Federal retirees with healthy retirement incomes are in a unique position when it comes to health insurance.
On the surface, Medicare Part B appears attractive, because you most likely will not incur any co-pays or co-insurance costs with your Federal Employee Health Benefit [FEHB] plan. Unlike Medicare Part A which is free, Medicare Part B premiums are significant – for an individual with an adjusted gross income just over $85,000 per year are $2,250 per year and for a married couple just over $170,000 are $4,500. Keep in mind the FEHB plan covers 100% of medical expenses once the annual out-of-pocket maximum is reached – typically $5,000 for an individual and $10,000 for a couple.
In most cases even with periodic, major medical expenses, carrying Medicare Part B in addition to an FEHB plan will cost more than it will save you in out-of-pocket costs. There are a few cases where the cost of carrying Medicare Part B more than pays for itself. It all depends on your individual circumstances.
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