Retiree Health Coverage
Your Options at a Glance
Pre-Medicare-Eligible | Medicare-Eligible | |||
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COBRA | FMP Retiree Coverage | Marketplace Coverage | COBRA | Medicare |
Continue coverage in the same health care benefits available to you as an active employee for up to 18 months. | Continue certain FMP health coverage until you become Medicare-eligible if you meet the age and service requirements. | Find coverage outside of FMP through the public Health Insurance Marketplace. | Continue coverage in the same benefits available to you as an active employee for up to 18 months. | Enroll in the government’s health program, which can provide coverage once you turn 65. |
Retirement Health Care Expenses Calculator
See how health care expenses could impact what income you may need in retirement with the Edelman Financial Engines Health Care Expenses Calculator. Go to www.NetBenefits.com (Navigate to Edelman Financial Engines (EFE) > Planning Tools > Healthcare in Retirement to access the tool).
Pre-Medicare-Eligible Retiree Coverage Options
Your health benefits as an active employee will end on your retirement date. Coverage continuation is not automatic, which makes it crucial to plan ahead and consider your options so that you don’t have a gap in health insurance coverage.
COBRA Coverage
If you leave the company before 65, you and/or covered dependents under age 65 may continue medical, dental and/or vision benefits for a limited period of time by electing COBRA (the Consolidated Omnibus Budget Reconciliation Act) coverage.
Key Features and Considerations
- By law, FMP must offer COBRA options to you, even if you’re eligible for FMP’s retiree health coverage. In some instances, company coverage may be the cheapest option, but for others COBRA may be the most favorable.
- If you enroll in COBRA, you continue participating in the same plan(s) you were enrolled in as an active employee. You pay 102% of the full cost for this coverage.
- Generally, COBRA coverage continues for up to 18 months, but it may be extended for up to an additional 18 months under certain circumstances.
- If you reach the end of the COBRA period and you’re still not eligible for Medicare, you may enroll in FMP’s retiree health coverage. However, if you choose FMP retiree coverage when you separate from service, you waive your right to enroll in COBRA coverage.
- Once you have made your elections, the Benefit Service Center will invoice you monthly.
You will receive a COBRA notice and election form in the mail with information about deadlines and premiums, but you don’t have to wait for the package to arrive to enroll. You can enroll by contacting the Benefit Service Center at 1-844‑819-5075. Once you have made your elections, the Benefit Service Center will invoice you monthly.
FMP Retiree Coverage
You are eligible for coverage through the Retiree Enhanced Health Care Continuation Plan if you:
- Are age 60 with at least 10 years of Total Employment Service,
- Are age 58 with at least 30 years of Total Employment Service,
- Terminate from Protective Force at age 55 with at least 25 years of Total Employment Service
This plan enables pre-Medicare-eligible retirees to purchase retiree medical, dental and vision coverage at group rates. Your costs for coverage are based on your date of hire, so you may wish to compare your coverage options and costs with what’s available through COBRA and the public Health Insurance Marketplace. In addition, all retirees, regardless of whether you are eligible for Medicare, may continue life insurance coverage at group rates.
Key Features and Considerations
- FMP’s retiree medical coverage ends when you become eligible for Medicare, even if that happens before you turn 65.
- With retiree coverage, you may choose the High Deductible Health Plan (HDHP) or the Value HDHP. If you’re enrolled in the PPO Plan, you must choose new coverage, as the PPO Plan is available only through COBRA. See the Resources page for coverage overviews.
- Once you’ve made your elections, the Benefit Service Center will invoice you monthly.
- Each year you and/or your dependents will receive an Annual Enrollment package describing the company benefits for the following year. If you do not receive your package, call the Benefits Service Center.
IMPORTANT
The end of the Enhanced Health Care Continuation Plan coverage is not a COBRA-qualifying event. Enhanced Health Care Continuation is an alternative to COBRA continuation. If you choose FMP retiree coverage when you separate from service, you waive your right to enroll in COBRA coverage.
Marketplace Coverage
In addition to COBRA coverage and FMP’s retiree health coverage, you may also want to consider whether your spouse’s/partner’s plan or the public Health Insurance Marketplace offers the best coverage to fit your needs and budget. With Marketplace coverage, you can choose from health plans offered by private health insurers through a federal or state health exchange, depending on where you live. In most states the federal government runs the marketplace, but in some areas, the state runs its own.
Key Features and Considerations
- You always have 60 days from the time your job-based coverage ends to enroll in Marketplace coverage.
- You can also enroll during an annual enrollment period.
- FMP does not pay any portion of the costs of these plans, but you may be eligible for federal subsidies that will reduce the costs you pay for Marketplace coverage. Eligibility is based on household income and other factors.
For more information on Marketplace coverage, visit healthcare.gov.
When to Enroll in Coverage
Visit Countdown to Retirement for a detailed timeline.
Did you know?
COBRA premiums are a qualified HSA expense. Learn more about HSAs.
Paying for Health Care Quiz
Know your way forward. As you plan for retirement, you need to know your health care coverage options and how you can start saving now to meet this important retirement need. Test your knowledge with this quick, confidential quiz.
Medicare Coverage
Medicare is a federal health insurance program for people 65 and older, certain younger people with disabilities and people with End Stage Renal Disease. There are four parts to Medicare, known by letters. Each part has separate deductibles and premiums.
Parts | Features |
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Original Medicare | |
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Part C (Medicare Advantage Plans) |
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Part D (prescription drug coverage) |
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Medicare Advantage or Medicare Supplement: What’s the Difference?
Original Medicare (Parts A and B) covers hospital and medical services, but it doesn’t cover prescription drugs, vision, dental, hearing services, long-term nursing care or home health care. That’s why some people purchase these options:
- Medicare Advantage Plan, which covers all the services covered by Original Medicare plus some others, or
- Medicare Supplement plan (also known as a “Medigap” plan), which helps cover out-of-pocket costs, such as copays or deductibles—the gap that is not covered by Original Medicare. However, Medigap plans don’t cover prescriptions drugs, so many people also buy Medicare Part D prescription drug coverage in addition to Medigap coverage. Generally, you must be enrolled in Medicare Parts A and B to enroll in a Medigap plan. To learn more about Medigap and what’s covered, visit medicare.gov.
For general information about Medicare, Medicare and You is the official guide to getting the most out of Medicare. Fidelity also offers a Medicare Basics tool. Visit the Countdown to Retirement section for more information on when you should apply.
Get Personalized Help Exploring Your Medicare Options
Comparing Medicare with other plans can feel overwhelming, but SmartConnect can help. SmartConnect is a no-cost program for employees who are planning to retire and are or will be Medicare-eligible. With SmartConnect, you’ll get matched with an experienced advisor who will provide education and then help you get the right coverage at the right cost.
Get started at gps.smartmatch.com/fluor or call 1-833-933-1944.
When to Sign Up
Generally, there are two enrollment periods when you can sign up for Medicare.
- If you’re retiring at 65 or earlier, you can sign up for Medicare during your Initial Enrollment Period, which lasts a total of seven months, starting three months before you turn 65.
- If you work past 65 or have health insurance through your spouse’s employer, you may be able to enroll through a Special Enrollment Period that lasts for eight months, starting after your other coverage ends.
Be sure to enroll in Medicare on time. If you enroll late and you don’t qualify for a Special Enrollment Period, you may pay higher premiums for the rest of your life.
When you’re ready to apply for Medicare, create an account and apply at ssa.gov. Alternatively, you can call 1-800-772-1213 (TTY: 1-800-325-0778). Visit Countdown to Retirement for a more detailed timeline.
Source: Social Security Administration
What Happens to Your Dental and Vision Coverage
As a Bettis employee, you may continue dental and vision benefits through COBRA for up to 18 months. Or, if you’re younger than 65 and you meet the age and service requirements described under FMP Retiree Coverage, you may enroll in FMP’s retiree dental and vision coverage, which continues until the first day of the month that you turn 65.
If you want dental and vision benefits after your COBRA or retiree coverage ends, you will need to purchase coverage through the public Health Insurance Marketplace or through Medicare (if you’re Medicare-eligible).
For additional information about continuation of dental and vision benefits and eligibility criteria, see the Summary Plan Description (SPD) for the NNPP Contractor Group Benefits Plan on fmpbenefits.bswift.com. You can also find dental and vision coverage overviews on the Resources page.
Did you know?
Reports show Medicare Supplement Plans are a “vital lifeline” for more than 10 million Americans depending on Medicare for health care coverage.