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Yes. All plans offered by Aetna as well as the CareFirst Multi-State plan do not offer elective abortion services. Aetna plan provider networks are available in all states except Alaska, Iowa, Idaho, South Dakota, Wyoming, Montana, and Hawaii. The CareFirst Multi-State plan provider network is available in all 50 states and the U.S. Territories.
The FEHB rule regarding reemployed annuitants and whether an OPM-contracted FEHB plan or Medicare pays first is that if the reemployed annuitant is employed in a position that conveys FEHB eligibility (including DC Health Link), the FEHB plan will be first payor.
Though Members of Congress and designated staff are now enrolled in DC Health Link plans, and not OPM-contracted FEHB plans, per OPM regulations, these DC Health Link plans are considered to be included under the “FEHB umbrella.” The same FEHB rules for who is first payor in situations involving an OPM-contracted FEHB plan will apply for DC Health Link plans and the DC Health Link plan will pay first, before Medicare.
It is important to note that a reemployed annuitant can terminate Medicare Part B enrollment if the reemployed annuitant is in a position that conveys FEHB eligibility (including DC Health Link). The reemployed annuitant should contact his/her local Social Security Office to inform them that he/she now has health insurance as an active employee. The reemployed annuitant is entitled to a Special Enrollment Period (SEP) to reenroll in Medicare Part B once he/she retires again.
Upon your retirement, coverage under DC Health Link will terminate at the end of the month in which you retire. If you have met all the requirements for continuation of employer-sponsored health coverage into retirement, including the 5-year rule, you will have the option to select coverage from the same plans offered by OPM to other federal annuitants.
To be eligible to continue FEHB in retirement,
If your annuity effective date is on the first of the month, this transition will occur immediately. If your annuity effective date is not the first of a month, your DC Health Link coverage will continue to the end of the month and the OPM-contracted FEHB plan of your choice will begin the first of the next month. You will continue receiving a government contribution in retirement. For more information, please contact your agency’s benefits officer.
For questions regarding eligibility, staff designation, employer contribution, or retirement:
House of Representatives: The House of Representatives Office of Payroll and Benefits can be reached Monday – Friday from 8:30am – 5:30pm EST at 202-225-1435. The House of Representatives Office of Members’ Services can be reached Monday – Friday from 8:30am – 5:30pm EST at (202) 225-3644.
Senate: The Senate Disbursing Office can be reached Monday – Friday from 9:00am – 5:30pm EST at (202) 224-1093.
For questions regarding plan benefits and provider networks:
For an overview of plans, benefits, and provider networks, see the Gold Plan document.
For additional information on health plans, contact the health insurance company directly:
Aetna: (800) 544-0526; www.aetna.com/employer-plans/small-business/states/DC-exchange.html
CareFirst BlueCross BlueShield: (855) 541-3985; www.CongressandCareFirstBCBS.org
Kaiser Permanente: (855) 251-3209; www.kp.org/feds
United Healthcare: (877) 856-2430; www.myuhc.com
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