FEHB and Medicare Part B
UPMC Health Plan has designed the Standard Option HMO to assist you with your Part B payment.
Coinsurance does not apply after you meet your plan deductible.
Fill out the reimbursement form if your plan is the Standard HMO option.
Here's how it works:
- Choose to enroll in the Standard Option.
- Choose to enroll in Medicare Part B along with Medicare Part A.*
- Your coinsurance is reduced to zero.
- You’ll receive up to $700 in premium reimbursement through a health reimbursement arrangement (HRA).
- Set up a reimbursement by using these forms:
Remember, all plan options include a health incentive account (HIA) that enables you to earn up to $250 for Individual coverage.
|
Annual Plan Deductible |
Member Coinsurance** |
Medicare Part B premium reimbursement |
| Standard Option with Medicare Part A |
$850 individual coverage |
20% after deductible |
N/A |
| Medicare Part B premium reimbursement |
$700 individual coverage |
0% after deductible |
Up to $600 per member |
This is a summary of the features of the UPMC Health Plan options. Before making a final decision, please read the Health Plan’s Federal Employees Health Benefits Program and 2021 Plan Brochure RI 73-797. All benefits are subject to the definitions, limitations, and exclusions set forth in the plan brochure. The scenarios depicted in this document only apply when Medicare is the primary payer.
*Go to Medicare.gov for information on how to purchase Medicare Part B.
**Office visit and prescription drug copayments apply for the Standard Option HMO plan, including when it is paired with Medicare Parts A and B.