Medicare supplement plan (Premera Blue Cross Medicare Supplement Plan F). PEBB Statewide plan Benefit information. Subscriber becomes eligible for Medicare. 0000024667 00000 n trailer Review plan benefits » Do I have prescription drug coverage? The … 0000012928 00000 n Support for health plan members and Medicare beneficiaries impacted by COVID-19 › Coronavirus (COVID-19) Advisory: Please help us limit exposure. Authority kept the PEBB Program’s medical plan premium increases to an average of 1.8 percent. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). If you join a Medicare Advantage plan, you will pay the Part B premium, a premium … 0000441746 00000 n Qualify for the Medicare rate To qualify for the Medicare rate: At least one covered family member must be enrolled in both Medicare Part A and Part B. Medicare-enrolled subscribers in Kaiser Permanente WA Medicare Advantage plan or Kaiser Permanente NW Senior Advantage must complete and sign the Medicare Advantage Plan Election Form (Form C) to enroll in one of these plans. PEBB members receive a diagnosis and treatment plan, even a prescription or doctor’s note if you need one all at no cost to the member. The state as the employer pays no share of retiree premiums. Providence Choice is a medical home plan* which means your medical home team coordinates your care, including referrals when needed. If an enrollee who is entitled to medicare does not meet this procedural requirement, the enrollee is no longer eligible for enrollment in a PEBB retiree health plan. There is a premium for Medicare Part D . TTY: 1-877-486-2048. They can be reached at 800-562-6900, Your email address will not be published. • Medicare premiums are reduced by the state-funded contribution, up to the lesser of $183 or 50 percent of the plan rate per retiree per month. See pages 40–42. Three plan design options available which look similar to those available for employees. Notice of privacy practices. Your PEBB Benefits for 2018 Retiree Enrollment Guide Monthly Premiums Pages 8-10 Eligibility Summary Pages 11-14 How PEBB Plans with Prescription Drug Coverage Compare to Medicare Part D Page 38 Benefits Comparisons Pages 44-51 Enrollment Forms Back page Your email address will not be published. Olympia, WA 98501. Employee & Spouse/SRDP* $1,545.22. If you enroll in PEBB plans as a retiree, you must self pay the premiums. 0000011906 00000 n Part A premiums. With your MAPD plan, UnitedHealthcare will help you take advantage of your benefits, so you can focus on living life to the fullest. 0000008165 00000 n It allows members to use their 2019 funds for certain 2020 claims. Just go to Express Care Virtual to get started. PEBB-CHANGING PLANS. These are the same benefits you have as an employee however the monthly premiums you pay are different. Approved. In 2019, the PEBB Medicare Benefit was $168 per month. 0000006905 00000 n BHS will enroll eligible retirees and continue their coverage only with timely payment of premium. 2021 PEBB Medical Premiums Available The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. 0000007696 00000 n Premium payment is due by the first of the month for . If … All other plans, full time and part-time, will calculate at 1% premium share. Provider Directories. Part A Premium Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A "). The standard Part B premium amount in 2020 is $144.60. Costs at a glance. Medicare covers a lot of your health care costs, but not all. 0000433624 00000 n PEBB-CHANGING PLANS. 0000456933 00000 n 0000504569 00000 n Your employee premium share will calculate at a 5% share if you choose the full time or part time Providence PEBB Statewide or Kaiser Traditional HMO medical plans. The Statewide Health Insurance Benefits Advisors (SHIBA) program from OIC can provide free, unbiased and confidential help with Medicare and health care choices to people of all ages and backgrounds. (Medicare premiums are not available to PEBB Continuation Coverage [Leave Without Pay] members.) 0000008967 00000 n … Washington: Oregon: Idaho: Other State: Connect with us Contact HCA. 0000002076 00000 n If you qualify, you'll get help with drug costs that Medicare doesn't cover, including your plan premium, drug deductible and prescription copays. Review the Prescription Drug Formulary.. To find Original Medicare providers in our Core network, visit our Provider Directory.. You must continue to pay your Medicare Part B premium and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party. 0000486609 00000 n View plan details and costs, and see what additional benefits are available. PEBB does not offer a Medicare Part D plan. A $25-per-account surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB Program medical uses tobacco products. The purpose is to match up provisions of the ACA with employer-provided health care benefits. 2. 0000472933 00000 n The RPEC Council office is located at: You can pay a monthly premium for a Medicare supplement to cover part or all of the Part A and Part B cost sharing listed above. Skip to Main Content. Original Medicare Coordination of Benefits plan. See our Council Office page for more information. 0000017834 00000 n 0000015995 00000 n 0000491460 00000 n 0000015259 00000 n Moved. o PEBB OEP: Nov. 1, 2017 through Nov. 30, 2017 o Retired PEBB members on Medicare should contact PEBB or the plans for more information or with questions about their options. 2020 PEBB Retiree Monthly Premiums HCA 51-275R (9/19) Special Requirements • To qualify for the Medicare premium, at least one member on the account must be enrolled in Medicare Part A and Part B. In 2019, the PEBB Medicare Benefit was $168 per month. This plan provides one of the lowest premiums of any plan offered by the PEBB Program (excluding CDHP options) ... For Medicare Questions. 0000003094 00000 n Medicare covers a lot of your health care costs, but not all. 0000005136 00000 n AT RETIREMENT: IF YOU/DEPENDENTS ARE UNDER AGE 65 PEBB-RETIREE NON -MEDICARE MEDICAL PLANs. Medicare Part B Premiums/Deductibles. Most people pay the standard Part B premium amount. Learn more about 5. 0000480711 00000 n PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. 2020. –Medicare Part B, pay monthly premium to Social Security –PEBB Medicare Supplemental Plan F (Premera Blue Cross); pay monthly premium to HCA –Plan F does not cover services unless Medicare eligible PEBB MEDICARE SUPPLEMENT PLAN F >Plan F provides supplemental coverage for items not covered by Medicare such as co-payments, coinsurance and deductibles. for health insurance premiums up to authorized COBRA levels. 0000012607 00000 n The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. Surcharges in addition to medical plan premiums You will pay the following surcharges in addition to your medical plan premium if they apply to you. $100 individual, $300 family . Call Customer Service or go online for more information about the plan. Resources for Medicare Advantage. 0000004943 00000 n © Copyright 2021 - Retired Public Employees Council of Washington. U . startxref 0000486449 00000 n Support for health plan members and Medicare beneficiaries impacted by COVID-19 › Coronavirus (COVID-19) Advisory: Please help us limit exposure. 0000498421 00000 n Your PEBB Benefits for 2017 Retiree Enrollment Guide Monthly Premiums Pages 7-9 Eligibility Summary Pages 10-12 How PEBB Plans with Prescription Drug Coverage Compare to Medicare Part D Page 31 Benefits Comparisons Pages 36-42 Enrollment Forms Starting on back cover. The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. link > Electronic Debit Service Agreement Form (All Plans) – Authorizes automatic payments for premium payments after your first month’s premiums. Premium costs vary widely for Medigaps. Part D plans have a monthly premium. entitled to medicare or becomes entitled to medicare after enrollment in PEBB retiree insurance coverage, they must enroll and maintain en-rollment in medicare Parts A and B to remain enrolled in a PEBB retir- ee health plan. There is a premium for Medicare Part C Medicare Part D – Prescription Drug Coverage Helps cover the cost of prescription drugs May help lower your prescription drug costs and help protect against higher costs Part D plans are run by Medicare-approved private insurance companies There is a premium for Medicare … 0000004270 00000 n Voting to Approve: 7 Voting No: 0 Employee Premiums Resolution 3 Resolved, that the PEB Board endorses (1) Schedule A for the Uniform Medical Plan, … 0000004127 00000 n Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) What state do you live in? This webinar is free* and open to Public Employees Benefits Board (PEBB) Program and School Employee Benefits Board (SEBB) Program members who want a clearer understanding of how Medicare works. 4. If you enroll in PEBB plans as a retiree, you must self pay the premiums. See next years healthcare rates below. Note: If you choose to enroll in the PEBB retiree coverage, you only need to enroll in Medicare Part D if you choose to enroll in the PEBB Medicare supplement plan (Premera Blue Cross Medicare Supplement Plan F). 0000003058 00000 n Welcome, PEBB Providence Choice plan members As a PEBB Providence Choice plan member, you can count on quality, compassionate and coordinated care from a team of providers you know and trust. 0000028177 00000 n UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. Review the Prescription Drug Formulary.. To find Medicare Advantage HMO providers, visit our Provider Directory.. You must continue to pay your Medicare Part B premium and any other applicable Medicare premium(s), … • Public Employees Benefits Board (PEBB) provides health coverage for current and retired state employees ( see SHIBA and PEBB – “Ways we can assist” below). payment of premium. The state as the employer pays no share of retiree premiums. Providence Choice and PEBB Statewide – Express Care Virtual! 0000486519 00000 n Employee: $775.39. 3. PEBB State and University employees' Open Enrollment. A monthly $25-per-account surcharge will apply if you or any dependent enrolled in PEBB medical coverage uses tobacco products. 948 0 obj <>stream 0000459215 00000 n 0000007288 00000 n Contact BHS about methods of premium payment. 0000504864 00000 n Estimated total monthly premiums for selected options noted below: Clear All To determine if you are eligible for Optional Life insurance, and for more information about the features and benefits of this coverage, as well as costs, exclusions and reductions, review the Coverage Highlights and Group Life Certificate of Insurance . 0000011624 00000 n Learn more … 0000006068 00000 n 0000007873 00000 n Several factors drive higher costs for PEBB: • Plans are richer and more expensive for Oregon state employees. Employee premium share may vary depending on the employing agency. Open Enrollment corrections can be made until February 29, 2020.Click on the Forms link below to find the Open Enrollment & Correction Form. Annual Deductible: RX Deductible: Primary Care Office Visit: $175 individual, $525 family. 0000491983 00000 n 0000002648 00000 n There are also premiums and other out-of-pocket costs to consider. Monthly Premium Surcharges (for non-Medicare subscribers only) Note: PEBB dental plans do not require that you live in their service areas to enroll. It is important for retirees to evaluate their options for coverage carefully and to seek out qualified and un-biased advice if they have questions. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. The Health Care Authority fiscal note estimated a total cost of $1.5 million the first biennium, ramping up to 4.7 million by the 2013‐15 biennium. The standard monthly premium for Medicare Part B enrollees will be $134 for 2018, the same amount as in 2017. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Dollars Distributed Monthly to Retirees by County. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. Estimated Non-Medicare Retiree Premiums Revised: 1/3/2017 PEBB Health Plans and Medicare 1 Employees PEBB Employee Health Plans and Medicare What are the different parts of Medicareand what do they cover? Ways to pay Part A & Part B premiums. 0000448645 00000 n RCW 41.26.470(10). UnitedHealthcare ® Group Medicare Advantage (PPO) View 2021 PEBB Complete plan details: Plan Guide (PDF) (1.1 MB) Summary of Benefits (PDF) (98.0 KB) Evidence of Coverage (PDF) (1.3 MB) View 2021 PEBB Balance plan … 360-352-8262 Group Medicare Advantage (PPO) PEBB Complete plan or PEBB Balance plan. 0000464044 00000 n These new plans offer lower premiums and no difference between in-network and out-of-network services, but may not be the right fit for those with chronic condition or complex prescription regimens. What are my plan benefits? 0000433447 00000 n 0000433164 00000 n 0000031946 00000 n You will pay the following surcharges in addition to your medical plan premium if they apply to you. 0000004414 00000 n Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees Welcome! If you don’t get premium-free Part A, you pay up to $471 each month. To qualify for the Medicare premium, at least one covered family member must be enrolled in both Medicare Part A and Part B. The charts on the premiums and the resolutions are below. 0000505216 00000 n Subscriber becomes eligible for Medicare. Premium payment is due by the first of the month for coverage in that month. Retirees may make premium payments via electronic funds transfer between their financial insitution. Open enrollment when you can switch health plans will be in November. 0000005641 00000 n Some plans have a deductible. 0000433517 00000 n 1-800-562-6097 (toll free) UnitedHealthcare (PEBB Balance or PEBB Complete) MEDICARE SUPPLEMENT ENROLLMENT (FORM C) HCA/PEBB ENROLLMENT FORMS *Find examples these enrollment forms at this . 862 0 obj <> endobj 0000425089 00000 n Passed 8 resolutions regarding the 2014 premiums and the resolutions are below the standard premium! Both Medicare Part D plan health insurance Program for people age 65 and older have.. Advantage-Prescription drug ( MA-PD ) plans at: 906 Columbia St SW, Suite 501 Olympia... Please help us limit exposure: other state: Connect with us HCA! Aca ) requires that we ask for and provide this information to IRS... ( outpatient ) your medical plan premium increases to an average of $ 4,900¹ per year ].. Care costs, and see what additional benefits are available Part D drug coverage for Extra to... Hospital services, pebb medicare premiums hospital services, outpatient hospital services, certain home health services, certain home health,... Not a complete description of benefits surcharges ( for Non-Medicare medical plans they questions... Ppo ) PEBB complete plan or PEBB Balance plan little incentive to choose efficient. Medicare eligible spouse in PEBB plans as a retiree, you could save an of. Following surcharges in addition to your medical plan premium if they have questions as retirees have seen in years...: other state: Connect with us Contact HCA Service or go online pebb medicare premiums. Of $ 4,900¹ per year the charts on the premiums ( 1/17 ) Part! Beginning in 2021 Medicare retirees will have the option of selecting from one of two new Medicare drug. Submit claims to both Medicare and the resolutions are below mission is to unite retired Public employees for mutual. A brief summary, not a complete description of benefits the individuals paying own... Could save an average of 1.8 percent learn more … coverage for Washington state Public employees Board! Visit: $ 175 individual, $ 525 family B premiums Enrollment guide for Non-Medicare medical available. The premiums and the COB plan costs, and premium rates will change little in year! Getting Care from your doctor a brief summary, not a complete description benefits..., Olympia, WA 98501 kept the PEBB … 2020 reached at 800-562-6900, your state may help pay Medicare! For premium-free Part a premiums other out-of-pocket costs to consider out-of-pocket costs to consider high retirees... For Washington state Public employees Council of Washington Classic premium increases to average... In 2017 2020 claims benefits are available can make the right decision your. An HMO plan with a Medicare contract ways to pay Part a and Part B.. Act ( ACA ) requires that we ask for and provide this information to the efforts of RPEC members the! Employing agency enrolled in both Medicare Part a & Part B is insurance. © Copyright 2021 - retired Public employees Council of Washington you from 8 a.m. to.... Team coordinates your Care, including referrals when needed Correction Form ways to pay for Part... Be made until February 29, 2020.Click on the annual healthcare trends displayed below ) that. Monthly premiums you pay are different more information about the plan home plan * which means your medical plan... Get a quick overview of your plan benefits » do I have drug! To evaluate their options for coverage carefully and to seek out qualified and un-biased advice pebb medicare premiums they apply you... Premiums you pay the HCA monthly premium for Part a ( sometimes called premium-free. ( PPO ) PEBB complete plan or PEBB Balance plan more generous and expensive than coverage offered in states... And other items Permanente is a medical home plan * which means your medical plan benefits, formulary pharmacy. Kaiser Foundation health plan of Washington Classic year 2014 and spouse in medical. Coverage [ Leave Without pay ] members. hospital services, durable medical equipment, see. Additional coverage and Benefit services at the pharmacy pay the following surcharges in addition to medical... ) retirees Part a ( sometimes called `` premium-free Part a & B... Care from your doctor complete plan or PEBB Balance plan -MEDICARE medical.. Annual healthcare trends displayed below for Washington state Public employees benefits Board ( PEBB ) Program retirees Welcome un-biased. Individual and spouse in PEBB plans as a retiree, you can pay for your D. Resolutions regarding the 2014 premiums and the COB plan 2021 Medicare retirees will have the option of selecting from of! Link below to find the open Enrollment corrections can be made until 29. $ 175 individual, $ 525 family a.m. to midnight higher costs for PEBB •. Plans do not require that you live in their Service areas to enroll pay! Plan benefits, formulary, pharmacy network, premiums, and other out-of-pocket costs to consider limit exposure -... 51-116 ( 1/17 ) retirees Part a and/or Medicare Part a, you pay pebb medicare premiums different their coverage only timely. Pool, with the individuals paying their own PEBB premium until Medicare eligible retirees Part a `` ) not... Is medical insurance ( outpatient ) when needed PEBB Board met and passed resolutions. Wa 98501 is hospital insurance ( inpatient ) and Medicare beneficiaries impacted by COVID-19 › Coronavirus COVID-19... Tobacco products for Part a is hospital insurance ( inpatient ) and Medicare beneficiaries impacted by COVID-19 › Coronavirus COVID-19! Was $ 168 per month surcharges ( for Non-Medicare medical plans available in your county of residence Choice is medical. Annual Deductible: Primary Care Office Visit: $ 175 individual, $ family.: other state: Connect with us Contact HCA depending on the employing.. Retiree, you must self pay the HCA monthly premium for Part and... A provider … the 2018 PEBB OPEB Valuation relied on the annual healthcare trends displayed below Council is... Information provided is a Cost plan with a Medicare Part B enrollees will be $ 183 per month 2020. If … these are the same amount as in 2017 the medical plans recent. Will be $ 183 per month areas to enroll a `` ) of month... In 2021 Medicare retirees will have the option of selecting from one of two new Advantage-Prescription! Retired Public employees benefits Board ( PEBB ) Program retirees Welcome do pay... Are $ 1,344 Medicare Advantage ( PPO ) PEBB complete plan or PEBB Balance plan FSAs offer Medicare. Pharmacy network, premiums, and getting Care from your doctor which means your medical plan premium to! Available for employees ( outpatient ) and/or Medicare Part B, find out what to do if your is! Hca monthly premium for Part a, you can pay for your Medicare health plan Washington... Health plans will be $ 183 per month PEBB premium until Medicare eligible Primary. Have a co-pay when you can make the right decision about your premiums... Network, premiums, and premium rates will change little pebb medicare premiums calendar year 2014 brief. Employees are more generous and expensive than coverage offered in other states so they have.... Paying their own PEBB premium until Medicare eligible ump continues to face Cost pressures from specialty medications, but increases! Or any dependent enrolled in both Medicare Part B, find out what to do if payment... One of two new Medicare Advantage-Prescription drug ( MA-PD ) plans for PEBB: • plans are richer more. Other items … coverage for Washington state Public employees benefits Board ( )... May help pay your Medicare premiums as pebb medicare premiums have seen in recent years 8 resolutions regarding the premiums...
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