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Asked: May 02, 2010

Advantage of having Medicare + Blue Cross vs. having only Blue Cross

I am retiring from civil service (CSRS not FERS) net week. I am carrying my current FEHB program (Blue Cross Standard) into retirement at my cost only. Second, I am 70.5 so am eligible for Medicare B. Third, as a retired AF Reservist, if I have Medicare B I am eligible for Tricare. My wife is 69. I guess I should be pleased that all of this is available to be but am actually confused. Most people say I should get Medicare B but the only service I actually want thru Tricare is prescription as I want the freedom to continue to be able to select my physicians and I don't think I can do that with Tricare...maybe, but don't know for certain. I need to reduce my monthly prescription costs which for the 2 of us is $275. I know if I have Tricare which requires Medicare B which then subordinates my Blue Cross. If I have Blue Cross under FEHB do I have to have so called \medigap\' insurance...don't think so. I guess the bottom line is what is the advantage of having Medicare + Blue Cross versus having only Blue Cross. I simply wanted to bounce this off of someone.'

Categories: In Virginia > Medicare
Plan Types: In Medicare Advantage

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None of our moderators are familiar enough with the Blue Cross FEHB plans as most of our knowledge is based on private market health insurance. We will post your question to our forum in hopes that it might attract a more expert opinion. We do know that Tricare offers several plan options, so your ability to select your own physicians will depend on which plan you select. Tricare has a very informative website that might also be useful in answering your questions http://www.tricare.mil/mybe..
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— June 29, 2009 @ 10:11 am

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Answered: May 02, 2010


I am not an expert at this, and finding anyone who can coordinate FEDVIP, Medicare and TFL doesnt exist. However there is a publication at OPM entitled "Federal Employees Health Benefits Program and Medicare. at
http://www.opm.gov/insure/arc
hive/health/medicare/75-12-FI
NAL.pdf


I currently have Federal Std BCBS, Medicare and TFL. ..a situation where I am paying too much. My wife is under 65 (will turn next august). She is covered under the Fed BCBS and Tricare standard. The result is that I am paying out $500/month, to increase in 2011 to 550/month. With the upcoming premiuim hike, I have decided to reduce my BCBS to the Basic option. Next year, when my wife turns 65 and is under Medicare, I may opt to suspend the Federal BCBS or move to an even lower cost GEHA low option. Most of my contemporaries (retired buddies) opt for Medicare + GEHA low option. I still have the advantage in that I , in addition , have TFL, which , I feel, is more than adequate. I feel that if I'm not paying anything out of pocket, I'm probably paying too much for insurance. That way, if you have some reserves, you can co-insure yourself, especially since TFL and Medicare cover catastrophic occurences.

Answered: Nov 23, 2010


I am not an expert at this, and finding anyone who can coordinate FEDVIP, Medicare and TFL doesnt exist. However there is a publication at OPM entitled "Federal Employees Health Benefits Program and Medicare. at
http://www.opm.gov/insure/arc
hive/health/medicare/75-12-FI
NAL.pdf


I currently have Federal Std BCBS, Medicare and TFL. ..a situation where I am paying too much. My wife is under 65 (will turn next august). She is covered under the Fed BCBS and Tricare standard. The result is that I am paying out $500/month, to increase in 2011 to 550/month. With the upcoming premiuim hike, I have decided to reduce my BCBS to the Basic option. Next year, when my wife turns 65 and is under Medicare, I may opt to suspend the Federal BCBS or move to an even lower cost GEHA low option. Most of my contemporaries (retired buddies) opt for Medicare + GEHA low option. I still have the advantage in that I , in addition , have TFL, which , I feel, is more than adequate. I feel that if I'm not paying anything out of pocket, I'm probably paying too much for insurance. That way, if you have some reserves, you can co-insure yourself, especially since TFL and Medicare cover catastrophic occurences.

Source:  http://www.opm.gov/insure/a...

Answered: Nov 23, 2010

 

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