- 0 replies
- 84 views
- Add Reply
- 0 replies
- 86 views
- Add Reply
- 0 replies
- 124 views
- Add Reply
- 0 replies
- 137 views
- Add Reply
APWU health insurance premiums with and without APWU special rates.
Union workers work hard to get holiday mail processed
November 2024 news and announcements
2025 contribution limits — The Internal Revenue Code places specific limits on the amount that you can contribute to employer-sponsored plans like the TSP each year. See how the contribution limits have changed.
New in 2025: higher catch-up limit for ages 60, 61, 62, and 63
Beginning January 1, 2025, participants age 60, 61, 62, and 63 who are eligible for catch-up contributions will have a higher catch-up limit than the regular catch-up limit. In the years participants turn 64 and older, the catch-up limit will be the lower, regular catch-up limit amount.
This change is part of the Setting Every Community Up for Retirement Enhancement Act of 2022 (SECURE 2.0).
Medicare and APWU health plans
Medicare and APWU Health Plans
Both the High Option (HO) and Consumer Driven Option (CDO) have Medicare benefits without enrolling in the UnitedHealthcare Medicare Advantage Plan.
Please keep in mind that once you retire, you no longer receive the APWU discount on the CDO option, but as long as you stay an APWU member at the retiree rate (36 dollars per year), you do not need to pay the $35 yearly associate fee charged to non-members. Keep in mind that the following information is for retired employees.
CDO benefits
New for 2025 you can use your PCA dollars to cover the Medicare Part B premium, and you can receive Medicare Prescription drug coverage (Part D) at no extra cost. If you are a retired CDO member, you will be automatically enrolled in the UnitedHealthcare Part D plan. It includes a $2,000 out of pocket maximum for prescription drugs, which uses the total cost of the drug. (what the insurance pays plus what you pay). This means that your drug costs would be covered at 100% after meeting this amount. It also includes home delivery service. For more details call the UnitedHealthcare Medicare Rx Part D at 888-201-4265 Monday thru Friday 8 am to 8pm local time)
HO benefits
Even if not enrolled in the APWU Health Plan Medicare Advantage (Part C) you will be automatically enrolled in the ExpressScripts Medicare for the APWU Health Plan. It has the same benefits as the CDO option, with the $2,000 cap on out-of-pocket expenses and home delivery service. For details about this plan, call Express Scripts Medicare at 844-818-8790 24 hours a day, 7 days a week, or visit apwuhp.com.
UnitedHealthcare Medicare Advantage Plan for APWU Health Plan.
**To enroll in this plan you must have the High Option and have both Medicare Parts A and B***
Benefits Include
It also includes fitness membership through Renew Active, which is free through fitness centers participating in their nationwide network.
You can also receive home health care through their UnitedHealthcare Healthy at Home program. This provides support you may need after an inpatient hospital or skilled nursing facility stay. You can receive home-delivered meals, transportation to medical appointments and pharmacy, and in-home non-medical personal care to assist with daily activities, all at no additional cost.
It also has hearing aid benefits through their UnitedHealthcare Hearing program. You must contact UHC Hearing and use a UHC hearing provider for this coverage. There are 6,500+ hearing providers nationwide, and you can receive a hearing exam and access to one of the widest selections of prescription and non-prescription hearing aids at significant savings. You’ll also receive personalized care and follow-up support from experienced hearing providers.
For more information or to enroll, call a Customer Service Advocate at 855-383-8793 TTY 711, 8am – 8pm local time, Monday through Friday, or visit retiree.uhc.com/apwuhp.
As always, visit keepingposted.org and apwu.org/retirees for more information on retirement or how to stay involved after retirement. Retirees can provide a vital service by being a voice in the community or mentoring younger members. If you are interested in being more involved regardless of your employment status, please reach out to us!
Medicare overview
Finally, as was promised! The Medicare Article!
As many of you are aware, the changes are happening to our health care because of the Postal Service Reform Act (PSRA) of 2022. This new law also made changes in Medicare requirements for eligible current postal workers and retirees. Medicare (which is through the federal government, is not to be confused with Medicaid (through the state government)
What is Medicare?
Medicare is a federal health insurance program for:
Annuitants (i.e. Retirees)
The PSRA is designed, in part, to promote Medicare integration. Beginning Jan. 1, 2025, the PSRA requires certain Medicare-eligible Postal Service annuitants to enroll in Medicare Part B to keep their PSHB coverage in retirement.
After Jan. 1, 2025, annuitants who are enrolled in Medicare Part B must stay enrolled to keep PSHB coverage, unless an exception applies.
Medicare health plans (more specific coverage information available for Medicare Parts A and B here.) You can also root around on the Medicare.gov website, but I personally found it a bit hard to navigate.
Part A (Hospital Insurance) - If you or your spouse worked at least 10 years in Medicare-covered employment, you qualify for premium-free Part A coverage. Most Postal Service employees, retirees and covered eligible family members are entitled to Medicare Part A at age 65 without additional cost. It covers inpatient hospital care, skilled nursing facility care, nursing home care, home health care and hospice. If you receive Social Security Benefits prior to your 65th birthday, you should be automatically enrolled.
Part B (Medical Insurance) – You are charged a monthly premium for Medicare Part B. For more information on rates, visit Medicare.gov. It covers certain doctor services, outpatient care, preventive services and medical supplies. You may also pay a penalty if you do not sign up for Part B when you first become eligible. There is NO CAP to this penalty, and you will pay it as long as you have the Medicare Part B plan, so be vigilant!
There are some exceptions to the Medicare Part B enrollment requirement under the PSHB Program. You may be responsible for providing proof of eligibility for the applicable exception(s) to the designated agency. They are :
-Residing outside of the United States and its territories. You are required to follow the policy and procedure set forth by the Postal Service to be eligible for this exception. This exception requires that an annual certification be submitted to the Postal Service with proof of residency.
-Annuitants who are enrolled in healthcare benefits provided by the Department of Veterans Affairs.
- Eligibility for health services provided by the Indian Health Service.
Part C (Medicare Advantage plans) – Medicare Advantage plans are Medicare- approved plans from a private company that offers an alternative to Original Medicare (Parts A and B) that provides health and drug coverage. CAREFUL WITH THESE. Private plans are required by law to let you know they are not part of a Government plan. If you see the phrase *Non Government Entity* be wary.
***Both the High Option and Consumer Driven Option coordinate with Medicare and have their own benefits, but the High option is more advantageous. More about those specific benefits next week!***
Part D (Prescription coverage) – A standalone prescription drug plan with Medicare that helps cover the cost of prescription drugs. Medicare Part D will be included in all PSHB plans for Medicare eligible participants. You will not have to pay a separate premium for prescription coverage. Each PSHB plan will specify how your prescription coverage works in combination with Medicare Part D. If you drop part D, you WILL NOT have prescription coverage under the PSHB plan. You can re-enroll during open enrollment however.
Still have questions? Of course you do! Medicare can be complicated and has what feels like 40 billion rules. This article is not meant to be exhaustive. While information on the workroom floor can be scant or, more likely, highly inaccurate, there is a lot of information available on LiteBlue. As a matter of fact, most of the information in this article was blatantly plagiarized from a booklet available on Liteblue. To find my source material, log in to your Liteblue account and go to MyHR. From there go to the Pay & Benefits tab, and then scroll down until you see the Postal Service Health Benefits link. Click on it. Scroll to the PSHB resources link. Click on that and then scroll further down until you see the heading “PSHB tools.” The third link under this heading is my source material. There is a lot more information on there than I was able to put in this article. I see you all on your phones, so I know you have time to research! An educated membership is an empowered one.
Keepingposted.org has all sorts of useful links and information for your burning Medicare questions as well. Medicare can be complicated! Make your life easier and reach out to retirementbenefits@usps.gov or call (833) 712-7742 for answers to your retirement questions.
Speaking of Retirement, keep in mind that, for whatever reason, Retirement is NOT a Qualifying Life Event. This means that any changes you wish to make to your insurance coverage will need to happen either during Open Enrollment or during a Qualifying Life event (Marriage, Divorce, birth or death, etc.)Becoming eligible for Medicare IS a Qualifying Life Event. Visit OPM for a more exhaustive list of events that allow you to change insurance coverage.
If you have been enrolled in the FEHB/PSHB Program from your first opportunity to enroll or for the full five years of service immediately preceding retirement, you may carry your coverage into retirement. All 5 years are not required to have been on the same plan.
As I said above, next week I will cover some benefits that the APWU health plans have for Medicare! Remember that Open Enrollment ends December 9th, and it will be here much faster than you think it will be.
Kayla Reynolds