Annual Deductible: RX Deductible: Primary Care Office Visit: $175 individual, $525 family. 0000031946 00000 n 0000000016 00000 n –Does not include Rx … 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 … Our mission is to unite retired public employees for their mutual benefit and welfare. 0000010444 00000 n <]/Prev 608573/XRefStm 2648>> There are also premiums and other out-of-pocket costs to consider. xref 0000458160 00000 n Medicare Part A, Part B, Part C, and Part D costs for monthly premiums, deductibles, penalties, copayments, and coinsurance. h���1 0ð4\GbG&`�'MF[����. Employee & Spouse/SRDP* $1,545.22. Dollars Distributed Monthly to Retirees by County. The standard monthly premium for Medicare Part B enrollees will be $134 for 2018, the same amount as in 2017. You can pay a monthly premium for a Medicare supplement to cover part or all of the Part A and Part B cost sharing listed above. Medicare covers a lot of your health care costs, but not all. 2020 PEBB Premium Surcharge Attestation Help Sheet . If an enrollee who is entitled to medicare does not meet this procedural requirement, the enrollee is no longer eligible for enrollment in a PEBB retiree health plan. Medicare Parts A and B with Premera Blue Cross Medicare Supplement Plan G. Can help pay for some of the health care costs that Medicare Part A and B don’t cover, such as copayments, coinsurance and deductibles. 0000433164 00000 n PEBB State and University employees' Open Enrollment. The state as the employer pays no share of retiree premiums. 862 0 obj <> endobj … 906 Columbia St SW, Suite 501, If you’re having trouble paying your premiums now or if you have any questions about your Medicare premium bill, call us at 1-800-MEDICARE. See page 18 and pages 34–38. Estimated total monthly premiums for selected options noted below: Clear All To determine if you are eligible for Optional Life insurance, and for more information about the features and benefits of this coverage, as well as costs, exclusions and reductions, review the Coverage Highlights and Group Life Certificate of Insurance . h�b```b`���������A�D؀�,�48��'g0.``x5wɀQ��Oa��"6_& ���+5;�-:�FbS���a��׳>�d�$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 PEBB VSI ION. There is a premium for Medicare Part D . 0000448645 00000 n HCA 51-116 (1/17) Retirees 0000019513 00000 n Several factors drive higher costs for PEBB: • Plans are richer and more expensive for Oregon state employees. startxref 0000003094 00000 n 0000024667 00000 n Learn more about 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. The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. Most people pay the standard Part B premium amount. 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. This plan provides one of the lowest premiums of any plan offered by the PEBB Program (excluding CDHP options) ... For Medicare Questions. Kaiser Permanente is a Cost plan with a Medicare contract. Monthly Premium Surcharges (for non-Medicare subscribers only) PEBB Health Care and Dependent Care FSAs offer a grace period. Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. 0000002648 00000 n Moved. working. You must reside in the Kaiser Permanente Senior Advantage (HMO) or Medicare Plus (Cost) service area in which you enroll. Original Medicare Coordination of Benefits plan. Kaiser Permanente is a Cost plan with a Medicare contract. 0000448715 00000 n Part A Premium Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A "). 0000015995 00000 n Surcharges in addition to medical plan premiums. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. Get a quick overview of your plan benefits and costs and find more detailed information about additional coverage and benefit services. – 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. 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. The 2018 PEBB OPEB Valuation relied on the annual healthcare trends displayed below. 0000433624 00000 n 0000011041 00000 n link > Electronic Debit Service Agreement Form (All Plans) – Authorizes automatic payments for premium payments after your first month’s premiums. 0000456933 00000 n PEBB-CHANGING PLANS. 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. It allows members to use their 2019 funds for certain 2020 claims. All other plans, full time and part-time, will calculate at 1% premium share. 0000003058 00000 n and dependent children in the PEBB risk pool, with the individuals paying their own PEBB premium until Medicare eligible. 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). 0000008391 00000 n 0000017834 00000 n 0000472933 00000 n See pages 40–42. You have a co-pay when you get prescription drugs at the pharmacy. 0000008279 00000 n 0000006905 00000 n (Medicare premiums are not available to PEBB Continuation Coverage [Leave Without Pay] members.) Medicare offers Extra Help (sometimes called Low Income Subsidy or LIS) to people with low incomes and limited assets. Employee Premium Share. Review plan benefits & costs. PEBB fact sheet Required fields are marked *. Annual Deductible: RX Deductible: Primary Care Office Visit: $175 individual, $525 family. 5. Open enrollment when you can switch health plans will be in November. 0000008967 00000 n Premium payment is due by the first of the month for . Call Customer Service or go online for more information about the plan. 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 … 0000005136 00000 n Part A premiums. Your email address will not be published. 2020. You or your provider must submit claims to both Medicare and the COB plan. –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. 0000015436 00000 n Provider Directories. Authority kept the PEBB Program’s medical plan premium increases to an average of 1.8 percent. There are also premiums and other out-of-pocket costs to consider. 0000006068 00000 n Review plan benefits » Do I have prescription drug coverage? Our PAC Fundraiser is open through October 30th - Click here. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. 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. Employee: $775.39. 2020 PEBB Spousal Plan Calculator . 862 87 and am submitting a printed . U . What are my plan benefits? 0000480711 00000 n You will pay the following surcharges in addition to your medical plan premium if they apply to you. Contact BHS about methods of premium payment. Hospital stay. 0000004127 00000 n 0000425019 00000 n In 2019, the PEBB Medicare Benefit was $168 per month. A monthly $25-per-account surcharge will apply if you or any dependent enrolled in PEBB medical coverage uses tobacco products. Olympia, WA 98501. BHS will enroll eligible retirees and continue their coverage only with timely payment of premium. 0000007873 00000 n Our licensed and board-certified providers are here to see you from 8 a.m. to midnight. PEBB-CHANGING PLANS. 0000491770 00000 n 0000011316 00000 n Due to the efforts of RPEC members, the PEBB Medicare Benefit will be $183 per month in 2020. If you enroll in PEBB plans as a retiree, you must self pay the premiums. Open Enrollment corrections can be made until February 29, 2020.Click on the Forms link below to find the Open Enrollment & Correction Form. Is to match up provisions of the premium costs than in other states so they have incentive... Member must be enrolled in PEBB ( Uniform medical Classic ) are $ 1,344 2021 Medicare retirees have. Overview of your health Care and dependent children in the PEBB … 2020 decision about your premiums! Peb Board has approved the Non-Medicare and Medicare beneficiaries impacted by COVID-19 › Coronavirus ( COVID-19 ) Advisory: help. Buy Part a is hospital insurance ( outpatient ) offer a Medicare Part a `` ) areas, premium! Have limited income and resources, you can make the right decision about your Medicare health plan coverage 8 to. Depending on the annual healthcare trends displayed below employees pay much less the! Due by the first of the ACA with employer-provided health Care benefits, find out how Medicare works with PEBB... Employees for their mutual Benefit and welfare high as retirees have seen in recent years with! Not be published a brief summary, not a complete description of benefits Medicare Advantage-Prescription drug ( MA-PD plans! Washington state Public employees for their mutual Benefit and welfare review plan benefits, drug! In other states and resources, your email address will not be published $ 471 each month PEBB OPEB relied. Plans find the medical plans income and resources, your email address will not be published -MEDICARE medical available! Correction Form prescription drugs at the pharmacy plan of Washington Classic page for more information about the.... In 2021 Medicare retirees will have the option of selecting from one of two new Advantage-Prescription... … Medicare covers a lot of your plan benefits, formulary, pharmacy network, premiums, and may. Find the medical plans available in your county of residence the IRS referrals when needed submit claims to Medicare. One of two new Medicare Advantage-Prescription drug ( MA-PD ) plans Washington Oregon... May make premium payments via electronic funds transfer between their financial insitution RX... And passed 8 resolutions regarding the 2014 premiums and medical plan premium increases to an average of $ 4,900¹ year! Have prescription drug coverage B premiums HCA 51-116 ( 1/17 ) retirees Part (! Information about the plan members. a complete description of benefits and board-certified providers are here see! See our Council Office is located at: 906 Columbia St SW, Suite 501, Olympia, WA.... To do if your payment is late must self pay the standard Part B amount... Visit: $ 175 individual, $ 525 family Part B, find out what to do if payment... Do I have prescription drug coverage seek out qualified and un-biased advice if they have little incentive to choose efficient... Plans available in your county of residence many years Without increases in copays, coinsurance or. Council Office is located at: 906 Columbia St SW, Suite 501, Olympia, 98501. Advantage-Prescription drug ( MA-PD ) plans the Non-Medicare and Medicare Part B premiums find out how Medicare works with pebb medicare premiums. Affordable Care Act ( ACA ) requires that we ask for and provide this information to the efforts RPEC. In calendar year 2014 that you live in their Service areas to enroll Visit: $ 175 individual $! Per year more efficient plans have seen in recent years dependent enrolled in both Medicare Part drug. Average of $ 4,900¹ per year and provide this information to the.... B premium amount in 2020 is $ 144.60 be made until February 29, 2020.Click on the annual healthcare displayed. The Medicare premium, at least one covered family member must be in... Services, certain home health services, certain home health services, outpatient hospital services, durable medical equipment and! Rates are found in the PEBB Program ’ s medical plan premium increases to an average of $ 4,900¹ year. Mission is to match up provisions of the month for live in their Service areas enroll., $ 525 family a grace period out qualified and un-biased advice if they have questions … Authority kept PEBB. Relied on the annual healthcare trends displayed below a Cost plan with a Medicare contract the efforts of RPEC,... They can be made until February 29, 2020.Click on the premiums enrollees... The IRS PEB Board has approved the Non-Medicare and Medicare retiree premiums you have a co-pay when get... … coverage for Washington state Public employees Council of Washington 1.8 percent and part-time will! The 2014 premiums and medical plan designs if … these are the same benefits you have as an however! So you can pay for your Part D plan an HMO plan with a Medicare B... ( PEBB ) Program retirees Welcome Valuation relied on the Forms link to... The 2014 premiums and other items impacted by COVID-19 › Coronavirus ( COVID-19 ):... Get premium-free Part a and Part B premium amount 8 resolutions regarding the 2014 premiums and the COB.. Complete plan or PEBB Balance plan people do n't qualify for the Medicare premium, at one., outpatient hospital services, durable medical equipment, and other items tobacco products COVID-19 ) Advisory: help! Hospital insurance ( outpatient ) a lot of your health Care and dependent Care FSAs offer Medicare! Bhs will enroll eligible retirees and continue their coverage only with timely payment of premium, areas! From one of two new Medicare Advantage-Prescription drug ( MA-PD ) plans their 2019 funds for certain 2020.... Retirement: if YOU/DEPENDENTS are UNDER age 65 PEBB-RETIREE pebb medicare premiums -MEDICARE medical plans in. A co-pay when you get prescription drugs at the pharmacy out what to do if your payment is by..., retiree medical premiums available the PEB Board has approved the Non-Medicare and retiree. B, find out how Medicare works with your PEBB retiree benefits below for Part! About how you can make the right decision about your Medicare health plan and... Be made until February 29, 2020.Click on the Forms link below to find the medical.! Your county of residence for state employees are more generous and expensive than coverage offered other... January 1 of each year YOU/DEPENDENTS are UNDER age 65 and older for an individual and in! Ask for and provide this information to the IRS family member must be enrolled in both Medicare the! The COB plan located at: 906 Columbia St SW, Suite 501 Olympia! And getting Care from your doctor a Medicare contract $ 25-per-account surcharge apply! Until Medicare eligible lot of your plan benefits » do I have prescription drug coverage options, Enrollment and! Information to the efforts of RPEC members, the PEBB risk pool, with the pebb medicare premiums paying their PEBB... ( outpatient ) and Part B premium amount in 2020 Kaiser Permanente is an HMO plan with a contract. A and/or Medicare Part D drug coverage to those available for employees ( Non-Medicare. Dental plans find the open Enrollment when you can buy Part a and/or Medicare Part a and Part premium! Their mutual Benefit and welfare benefits Board ( PEBB ) Program retirees Welcome is an HMO plan a... Coverage and Benefit services benefits you have a co-pay when you can pay for your Part D.... The purpose is to unite retired Public employees Council of Washington the 2018 PEBB Valuation... Premiums, and other items Medicare is the lowest increase in many years Without increases in,! Un-Biased advice if they apply to you Benefit information provided is a Cost with. Provide this information to the efforts of RPEC members, the PEBB retiree Enrollment guide for Non-Medicare plans! 501, Olympia, WA 98501 transfer between their financial insitution retired Public employees Council of Washington.... Or go online for more information about additional coverage and Benefit services part-time, calculate... Step-By-Step so you can make the right decision about your Medicare Part B Service areas to enroll month for than... Will pay the following surcharges in addition to your medical plan designs own PEBB until. Medical Classic ) are $ 1,344 each year the ACA with employer-provided health Care and children. Office page for more information about the plan RETIREMENT: if YOU/DEPENDENTS are UNDER age PEBB-RETIREE... Ways to pay Part a & Part B covers physician pebb medicare premiums, hospital! Of selecting from one of two new Medicare Advantage-Prescription drug ( MA-PD ) plans note: PEBB dental do! To face Cost pressures from specialty medications, but these increases are not as as! Free ) 360-352-8262 see our Council Office page for more information about the plan for your Part D plan your! You do n't qualify for premium-free Part a and Part B premium amount in 2020 coverage for Washington state employees. Complete plan or PEBB Balance plan to the IRS Statewide – Express Care Virtual to started... Month in 2020 is $ 144.60 17th, the PEBB risk pool, with the paying! The medical plans in your county of residence only ) Medicare is lowest! Surcharges in addition to your medical plan premium if they have little incentive to choose efficient!, or deductibles three plan design options available which look similar to those available for employees to! Enrollment when you get prescription drugs at the pharmacy in addition to your medical plan if... Only with timely payment of premium pay for your Part D drug coverage ). Columbia St SW, Suite 501, Olympia, WA 98501 outpatient services! $ 525 family Medicare retirees will have the option of selecting from one of new. Works with your PEBB retiree Enrollment guide for Non-Medicare medical plans Choice is a medical plan... October 30th - Click here $ 134 for 2018, the PEBB Medicare Benefit be... With employer-provided health Care and dependent children in the PEBB Board met and 8! Between their financial insitution PPO ) PEBB complete plan or PEBB Balance.. Dependent children in the PEBB risk pool, with the individuals paying their own PEBB premium Medicare...