Reaching Age 65

Working after Age 65

At age 65, most people become eligible for Medicare Part A, which covers hospitalization, and Part B, which covers doctor visits and other medical services. Part A is provided at no additional cost to you, but Part B requires you to pay a monthly premium of around $130 (or higher, depending on your income). As long as you continue to work, if you are enrolled in the SU medical plan, it will be your primary coverage for you and your covered dependents. This means you (or your spouse) can delay enrolling in Medicare Part B at age 65. Prescription drug coverage will also continue for you and your dependents in the SU medical plan for as long as you continue to be actively employed.

Retired on or after Age 65

When you retire, the SU retiree medical plan becomes secondary to Medicare, and you are required to enroll in Parts A and B immediately. Your provider will submit your claim first to Medicare and forward any remaining balance to POMCO.  Remember to provide POMCO with a copy of your Medicare card, and your premium invoice will be adjusted to the lower post-65 rate.

Even if you do not enroll in Parts A and B immediately, the SU Retiree Medical Plan will reduce the benefit available by the amount Medicare would have paid, which will increase your costs for any services that Medicare would have covered. In addition, you may pay increased Part B premiums if you fail to enroll within three months of your retirement date. Finally, remember that prescription drug coverage is not available in the retiree drug plan once you reach age 65, so you may also wish to purchase a Medicare Part D plan. Review more information about health coverage for retirees.

*It is important to know that Medicare does not allow individuals to enroll in partial month coverage. Therefore, you are strongly encouraged to be enrolled in Medicare Parts A, B and D as of the first day of the month in which you retire.*

Medicare-Eligible due to Disability

If you become Medicare-eligible before age 65 due to disability, if you continue to work the SU medical will remain your primary coverage and Medicare will be secondary. You may delay your enrollment in Medicare Part B until you stop working and enroll within three months to avoid paying the increased Part B premiums.  If you become Medicare-eligible due to a disability before age 65 when you are already retired, review the information about the prescription drug coverage options you have through the Retirement Disability Coverage.

Effect on Life Insurance

Your basic life insurance coverage will reduce to 65% of the benefit ($32,500 for faculty, $6,500 for staff) upon reaching age 65 if you still work. Upon retirement at any age, the benefit reduces to $3,000.