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Health Line
a day ago
- Health
- Health Line
Do Federal Retirees Need Medicare Part B?
If you get federal employee health benefits (FEHB) as a retiree, you can choose whether to also enroll in Medicare Part B. If you do, your FEHB premiums stay the same, and there may be some advantages. When you turn age 65, you will become eligible for Medicare. If you are a retiree with health insurance from a FEHB plan, you can use both together. Original Medicare comprises two parts, Part A, which covers inpatient care, and Part B, which covers outpatient medical services. Most people are eligible for premium-free Part A, but everyone pays a Part B premium. You will also continue to pay your FEHB premium. There are different considerations when deciding to enroll in Medicare, and FEHB provides robust coverage that is compatible with Medicare Part B. However, your healthcare needs may determine whether enrolling in Medicare Part B is your best choice. Do I need Medicare Part B if I am a federal retiree? Even when you become eligible for Medicare and have retired, you can choose not to enroll in Medicare and keep using only your FEHB plan. Medicare is optional, so you do not have to enroll in Part A or Part B. You can keep your existing health coverage if: you are enrolled in a federal health insurance plan when you retire you have been continuously covered by a FEHB plan, TRICARE, or civilian health and medical program for uniformed services (CHAMPUS) plan for 5 continuous years or the entire period since you first became eligible your annuity payments start within 30 days As Part A is typically premium-free, having the extra inpatient coverage in case you need it may be a good option. While you don't have to enroll in Part B during your initial enrollment period, if you decide you want to enroll later, you may have to pay a late enrollment penalty. TRICARE exception If you're enrolled in TRICARE, which is an FEHB plan for members of the military, you must enroll in Original Medicare parts A and B to be eligible for TRICARE for Life. Medicare will become your primary insurer, and TRICARE will pay remaining eligible expenses. FEHB and Medicare Part B Once you retire, you can keep your FEHB plan, but it will supplement Medicare, with Medicare becoming your primary insurer. Medicare Part B covers 80% of eligible outpatient medical expenses, and you would typically pay the remaining 20% as coinsurance, but when you use FEHB and Part B together, your FEHB plan may cover that coinsurance. In this respect, this can work similarly to a Medigap (Medicare supplement) plan, but for FEHB plans, you might notice it referred to as a 'wraparound benefit.' Your FEHB plan premiums will not change if you enroll in Medicare, but you will be responsible for paying the Part B premium, which in 2025 is $185. Due to the inflation reduction monthly adjustment amount (IRMAA), your Part B premium may be higher if you reported earnings of more than $106,000 in 2023, as the Internal Revenue Service (IRS) uses your tax records from 2 years prior to decide whether you owe a surcharge and how much. What should federal retirees consider about Part B enrollment? As a federal retiree, you have some choices when deciding on healthcare plans, and here are some key points to consider. Switch FEHB plans to better accommodate Plan B If you choose to enroll in Medicare Part B, you could consider changing your FEHB plan to manage the additional costs. Some FEHB plans have less expensive coverage, but they can 'wrap around' Medicare plans to cover the out-of-pocket expenses, including some plans that offer Part B premium reimbursements. Examine each plan's coverage options Some Part B services may not be covered or only partly covered by your FEHB plan, such as: orthopedic and prosthetic devices durable medical equipment (DME) home healthcare services medical supplies You can check your state's plan documentation for further coverage information. Consider your healthcare network Some FEHB plans have network restrictions on the healthcare professionals and facilities you can visit. Original Medicare does not have network restrictions, so this could be a more rounded healthcare option for some people. Medicare's late enrollment penalties As a retiree, if you choose not to enroll in Medicare Part B when you first become eligible, you can enroll during the next general enrollment period, but you will likely pay a monthly Part B late enrollment penalty. The late enrollment penalty is 10% of the Part B premium amount (in the year in which you enroll) for every year you could have enrolled but chose not to. Example of Part B late enrollment penalty You have waited 2 years to enroll in Medicare Part B. You do not qualify for a special enrollment period (SEP). You enroll in 2025, when the Part B premium is $185 Your late enrollment penalty is 20% (10% for each year's enrollment delay) 20% of $185 = $37 Your new monthly premium is $222 Late enrollment penalties for Part B will only apply if you have already retired when you reach age 65 and become eligible for Medicare. If you're still working when you become eligible, you can enroll in Part B once you retire with no late enrollment penalty for up to 8 months. FEHB prescription drug coverage is creditable FEHB provides coverage for prescription medications, and Medicare considers this to be creditable coverage. This means that even if you don't enroll in Medicare Part B, but choose to enroll in a Medicare Advantage plan that has drug coverage or a Part D prescription drug plan, you will not have to pay a Part D late enrollment penalty. Takeaway Choosing to enroll in Part B as a federal retiree is a very personal decision, and one that you must make based on your personal circumstances. If you retire before becoming eligible for Medicare, you may pay late enrollment penalties if you delay enrollment. However, there is no pressure to enroll in Medicare, and if it works best for your circumstances, you can continue to use your FEHB plan only. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance.
Yahoo
23-07-2025
- Business
- Yahoo
Adia Nutrition Inc. Supports Heroes and Their Families with TRICARE In-Network Application, Advancing Regenerative Care Through Adia Med
Winter Park, Florida--(Newsfile Corp. - July 23, 2025) - Adia Nutrition Inc. (OTCQB: ADIA), a publicly traded leader in regenerative medicine and personalized wellness solutions, is thrilled to announce that its medical subsidiary, Adia Med, has officially filed to become an in-network provider with TRICARE, the healthcare program serving approximately 9.5 million active-duty service members, retirees, National Guard and Reserve members, and their families worldwide. This step, paired with Adia Med's anticipated approval as a United Healthcare provider by August 1, 2025, positions the company to transform healthcare access for millions. Adia Med expects to secure TRICARE in-network provider status by August 31, 2025, tapping into a program that paid out $50.6 billion for medical treatments in FY2019 to support its beneficiaries. Evaluation of the TRICARE Program: Fiscal Year 2019 Report to Congress. To view an enhanced version of this graphic, please visit: This strategic filing positions Adia Med to serve TRICARE's extensive network of beneficiaries, including military personnel and their families, by offering innovative regenerative treatments such as Umbilical Cord Blood Stem Cell (UCB-SC) therapies, Autologous Hematopoietic Stem Cell Transplantation (AHSCT), and Therapeutic Plasma Exchange (TPE). These therapies, provided at Adia Med's Winter Park clinic and planned satellite locations, target conditions like Multiple Sclerosis, joint pain, torn tendons, and other orthopedic and wellness needs, aligning with Adia Nutrition's mission to revolutionize healthcare accessibility. "We're fired up to support the 9.5 million TRICARE beneficiaries, including our nation's military heroes and their families, by bringing our regenerative therapies into their reach," said Larry Powalisz, CEO of Adia Nutrition Inc. "With TRICARE's massive $50.6 billion investment in medical care, our filing to join their network, alongside our imminent United Healthcare approval, will make advanced treatments more accessible and affordable, driving transformative health outcomes and fueling Adia Med's growth." The TRICARE filing complements Adia Med's recent progress with United Healthcare, where the company has already begun submitting its first patient insurance claims, signaling near-final integration. By securing in-network status with both TRICARE and United Healthcare, Adia Med will join an elite group of providers meeting rigorous standards for clinical excellence, compliance, and patient care. These partnerships will enable insurance reimbursement for Adia Med, enhancing affordability and accessibility for patients seeking innovative treatments. For questions, inquiries or further information, please contact Larry Powalisz at ceo@ or 321-788-0850. About ADIA Nutrition Inc.:Adia Nutrition Inc. is a publicly traded company (OTC Pink: ADIA) dedicated to revolutionizing healthcare and supplementation. With a focus on innovation and quality, the company has established two key divisions: a supplement division providing premium, organic supplements, and a medical division establishing Clinics that specialize in leading-edge stem cell therapies, most significantly Umbilical Cord Stem Cells (UCB-SC) and Autologous Hematopoietic Stem Cell Transplantation (aHSCT) treatments. Through these divisions, Adia Nutrition Inc. is committed to empowering individuals to live their best lives by addressing both nutritional needs and groundbreaking medical treatments. Website: Website: (X): @ADIA_Nutrition Safe Harbor: This Press Release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements are based on the current plans and expectations of management and are subject to a few uncertainties and risks that could significantly affect the company's current plans and expectations, as well as future results of operations and financial condition. A more extensive listing of risks and factors that may affect the company's business prospects and cause actual results to differ materially from those described in the forward-looking statements can be found in the reports and other documents filed by the company with the Securities and Exchange Commission and OTC Markets, Inc. OTC Disclosure and News Service. The company undertakes no obligation to publicly update or revise any forward-looking statements, because of new information, future events or otherwise. To view the source version of this press release, please visit Sign in to access your portfolio
Yahoo
04-07-2025
- Business
- Yahoo
Humana Expands Medicaid Footprint With Virginia's Cardinal Care Win
Virginia's Medicaid program, Cardinal Care, has chosen Humana Inc. HUM as one of five insurers to administer services through its new Humana Healthy Horizons plan. All Virginia Cardinal Care members are now eligible to choose this as a new Medicaid plan option. Cardinal Care offers health coverage to low-income individuals, children, seniors, people with disabilities and pregnant women. Rather than paying healthcare providers directly, the program partners with private insurance companies known as Managed Care Organizations, which manage medical services, prescriptions and overall care coordination for members. Humana Healthy Horizons is poised to deliver comprehensive care to individuals and families across the state, focusing not only on physical and mental health but also on the social factors that often hinder better overall well-being. With existing service to Medicare Advantage and TRICARE members in the state, the expansion into Cardinal Care allows Humana to extend its human-centred approach to Medicaid recipients, aiming to offer innovative solutions, address complex needs, and improve both health outcomes and quality of life. This move opens a valuable opportunity for Humana's growth. By managing care for enrolled members, the company can increase memberships and receive regular payments from the state, offering a steady and scalable source of revenue. Through Humana Healthy Horizons, the company already serves 1.5 million Medicaid members in the country. Expanding into Virginia's Medicaid broadens Humana's reach beyond Medicare and TRICARE. In the year-to-date period, Humana's shares have lost 3.9% compared with a 24% decline across the broader industry. Due to rising healthcare costs, increased service utilization, and operational inefficiencies, Humana continues to face pressure on its profitability and long-term margins. Image Source: Zacks Investment Research HUM currently has a Zacks Rank #3 (Hold). Some better-ranked stocks in the medical space areCentene Corporation CNC,Cigna Group CI and Molina Healthcare Inc. MOH,each carrying a Zacks Rank #2(Buy) at present. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. The Zacks Consensus Estimate for Centene's current-year earnings is pegged at $7.28 per share, implying 1.5% year-over-year growth. CNC's earnings surpassed estimates in each of the last three of four quarters, the average surprise being 25.5%. The consensus estimate for Centene's current-year revenues is pegged at $179.5 billion, implying 10.1% year-over-year growth. The Zacks Consensus Estimate for Cigna's current-year earnings is pegged at $29.68 per share, implying 8.6% year-over-year growth. Cigna's earnings surpassed estimates in three of the last four quarters. It has witnessed eight upward revisions in the last 60 days against no movement in the opposite direction. The consensus estimate for Cigna's current-year revenues is pegged at $258.2 billion, implying 4.5% year-over-year growth. The Zacks Consensus Estimate for Molina's current-year earnings is pegged at $28.44 per share, implying 7.9% year-over-year growth. MOH's earnings surpassed estimates in three of the last four quarters. The estimate remained stable in the last 60 days. The consensus estimate for Molina's current-year revenues is pegged at $44.1 billion, implying 8.4% year-over-year growth. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report This article originally published on Zacks Investment Research ( Zacks Investment Research Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Business Wire
02-07-2025
- Health
- Business Wire
Humana Launches Medicaid Plan in Virginia
LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Healthy Horizons is now a Medicaid plan option for Virginians covered by Virginia Cardinal Care. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' 'At Humana, we put our members' health first, and we are committed to improving the holistic well-being of the communities we serve. We have the privilege of serving Medicare Advantage and TRICARE members throughout Virginia, and we are honored to expand our human-centered care to Virginians covered by Cardinal Care,' said Humana Healthy Horizons President John Barger. 'By providing Medicaid coverage under Cardinal Care, we have the opportunity to deliver innovative solutions to meet complex needs, improve health outcomes and enhance quality of life.' Humana is one of five plan administrators Cardinal Care selected as part of a statewide Medicaid managed care procurement issued last year. All individuals currently covered by Virginia Cardinal Care are eligible to enroll in the newly launched Humana Healthy Horizons plan. 'We at Humana are privileged to serve the whole-person health needs of Medicaid enrollees across Virginia,' said Linda Hines, President of Humana Healthy Horizons in Virginia. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' Humana is proud to be a community partner in Virginia to address urgent and long-term health needs. Over the next five years, Humana will commit an additional $2 million to the Virginia Health Care Foundation (VHCF), following an initial $500,000 investment to expand and support the Commonwealth's behavioral health workforce. To learn more about how Humana is ensuring comprehensive care and resources for our Medicaid enrollees, please read our Impact Report. About Humana Healthy Horizons Humana manages Medicaid benefits for nearly 1.5 million members nationally under the Humana Healthy Horizons TM brand, which reflects our expertise in managing complex populations, our commitment to creating solutions that lead to a better quality of life for our members, and our efforts to deliver human care that makes the healthcare experience easier, more personalized and more caring. During more than two decades of serving people with Medicaid, Humana and Humana Healthy Horizons have developed a wide range of capabilities to serve children, parents, childless adults, and beneficiaries that are aged, blind or disabled. We integrate physical health, behavioral health, pharmacy, long-term care, and social services for a whole-person approach to improve the health and well-being of our members and the communities we serve. Humana Healthy Horizons is a Medicaid Product offered by affiliates of Humana Inc. About Humana Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Learn more about what we offer at and
Yahoo
01-07-2025
- Politics
- Yahoo
Rick Scott Demands More Cuts to Medicaid, Which His Company Allegedly Scammed
Sen. Rick Scott (R-Fla.), who's famous for his former hospital company's record-setting Medicare fraud settlements, is currently leading an effort to make Donald Trump's 'Big Beautiful Bill' even more painful for America's poor. The legislation already cuts $930 billion from Medicaid, the nation's government health insurance program for low-income and disabled Americans, and would eliminate coverage for millions. Scott's amendment, expected to get a vote Monday, would take away another $313 billion in state Medicaid funds and force hundreds of thousands of additional people, at least, off the program. Scott has framed his proposed Medicaid cuts as necessary to preserve the program 'for those who truly need it' — and not 'able-bodied' adults. 'If you don't want to work, you're the one who decided you don't want health care,' he recently said on Fox News. He's suggested Democrats are using tax dollars to 'give illegal aliens Medicaid benefits,' even though undocumented immigrants are not eligible for Medicaid, claiming that blue states want to 'exploit this safety net.' Ironically enough, some of the claims against Scott's old hospital company revolved around exploiting Medicaid, and billing for services that patients didn't need. Scott's office did not immediately respond to Rolling Stone's request for comment Monday. The senator resigned as CEO of the hospital chain known as HCA Healthcare in 1997 amid an ongoing federal probe and a series of whistleblower complaints. He has long faced attacks from Democrats over the $1.7 billion that HCA paid to resolve fraud allegations in the early 2000s. Some of the allegations involved Medicaid. In late 2000, as part of the 'largest government fraud settlement ever' with the Justice Department, HCA pleaded guilty to criminal conduct and agreed to pay over $840 million in fines, penalties, and damages to resolve claims of unlawful billing practices. Among the claims HCA settled over: The company was accused of billing 'Medicare, Medicaid, the Defense Department's TRICARE health care program, and the Federal Employees' Health Benefits Program, for lab tests that were not medically necessary' and 'not ordered by physicians.' HCA was accused of 'upcoding,' or pretending patients were sicker than they were in order to increase reimbursements to its hospitals. 'The guilty plea includes one count relating to this upcoding practice,' the Justice Department wrote in a press release. The company was also accused of billing Medicaid 'for home health visits for patients who did not qualify to receive them or were not performed,' the department said. The civil and administrative settlement agreement between HCA and the U.S. Justice Department said the company, from 1995 to 1998, submitted claims to Medicaid, Medicare, and TRICARE, '(a) for visits to patients who did not qualify for home health services because (i) the patients were not homebound, (ii) there was no medical need for such services, or (iii) there was no medical need for skilled services; (b) for visits that were not provided; (c) for visits to deliver services that were in fact or should have been provided by an assisted living facility.' HCA and the Justice Department entered into an additional settlement agreement in 2003, in which the company agreed to pay another $631 million to resolve false claims it submitted to federal health programs. In a civil settlement agreement, the Justice Department wrote that health regulators 'contend that they have certain administrative claims against HCA under the provisions for permissive exclusion from the Medicare, Medicaid, and other federal health care programs.' Under both agreements, the Justice Department announced that HCA would pay millions of dollars to state Medicaid agencies: $13.6 million in 2000, and then $17.5 million in 2003. The department said the latter figure represented 'direct state losses.' A few decades later, Scott is now trying to extract a huge amount of money from state Medicaid funds to help finance Trump's latest round of tax cuts for the rich. Some things never really change. More from Rolling Stone Senate Republicans Pass Trump's Bill to Strip Health Care From Millions J.D. Vance Dismisses Kicking Millions Off Medicaid: 'Minutiae' Trump Teases Deporting Elon: 'We'll Have to Take a Look' Best of Rolling Stone The Useful Idiots New Guide to the Most Stoned Moments of the 2020 Presidential Campaign Anatomy of a Fake News Scandal The Radical Crusade of Mike Pence
