Triton College Annuitants Association
Open Enrollment Period for College Insurance Plan.
May 1 – June 2, 2014 is the Benefits Choice open enrollment period for the State of Illinois College
All eligible benefit recipients who do not currently
participate in this plan could use this time to sign up for health,
dental, and vision coverage. Coverage
could be provided to you, your spouse, and any eligible dependents at the current premium
This open enrollment period (May 01 – June 2) is the only opportunity eligible members have to
enroll in this plan without meeting certain limited criteria. The plan will
begin July 1 and premiums will be deducted from your July benefit payment.
If you are interested in more information concerning rates and enrollment, visit www.benefitschoice.il.gov . You can review the Benefits Choice Options
book and College Insurance Plan handbook.
Please remember there are numerous choices for individuals,
families, over sixty-five with Medicare, over sixty-five and no Medicare, and under
sixty-five. Do the research or contact the individual on our website below (Eleonore
Weber) or view the SUAA website (www.suaa.org).
Attention current Annuitants with Medicare Part A and B. Members who as of Sept. 30, 2014, are enrolled in Medicare Parts A and B will be required to elect coverage under the CIP Medicare Advantage Program, or elect to opt out of all CIP coverage. In the fall, annuitants will be notified of the enrollment period for this by the Dept of Central Management Services. This coverage will include health, behavioral health, prescription, dental, and vision coverage. For more info regarding the Medicare Advantage Trial program, go to: www.cms.illinois.gov/thetrail
If you are over sixty-five and have Medicare and choose the
Medicare Advantage program the state is offering, please remember that you no
longer will use the Federal government's Medicare card, but you will have the Medicare Advantage program being offered by the State of Illinois. You will
still pay the Medicare premium each month to the federal government. Please be aware Medicare Advantage programs
are regionally specific so be careful in the one you choose. This is why I
always recommend planning and talking with someone who has been through this
process. It just keeps you sane. Do not just throw your hands up in the air,
seek assistance. Lots of individuals with the expertise are there to assist
Message from Eleonore Weber, Insurance Broker
Dear TCAA Members:
Once again, thank you for your
invitation to participate in your semi-annual meeting on April 15. I was delighted
to see familiar faces as well as the opportunity to meet new TCAA members. Additionally,
I appreciated the opportunity to meet Linda Brookhart, the Executive Director of
the State Universities Annuitants Association (SUAA), and hear her share with
the group the recent updates regarding the association’s pending pension issues
and healthcare coverage options for members.
The topic of healthcare is a personal and
sensitive subject for most people, as it touches our lives, our well-being, and our
loved-ones, and it affects our financial security and future. Health care has
changed dramatically over the last several years due to rising costs, greater
preventive protection due to the ACA, and the rapid growth of boomers entering
their retirement stage.
TCAA members were therefore confronted
with new healthcare options presented by CIP; hence you were
required to dissect, digest and assimilate the various options, then decide on a
positive outcome for your future. As a result, it was a difficult and daunting decision
to make by the end of 2013, and perhaps a few of you are still struggling with
questions. This week I had a question from a couple of members, and it was “Can I switch from
the State Employee Sponsor program to the Original Medigap (the traditional
Medicare Supplement)”? The answer was yes we can. It is a process, yet we are
able to switch to a comprehensive Medicare Supplement solution.
Please feel free to call me with your
questions; there is no cost for this service or for your “Peace of Mind”.
Your Life Security.
Licensed Insurance Broker - Disability, Health, Life and
Long-Term Care Insurance
Mobile (312) 952-1706
Web site: www.yourlifesecurity.com
“HELPING PEOPLE SECURE AND PRESERVE THEIR ASSETS AND FUTURE”
In the last several months, I have reviewed several articles on the Medicare “observation status” which all of us should be aware of when we are going to the hospital. As I have read the various articles, it appears those Medicare administrators who complete audits of hospitals are applying some pressure on hospitals to place individuals in “observation status” and not “inpatient status." What this means is if you are going to the hospital and will be there more than one night, if they put you in “observation status,” Medicare may not be responsible for the cost; thus the bill becomes yours.
Medicare treats “observations status” as the same as “outpatient.” This type of visit is not covered under Medicare Part A. Instead, you are billed under Medicare Part B, so you must pay 20 percent of the bill for each service after reaching your deductible. You may also be charged with your medications while there, and this is not covered under Part B. It would only be covered if you are covered under Part D or have a separate plan that covers your medications.
Over the past six years, the use of “observation status” has doubled in hospitals. The federal Medicare auditors decide later that the “inpatient status” should have been “outpatient.” When this happens, the hospital must return the Medicare payments received.
What should you do if you are admitted to the hospital?
If charged, then you need to appeal your charges which were not covered under Medicare Part A. (An appeals kit may be downloaded free from MedicareAdvocacy.)
MEDICARE PART B PREMIUMS
The Center for Medicare & Medicaid Services has announced that Medicare Part B premiums in 2014 will be $104.90, and the Part B deductible will be $147. Part A Deductible is $1,216 for 2014. Note that Part A and Part B premiums are on a sliding scale depending on income.
Individuals who did not pay into social security or have some quarters (now known as credits) may receive Part A and B, but it is more expensive. Speak to your local Social Security Office.
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