This RCBP Retiree webinar will give an overview of our new plan designed for members who have Medicare Parts A and B as their primary coverage.
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Welcome to our webinar. We will cover the Aetna Medicare Advantage PPO Plan for Rural Carrier Benefit Plan, a plan designed for Rural Carrier Benefit Plan members with Medicare. This webinar will cover enrolling in Medicare, the parts of Medicare, Aetna Medicare Advantage PPO Plan for RCBP. We’ll look at your benefits at a glance, the wellness programs and support on this plan, how to opt in, and then we’ll summarize and finally give you options on how to reach out should you have additional questions.
When we talk about retirement, it’s important to talk about Medicare. If you already have Medicare, this slide does not apply to you. You can enroll in Medicare without penalty at two times. The first is during your initial election period or your IEP. Your IEP occurs three months before the month of and three months after your 65th birthday. If you’re still working, when you turn 65, you don’t need to enroll. You will get a special election period or SEP, and this SEP goes into effect when you retire and lasts eight months. If you enroll outside of one of these periods, you must enroll during the Medicare general enrollment between January 1 and March 31 each year and may be subject to late enrollment penalties.
Now, let’s take a look at the parts of Medicare. Medicare Part A is part of original Medicare and provides hospital insurance. Part A is free for those who have paid Medicare taxes while working, already receive Social Security benefits or have a spouse with Medicare covered employment. If you don’t qualify to get Part A for free, then you can purchase it for a monthly premium subject to late enrollment fee. This coverage is going to help cover the costs of services like inpatient hospital, skilled nursing, home healthcare, and hospice. Part A can have substantial out of pocket costs, such as an annual deductible and co-payments depending on the duration of your care.
Medicare Part B is also part of original Medicare and provides medical insurance. Part B has a standard monthly premium of $164.90 for 2023. However, this amount can be higher depending on your annual income. Part B also has a late enrollment penalty that will increase your monthly premium by 10% for every 12 months you do not enroll after your initial election. For example, your initial election period ended September 30th, 2017. You waited to sign up for Part B until the general enrollment in March, 2020. Your Part B premium penalty is 20%. While you waited a total of 30 months to sign up, this included only two full 12 month periods. You’ll have to pay this penalty for as long as you have Part B. Part B does have some out of pocket costs for coverage. There’s an annual deductible and co-insurance afterward. If your income is above a certain limit, you may be required to pay an income related monthly adjustment amount or IRMA to the government. This is in addition to the standard premium.
Medicare Part C or Medicare Advantage is an optional part that is available for purchase for a monthly premium from private insurance companies. You must have Parts A and B to get a Part C plan. These plans are becoming an option now through FEHB, and we’ll talk about them more in a bit, but they are plans that cover everything original Medicare covers with additional benefits.
Medicare Part D is additional coverage for prescription drugs. At this point all Medicare Advantage or Part C plans offered through FEHB include prescription drug coverage equal to or better than what Medicare Part D would provide.
Most plans offered through FEHB require cost sharing. Cost sharing means you might pay deductibles, co-insurance, and copays when you visit healthcare providers, and we all know how this can add up. With this plan, we’re combining both our RCBP and the Aetna FEHB presence along with a cost savings of a Medicare Advantage plan with prescription coverage.
Here’s a look at the plans side by side. On the far left column, you’ll see your benefits listed under both medical and prescription drugs. The middle column shows you what you pay for those benefits under the RCBP High Option with Medicare, and on the far right column, you’ll see what you pay for those benefits under the new Aetna Medicare Advantage for RCBP. The RCBP High Option with Medicare does not offer an annual Part B premium reduction. The Aetna Medicare Advantage for RCBP gives you $900 Part B premium reduction per eligible person per year. The deductible for both plans is $0. Your out-of-pocket maximum is $5,000 per person medical and prescription under RCBP High Option with Medicare and $3,500 per person prescription only under Aetna Medicare Advantage for RCBP.
Your co-insurance is $0 except prescription drugs under both plans and your chiropractic services under both plans is $0. Physical, occupational and speech therapy under RCBP High Option with Medicare, you pay $0 up to a 90 visit maximum per person per calendar year, and you pay all charges after that 90 visit maximum. Under the Aetna Medicare Advantage for RCBP for physical, occupational and speech therapy, you pay $0 for unlimited visits.
Let’s look at prescription drugs. There is no preferred generic category under RCBP High Option with Medicare. In the Aetna Medicare Advantage for RCBP, you have two options under preferred pharmacy and standard pharmacies. If you pick up your medication from a preferred pharmacy, you’ll pay $0 for both a 30 day and 90 day supply. Or if you pick your medication up from a standard pharmacy, you’re paying $2 for 30 days and $4 for 90 days.
For generic drugs under the RCBP High Option with Medicare, you’ll pay 30% co-insurance with a maximum of $7.50 for a 30 day supply or $10 copay for a 90 day supply. Under Aetna Medicare Advantage for RCBP, for generic drugs, you’ll pay a copay of $5 for 30 days or $10 for 90 days. For preferred brand under RCBP High Option with Medicare, you’ll pay 30% co-insurance with a maximum of $200 for a 30 day supply, or $50 for 90 day supply. And under the Aetna Medicare Advantage for RCBP for a preferred brand, you’re paying $40 for both a 30 day and a 90 day supply. For non-preferred brand under RCBP High Option with Medicare, you’re paying a 30% co-insurance with a maximum of $200 for a 30 day supply and $80 for a 90 day supply. And under the Aetna Medicare Advantage for RCBP for a non-preferred brand, it’s $70 for both a 30 day and 90 day supply.
Continuing with your prescription drug benefits, under the RCBP High Option with Medicare for specialty generic, you’ll pay $70 for a 30 day supply or $100 for 90 days. Under the same plan for a specialty preferred brand, you’ll pay $90 for 30 days and $125 for 90 days. For a specialty non-preferred brand, you pay $100 for 30 days and $250 for 90 days, again under the RCBP High Option with Medicare. Now under Aetna Medicare Advantage for RCBP for all three categories of prescription drugs, you have a 25% co-insurance with a maximum of $70 for 30 days and a maximum of $150 for 90 days.
When you enroll in Aetna Medicare Advantage for RCBP, you’ll have access to programs like Teladoc, a virtual option that provides added convenience for members seeking care, can be used online, by phone, or through their mobile app. You’ll be connected with US board certified state licensed healthcare professionals. Teladoc currently has over 700 available providers. There’s a hearing aid reimbursement for members to help pay for the tools needed to engage and communicate with the world around us. Reimbursement is $2,500 every 36 months. Through Resources for Living, members can find help to locate the resources needed in daily life with just one call, a life consultant can help with things like finding contractors to do work around the house, researching senior housing and adult daycare, gathering lists of activities at local senior centers and assisting with emergency needs. The non-emergency transportation program ensures that retirees can make it to and from their doctors or hospital appointments safely without having to rely on family or friends and at no extra cost we provide 24 one-way trips within 60 miles of the starting point.
And after a hospital stay, Aetna offers a meal benefit program through our relationship with GA Foods. Now, this program offers home delivered meals at no additional cost, 14 precooked meals, two per day for seven days. And finally, SilverSneakers, it’s an overall wellness program that may help members improve their health to live the life they love. The program gives members access to exercise equipment, classes, and social activities at thousands of locations nationwide. SilverSneakers also offers live and on demand classes.
So how to enroll in Aetna Medicare Advantage? It’s easy to opt in. To complete your enrollment, go to AetnaRetireeHealth.com/RCBP or call the Aetna Retiree Solution Center at 1-866-241-0262, Monday through Friday, 9:00 AM through 6:00 PM in all time zones. You will be asked to provide your Medicare Part A and B effective dates and your Medicare number.
Let’s look at the highlights, under the Aetna Medicare Advantage Plan for RCBP, you’ll get low premiums and out of pocket costs, a $900 Medicare Part B premium reduction per year for eligible members, routine vision coverage and hearing aid reimbursement, unlimited chiropractor visits, prescription copays as low as $0 from preferred pharmacies, added programs to keep you healthy, such as SilverSneakers, nationwide providers, no referrals, and much more. Get the retirement you deserve.
Questions, visit us online at RCBPhealth.com/Retiree where you can connect with our team and get more information. You can tune in for live interactive webinars hosted by the Aetna Licensed Federal team, sign up and learn about the different health plan options and get answers to your questions. If you’re the type of person who likes to figure things out for yourself well you’re in luck, you don’t have to talk to anyone to understand your plan options. You can access plenty of features on your own. You can also just give us a call at 1-800-638-8432. That concludes our webinar today. Thanks for joining.
Aetna Medicare is an HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. The formulary, provider and/ or pharmacy network may change at any time. You will receive notice when necessary. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Plan features and availability may vary by service area. SilverSneakers is a registered trademark of Tivity Health, Inc. © 2021 Tivity Health, Inc. All rights reserved. Resources For Living is the brand name used for products and services offered through the Aetna group of subsidiary companies. For accommodation of persons with special needs at meetings, call 1-800-638-8432 (TTY: 711).
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice.
This is a summary of the Rural Carrier Benefit Plan. Before making a final decision, please read the 2022 Official Plan Brochure (RI 72-005). All benefits are subject to the definitions, limitations and exclusions set forth in the official Plan Brochure. External websites links are provided for your information and convenience only and does not imply or mean that Aetna endorses the content of such linked websites or third party services. Aetna has no control over the content or materials contained therein. Aetna therefore makes no warranties or representations, express or implied, about such linked websites, the third parties they are owned and operated by, and the information and/or the suitability or quality of the products contained on them.
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Plan features and availability may vary by service area. SilverSneakers is a registered trademark of Tivity Health, Inc. © 2021 Tivity Health, Inc. All rights reserved.
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© 2022 Aetna Inc.
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View the Official Plan Brochure for details about RCBP health benefits plans