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Medicare Advantage Plan Rates for Retirees
Use the chart below to find the contribution for the coverage you elect.
- Look for the category in the left-hand column that fits your situation.
- Select the corresponding rate for the plans of your choice.
- If you have family members who remain in the HMO or PPO, select the rate based on the age of the oldest family member keeping the HMO or PPO plan.
- Your total monthly contribution is the sum of the rate for HMO or PPO, plus the rate for TexanPlus or Texas HealthSpring.
Family Coverage Category for
Medicare Managed Care Plans
|
Contributions |
|
HMO* |
PPO* |
Texan Plus |
Texas
Health
Spring |
Retiree Only
(With Medicare) |
$98.66 |
$221.38 |
|
|
1 |
Retiree elects a new Plan |
- |
- |
$15.00 |
$7.50 |
Retiree + One
(Both have Medicare) |
$192.40 |
$467.50 |
|
|
2 |
Both elect a new Plan |
- |
- |
$30.00 |
$15.00 |
3 |
One elects a new Plan / one keeps City Plan |
$98.66 |
$221.38 |
$15.00 |
$7.50 |
Retiree + One
(Only one has Medicare) |
$197.34 |
$583.14 |
|
|
4 |
One elects a new Plan / one keeps City Plan
(less than 65) |
$93.34 |
$322.00 |
$15.00 |
$7.50 |
5 |
One elects a new Plan / one keeps City Plan
(age 65+) |
$316.24 |
$408.78 |
$15.00 |
$7.50 |
Retiree + Family
(Two have Medicare) |
$305.86 |
$717.38 |
|
|
6 |
Two elect a new Plan / one keeps City Plan
(less than 65) |
$93.34 |
$322.00 |
$30.00 |
$15.00 |
7 |
Two elect a new Plan / two keep City Plan
(both are less than 65) |
$275.36 |
$726.26 |
$30.00 |
$15.00 |
8 |
Two elect a new Plan / two+ keep City Plan
(all are less than 65) |
$429.38 |
$1,120.58 |
$30.00 |
$15.00 |
9 |
One elects a new Plan / two keep City Plan
(1 is 65+, 1 is less than 65) |
$197.34 |
$583.14 |
$15.00 |
$7.50 |
10 |
One elects a new Plan / two+ keep City Plan
(1 is 65+, 2 are less than 65) |
$335.48 |
$737.58 |
$15.00 |
$7.50 |
Retiree + Family
(Two with Medicare + one 65+ w/o Medicare) |
$305.86 |
$717.38 |
|
|
11 |
Two elect a new Plan / one keeps City Plan
(65+ w/o Medicare) |
$316.24 |
$408.78 |
$30.00 |
$15.00 |
12 |
Two elect a new Plan / two keep City Plan
(1 is 65+, 1 is less than 65) |
$664.10 |
$858.44 |
$30.00 |
$15.00 |
Retiree + Family
(Three w/Medicare) |
$305.87 |
$717.39 |
|
|
13 |
Three elect a new Plan |
- |
- |
$45.00 |
$22.50 |
14 |
Three elect a new Plan / one keeps City Plan
(1 is less than 65) |
$93.34 |
$322.00 |
$45.00 |
$22.50 |
15 |
Three elect a new Plan / two keep City Plan
(both are less than 65) |
$275.36 |
$726.26 |
$45.00 |
$22.50 |
16 |
Three elect a new Plan / two+ keep City Plan
(all are less than 65) |
$429.38 |
$1,120.58 |
$45.00 |
$22.50 |
17 |
Two elect a new Plan / one keeps City Plan
(age 65+) |
$98.66 |
$221.38 |
$30.00 |
$15.00 |
18 |
Two elect a new Plan / two keep City Plan
(1 is 65+, 1 is less than 65) |
$197.34 |
$583.14 |
$30.00 |
$15.00 |
19 |
Two elect a new Plan / two + keep City Plan
(1 is 65+, 2 are less than 65) |
$335.48 |
$737.58 |
$30.00 |
$15.00 |
20 |
One elects a new Plan / two keep City Plan
(1 is 65+, 1 is less than 65) |
$197.34 |
$583.14 |
$15.00 |
$7.50 |
21 |
One elects a new Plan / two+ keep City Plan
(2 are 65+, 1 is less than 65) |
$305.86 |
$717.38 |
$15.00 |
$7.50 |
Retiree + Family
(Only one has Medicare) |
$335.48 |
$737.58 |
|
|
22 |
One elects a new Plan / two keep City Plan
(both are less than 65) |
$275.36 |
$726.26 |
$15.00 |
$7.50 |
23 |
One elects a new Plan / two+ keep City Plan
(all are less than 65) |
$429.38 |
$1,120.58 |
$15.00 |
$7.50 |
24 |
One elects a new Plan / two keep City Plan
(1 is 65+, 1 is less than 65) |
$664.10 |
$858.44 |
$15.00 |
$7.50 |
25 |
One elects a new Plan / two+ keep City Plan
(1 is 65+, 2 are less than 65) |
$1,138.44 |
$1,471.62 |
$15.00 |
$7.50 |
*Rates displayed for the HMO and PPO are for participants who do not use tobacco products. If the participant or a family member uses tobacco products, the rate is $25 higher per month. This additional amount does not apply to TexanPlus or Texas HealthSpring.
HMO Blue Texas Rates for Retirees
Coverage Category |
HMO |
PPO / OOA |
Retirees under 65 - Monthly contributions |
Retiree only |
$93.34 |
$322.00 |
Retiree + Spouse |
$275.36 |
$726.26 |
Retiree + Family |
$429.38 |
$1,120.58 |
Retirees over 65 without Medicare - Monthly contributions |
Retiree only |
$316.24 |
$408.78 |
Retiree + Spouse |
$664.10 |
$858.44 |
Retiree + Family |
$1,138.44 |
$1,471.62 |
Retirees over 65 with Medicare - Monthly contributions |
Retiree w/Medicare |
$98.66 |
$221.38 |
Retiree + Spouse (1 w/Medicare) |
$197.34 |
$583.14 |
Retiree + Spouse (2 w/Medicare) |
$192.40 |
$467.50 |
Retiree + Family (1 w/Medicare) |
$335.48 |
$737.58 |
Retiree + Family (2 w/Medicare) |
$305.86 |
$717.38 |
If you or a covered family member use a tobacco product, add $25 to the rates shown above.
Coverage Category |
Plan A Participant Contribution |
Plan A (monthly) |
Nontobacco user's discount rate |
Tobacco-user's rate |
Retiree only |
$21.34 |
$46.34 |
Retiree +1 |
$40.96 |
$65.96 |
Retiree +2 or more |
$53.52 |
$78.52 |
An example of how to calculate your rate
If some of your covered family members elect a new Medicare Advantage plan and some remain in the HMO or PPO plan, your contribution will be calculated in a different manner.
You are an HMO participant: Retiree + One; both are Medicare eligible, but only one elects a Medicare Advantage plan, (Texas HealthSpring).
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Refer to the chart above. Go to the heading, “Retiree + One (Both have Medicare).” On May 1, you will pay $192.40. |
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Find line #3 that states, “One elects a new Medicare plan / one keeps city plan.” Follow line #3 across adding $98.66 (City HMO rate) + $7.50 (Texas HealthSpring rate). |
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Your new contribution deducted from your pension check will be $98.66 + $7.50 = $106.16. You save $86.24 per month. |
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