Starting in 2018, TRS-Care premiums are determined by whether or not the TRS retiree has Medicare, regardless of whether or not their spouse or dependents have Medicare.
If the TRS retiree does not have Medicare, they will pay one of the premiums in the chart below:
For example, if the TRS retiree covers their spouse and both do not have Medicare, the premium would be $689 per month starting in 2018 for TRS-Care. If the spouse gets Medicare, they would still pay $689 per month until the retiree gets Medicare. When the retiree gets Medicare, they would pay $529 per month, which is the premium for retirees with Medicare shown below.
If the TRS retiree has Medicare, they will pay one of the premiums in the chart below:
*TRS retirees who retired due to disability prior to Jan. 1, 2017 and do not have Medicare, and retirees with disabled children will have a lower premium in 2018.
Yes. In addition to the TRS-Care premium, participants with Medicare also pay a separate premium for Medicare directly to Social Security. Your Medicare premium is not taken out of your TRS annuity. The cost of your Medicare premium will depend on your income and how you file your taxes. If you have questions about how much you may have to pay for your Medicare benefits, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
If your TRS-Care premium is taken out of your monthly TRS annuity, your first premium for 2018 TRS-Care coverage will be taken out of your annuity at the end of January.
Your premium for the TRS-Care coverage you had in December 2017 will be taken out of your annuity at the end of December 2017.
All TRS retirees will receive a letter from TRS in mid- to late-January showing your monthly TRS annuity, your 2018 monthly health care premium (if you’re covered by TRS-Care), and the remaining amount that will be deposited into your account at the end of January.
If your monthly TRS annuity is less than the monthly premium for 2018 TRS-Care coverage, your TRS-Care premium will no longer be deducted from your annuity. Instead, you will receive a monthly bill for TRS-Care coverage from PayFlex on behalf of TRS. The premium will be due on the first day of the month in which you are covered, but you have a 30-day grace period to pay the bill.
If you terminated TRS-Care coverage late in December and you receive a bill from PayFlex for 2018 TRS-Care coverage, you do not need to take action. TRS has your termination on file and will terminate your coverage effective Jan. 1, 2018. You do not owe any amount for coverage in 2018 and can disregard the bill.
However, if you terminate TRS-Care in January or February 2018, you will owe premiums for the months you were covered. Terminations take effect on the first day of the month following the day your request is received by TRS unless you specify a later termination date.