Blue Cross Vs. Medicare

I will be 65 in Feb '08, my husband May '08. I'm retired Federal Civil Service and carried Blue Cross family into retirement. I'm confused about Medicare. Do we HAVE to have Medicare? That will mean we must pay our regular Blue Cross Ins. PLUS $96 each per month for Medicare?

Are there any other retired federal workers out there who could give me some insight (i.e. do we drop BC and pick up a "supplemental" coverage, or should we keep the BC "secondary" Ins.?). I can't believe the BC premium won't go down since Medicare will be the Primary Ins. and BC Secondary Ins. But BC says the monthly premium (taken from my retirement check) will be the same and not lowered at all. I'm afraid to drop BC because that's what pays for our medications.

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Carolyn from Shreveport, Louisiana

Answers:

Blue Cross vs Medicare

Please don't quote me on this but what I understand is that Medicare will be your prime medical insurance, and Blue Cross will pick up what Medicare doesn't cover. Everyone who is retired has to pay into Medicare and that money is automatically taken out of your monthly social security check. To be on the safe side have your social security checks deposited directly into your bank account. My husband has all his pension checks directly deposited in our bank, much safer that way.

I have several more years to go until I can receive social security myself.

For more information call Medicare at 1-800-MEDICARE or (1-800-633-4227) and talk with a representative over the phone. They will be able to answer all of your questions. Also ask them to mail you a paperback booklet entitled, "Medicare and You 2008." (11/14/2007)

By MCW

Blue Cross vs Medicare

Everyone who has retired goes on medicare at 65 as their primary source of health care. You would have to sign up with Blue Cross or someone else as your second source. You will also be enrolled in plan D (the drug coverage) unless you have another source for your drug medications. (11/15/2007)

By Dean

Blue Cross vs Medicare

Medicare will be primary and you need a secondary to pick up the 20% that Medicare doesn't pay. Medicare has part A, hospital benefits, part B, Dr and outpatient benefits and now there is part D which is the prescription benefit. You need to make an appt. with Social Security people to explain all to you and how it all works. BC can be your secondary which will include the prescription benefits as prescribed by social security administration. It is really confusing for everybody. (11/15/2007)

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By TAMI

Blue Cross vs Medicare

I agree with Marge W. Also, sometimes you can ask your pharmacy to help you choose which insurance company would pay the most on your drugs with Medicare Part D. We do this every year or so for both my husband and my parents. They also have BC and medicare and medicare part D. But, their BC went down a couple of dollars for them when they took out the part D. (11/15/2007)

By Jean in GA

Blue Cross vs Medicare

Medicare will become your prime insurance when you turn 65. I would keep the Blue Cross especially if you have a lot of prescriptions because Medicare doesn't cover these. Blue Cross will also pick up what Medicare doesn't. And Medicare does not include vision or dental. You may want to talk to your local Medicare office about your options. (11/15/2007)

By Mythi

Blue Cross vs Medicare

Please check into Humana Insurance before you make a decision. I have Humana which takes the place of Medicare and it has a free drug plan with it. They will still take the 96.00 from your Social Security. That is how it is paid for. You will also have co-pays, but it may be a lot less expensive than the premiums on BCBS. Can't hurt to check it out and compare. (11/16/2007)

By Danialle

Blue Cross vs Medicare

God Bless you, my friend. I receive a civil service annuity.
From what I can see about Medicare by looking at others in my state, the grey state, you must have supplemental insurance to go along with Medicare. I think for people who have no federal service, medicare is free. I wouldn't change insurance companies as someone here has suggested. If you've been with BC/BS, stay with that company.

Perhaps you can go to the OPM website and get the website for retirement. You should be able to find someone there who will or can help you. I know this is not easy.

I resent it that my social security will have the offset and I will not receive any on my own account because of that. I worked more than one job and worked under FICA as well as CSRS. But I am punished for my hard work. My former husband was a teacher and he has a pension AND SSA. Go figure.

Best of luck in your retirement. (11/16/2007)

By Carol in PA

Blue Cross vs Medicare

If cost is an issue look at swapping out of B/C B/S into Kaiser Permanente but by all means keep Medicare -- it will be your primary insurer (they will pay most of your bill) AND a secondary insurer.

I believe that most Federal retirees in the Washington, D.C. area have the Medicare and B/C B/S combination believing it to be the best value and because of the prescription coverage.

Having gone through serious cancers with both my Federally retired parents I can say that if you do become ill it is a great value to have the Medicare and B/C B/S combination. (11/16/2007)

By carolyn from bullfrogcorner

Blue Cross vs Medicare

Also, I think your B/C B/S cost would be substantially higher if you don't have Medicare as your primary insurer.

One other thing to consider -- are either one (or both) of you eligible for Medical benefits under the VA system? (11/16/2007)

By carolyn from bullfrogcorner

Blue Cross vs Medicare

Keep Medicare. It will be your primary insurer. I believe B/C B/S will increase in cost at 65 if you don't have Medicare. I believe the cost of having B/C B/S without Medicare will be MORE than the cost of Medicare AND B/C B/S. Ask B/C B/S how much will your premium be if you don't have Medicare.

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If cost if an issue look at replacing B/C B/S with Kaiser Permanente.

The Medicare B/C B/S combination was a blessing for both my Federally retired parents as they aged and became ill.

Also, I think I was told by B/C B/S that if you have B/C B/S as your primary insurer at age 65 and DON'T have Medicare at age 65 -- that B/C B/S has the option to drop you.

The last consideration to check into if either one of you (or both) are Veterans be sure to get into the VA health care system as well. VA does not work as a secondary insurer to Medicare but VA does offer some nursing home benefits beyond what Medicare offers, should a nursing home ever become necessary for the Veteran (again, if applicable).

I learned this trying to help my Federally retired parents (VA eligible father) manage their health care options. Hopefully all info I've provided is up to date. (11/16/2007)

By bullfrogcorner

Blue Cross vs Medicare

http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf

There is a link to the 2008 Medicare and You booklet.

Another thing to think about is long term care insurance. Medicare will pay for care needed as a result of a one time event, like for an elderly person who falls and breaks their hip for example, but they don't pay for the gradually increasing need for care and daily living assistance that occurs during the normal aging process. (11/18/2007)

By Allison

Blue Cross vs Medicare

Carolyn,

I am an insurance agent. Your BCBS is a retirement plan I am assuming. If so you can certainly keep it. Medicare Part A (hospitalization) is free. Part B (doctor visits) is 93.50 this year but goes up a few dollars every year. If you elect to enroll in part B you trigger a limited time frame where you can pick up a supplement without health questions being asked. You should really consult with a local agent. Also, depending on where you live, there are Medicare Advantage plans. They are not right for everyone. Ask your friends to refer you to someone ethical. There are MANY choices and you should weigh them carefully. I hope this helps. (12/01/2007)

By Chad

Blue Cross vs Medicare

If you are contemplating another company other than Medicare and Blue Cross, please research their standings. By all means, DO NOT consider Kaiser. They are blasted all over the internet as a fraudulent company. They are very unprofessional and petty. They sent me to the credit bureau for $50 I don't owe, and disputed it to no avail. Kaiser lies all the time. I have several stories from Kaiser I could tell. I suffered a great deal for 2 years when I had them. Kaiser is absolutely useless.

I do have Blue Cross and Medicare. I can choose any doctor I want. Most of the doctors take Medicare and Blue Cross Supplement. Blue Shield is also good. I don't take prescriptions, so I don't know about Humana with prescription coverage. I have Blue Cross Senior Classic I, and no one has refused me or limited any services and have not paid a cent out of pocket when I go to medical doctors. (11/01/2008)

By Brigette07

Blue Cross vs Medicare

If Medicare is Primary does BCBS pick up the deductible from Medicare? I have yet to pay a doctor or hospital in 15 years then all of a sudden my physical therapist is wanting my 2009 deductible. They didn't ask for it in 07 or 08. I've never been asked for it elsewhere. I cannot locate on any EOB where I owe anything to them. (02/06/2009)

By DW

Blue Cross vs Medicare

I retired from federal government service on 2/27/2009 at age 65 and 6 months. My wife (age 66) and I carefully considered our insurance options and chose to retain our Blue Cross Blue Shield coverage, which currently costs us $356.59 per month (the government pays $763.88) for family coverage and I was told that the cost would not be reduced if Medicare becomes the primary provider.

We elected to not subscribe to either Medicare Part B or Part D (the drug plan). The Medicare coverage for only Part B would have added an additional $192.80 per month ($96.40 x 2 = $192.80) to our health insurance costs. We believe we would not be able to save $192.40 per month by enrolling in Part B. Our remaining concern is that if we decide later to enroll in Medicare Part B we will be required to pay an additional 10% per year for each year that we did not enroll. (04/07/2009)

By whitt.bill

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