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Should Federal Retirees Keep FEHB, Add Medicare Part B, or Switch to Medicare Advantage?

June 23, 2026 My Federal Retirement

Many federal retirees get caught in the complicated maze of figuring out whether to keep FEHB, add Medicare Part B, or switch to a Medicare Advantage plan.  This video breaks down exactly how your expected healthcare usage should drive that decision.

Three main options for federal annuitants are covered:

  • traditional FEHB plans
  • Medicare Advantage plans through FEHB carriers
  • and commercial Medicare Advantage plans with FEHB suspended

You’ll learn:

  • When commercial Medicare Advantage plans make sense (and when they don’t)
  • How Medicare Part B premiums and IRMAA surcharges affect your bottom line
  • Why high healthcare users should think twice before leaving FEHB
  • The prior authorization and provider network tradeoffs of Medicare Advantage plans
  • Why federal annuitants have a safety net most Americans don’t

Watch this video (7 min., 43 sec) and you’ll see how costs compare in low, average, and high healthcare years.

[Video from Kevin Moss, senior editor with the Guide to Health Plans for Federal Employees provided by Consumers’ Checkbook.]  Want to read the written column instead?  Go here.

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Related:

  • Should Federal Retirees Enroll in Medicare Part B?
  • The Biggest Medicare Mistakes That Can Cost Federal Retirees

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