Post by Chris Buckley Post by J. Clarke
On Fri, 22 Nov 2019 09:33:28 -0800, Paul S Person
Post by Paul S Person
Oh, BTW, wouldn't this sort of thing require the Return of the
Individual Mandate? I mean, if it is truly /universal/, would not
everyone be /required/ to sign up?
With rare exception, everyone is /required/ to sign up for Medicare
you know. Extending it to "Medicare for All" would merely reduce the
mandatory enrollment age and increase the payroll tax.
No, not true. Most people should and there are Medicare cost
penalties if you delay signing up, but there's no good reason for
somebody with excellent retiree health benefits who will never adopt
Medicare to sign up. There is no mandatory requirement. I'm
approaching that age and I've been debating it internally for years.
My wife is a long-time federal employee and we will continue to use
FEHB after retirement - Medicare duplicates those benefits to a large
extent (search for Medicare vs FEHB if you're interested in details.)
There is no mandatory requirement; however, IIRC, at least one part
has the premiums rising if you don't start it at the right time. This
would, IMHO, have been a better idea than the tax: let people who
don't want medical insurance when young find themselves when, after 30
years, they decide the need it, find that /their/ premiums are 30%
higher than anybody elses.
You may want to investigate FEHB further. Some of this may not be
entirely accurate. Also, this is based on /my/ FEHB plan; other plans
may vary, although I would expect not.
The FEHB drug plan satisfies the requirements for Medicare Part D,
which you would otherwise have to purchase separately (or as part of
some other Medicare-supplementing policy).
After retirement, if you are eligible for Medicare and /not/ on it,
then your FEHB benefits /shrink/ to whatever Medicare would pay, at
least for those items covered by Medicare.
OTOH, once you retire, if you drop the FEHB plan, you can (with one
unlikely exception) /never/ get it back again.
In retirement, FEHB + Medicare acts like a very expensive
Medicare-supplemental policy -- if Medicare covers it, the FEHB plan
will be the secondary insurer and will pay all deductibles,
copayments, coinsurance with no FEHB deductible. IOW, you pay nothing
out of pocket (but, of course, quite a bit for the insurance) for
anything Medicare covers.
Anything Medicare doesn't cover but the FEHB does is covered as usual,
the FEHB deductibles, copayments, and coinsurance applying as usual.
So, you /may/ want to consider whether FEHB + Medicare makes sense in
your particular situation. And your wife's particular plan. And the
/current/ rules, which should be in the Plan Booklet, just to be sure
you are working with the real situation and not my memory of what it
was seven years ago, when I faced the same decision.
"I begin to envy Petronius."
"I have envied him long since."