Medicare


 Medicare Premiums 2016

The standard Part B premium amount is $121.80 (or higher depending on your income). However, most people who get Social Security benefits will continue to pay the same Part B premium amount as they paid in 2015. This is because there wasn’t a cost-of-living increase for 2016 Social Security benefits. You’ll pay a different premium amount if:

  • You enroll in Part B for the first time in 2016.
  • You don’t get Social Security benefits.
  • You’re directly billed for your Part B premiums.
  • You have Medicare and Medicaid, and Medicaid pays your premiums. (Your state will pay the standard premium amount of $121.80.)
  • Your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount.

If you’re in 1 of these 5 groups, here’s what you’ll pay:

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Part B deductible & coinsurance

You pay $166 per year for your Part B deductible. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, and durable medical equipment.


 

 Medicare Premiums 2015

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Click HERE to get more information about your Part B premium from Social Security.


PIBF Members enrolling in Medicare Part B after age 65

The PIBF staff receives numerous calls from plan participants who are having difficulty enrolling in Medicare Part B without a penalty. Generally, an individual 65 years of age or older who loses group coverage has eight months from the last date of employment to purchase Medicare Part B to avoid a penalty. (COBRA is not considered “group coverage”.) The following information discusses the rules for individuals who have health coverage eligibility through an hours bank arrangement (PIBF falls in this category), which may provide an alternative to the standard eight month rule thereby eliminating the penalty portion of the Medicare Part B premium.

REQUEST FOR EMPLOYMENT INFORMATION

Click HERE for the form.

WHAT IS THE PURPOSE OF THIS FORM?

In order to apply for Medicare in a Special Enrollment Period, you must have or had group health plan coverage within the last 8 months through your or your spouse’s current employment. People with disabilities must have large group health plan coverage based on your, your spouse’s or a family member’s current employment.

This form is used for proof of group health care coverage based on current employment. This information is needed to process your Medicare enrollment application. The employer that provides the group health plan coverage completes the information about your health care coverage and dates of employment.

HOW IS THE FORM COMPLETED?

• Complete the first section of the form so that the employer can find and complete the information about your coverage and the employment of the person through which you have that health coverage.

• The employer fills in the information in the second section and signs at the bottom.

WHAT DO I DO WITH THE FORM?

Fill out Section A and take the form to your employer. Ask your employer to fill out Section B. You need to get the completed form from your employer and include it with your Application for Enrollment in Medicare (CMS-40B). Then you send both together to your local Social Security office. Find your local office here: www.ssa.gov.

GET HELP WITH THIS FORM

• Phone: Call Social Security at 1-800-772-1213

• En español: Llame a SSA gratis al 1-800-772-1213 y oprima el 2 si desea el servicio en español y espere a que le atienda un agente.

• In person: Your local Social Security office. For an office near you check www.ssa.gov.

Click HERE for the form.