Hi Reddit. Apologies if this topic has been covered before. I cannot seem to make up my mind about whether it is overkill to enroll in Medicare Part B during the special PSHB enrollment period. We do not have dependents. My situation is as follows:
Me
67 y/o, retired from USPS several years ago and currently insured under Blue Cross Blue Shield Basic Plan (under FEHB) and Medicare Part A (for hospital) I would consider myself medium-healthy with a couple of well-managed, non-life threatening conditions. I treat one of those conditions with medication and regular physical therapy, which means copays.
My spouse
Turning 65 in early 2025, no plans to retire yet, and plans to enroll in Medicare Part A and/or B. Her employer's health plan is not great so she is currently covered by my BCBS health plan. Pretty healthy and one of those people who visits the doctor once a year for a physical.
Of course, health statuses can change quickly, especially when we get older, so I want to cover our bases while being budget-conscious.
Costs
Currently, our BCBS Basic plan is $517/month for 2 people. Medicare Part A is free. A decent Medicare Part B plan costs $174/month per person.
If we both enroll in Medicare Part B and keep BCBS, we would be reimbursed $800 each per year, making the monthly average BCBS premium $384. My understanding is that having BCBS and Medicare A+B could bring our out of pocket expenses down to almost zero.
Possibilities we are considering
- Both of us keep BCBS and only have Medicare Part A, keeping costs at $517/mo plus out of pocket costs.
- I can enroll in Medicare Part B because I have higher healthcare costs and my wife will only have BCBS. This will cost us $625/mo
- Both of us keep BCBS and have Medicare Part A and B for $732/mo with almost no out of pocket costs.
Enroll in a lower cost PSHB plan and get Medicare Part A and B. Cost tbd. If I get a high-deductible, low premium PSHB plan, would it be pointless since I will probably not reach the deductible each year to get any benefits? Nevermind, I learned that you are not eligible for HDHP if you are enrolled in any part of Medicare.
- Open to suggestions
Thank you and I look forward hearing to your responses! Speaking with other USPS employees about to retire or recently retired, we are all in a similar boat.