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FEHB and Medicare: Helpful Resources from OPM

My Federal Retirement

Medicare and Federal Employees

The Office of Personnel Management offers several resources for federal employees and retirees regarding Medicare.

The Federal Employees Health Benefits Program and Medicare

This 20-page guide (PDF) from OPM answers questions about how the Federal Employees Health Benefits (FEHB) Program and Medicare work together to provide health benefits coverage to active or retired Federal employees covered by both programs.

It explains what Medicare does and does not cover, who is eligible for Medicare, and how benefits are coordinated between Medicare and FEHB plans.

  • Download the guide here

Frequently Asked Questions about Medicare vs FEHB Enrollment

OPM has compiled a list of FAQs that active or retired Federal employee covered by both the Federal Employees Health Benefits (FEHB) Program and Medicare often ask. Some of the questions include:

What Types of Programs are offered by Medicare?
What Does Medicare Cover?
Am I Eligible for Medicare?

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Do FEHB Plans and Medicare Cover the Same Types of Expenses?
Since I Have FEHB Coverage, Do I Need Medicare Coverage?
Can I Change My FEHB Enrollment When I Become Eligible for Medicare?

I Want to Join a Medicare Advantage Plan. Should I Drop My FEHB Coverage?
Can I Reenroll in FEHB If I Disenroll From the Medicare Advantage Plan?

  • Access the FAQs here

The Federal Employees Health Benefits (FEHB) Program and Medicare FastFacts

This is OPM’s 2-page quick reference guide to Medicare and FEHB for federal employees.

It provides a general overview and answers questions such as whether an FEHB health plan or Medicare is the primary payer for medical expenses.  Download the FEHB & Medicare FastFacts here

Other Medicare Resources:

  • Medicare Part B Premiums and Open Enrollment
  • Medicare Part B and Appealing High Premiums
  • How Medicare Works and Minimizes Federal Retiree Medical Expenses
  • Medicare Open Enrollment Period: What Does It Mean for Federal Retirees?
  • Understanding the Three Enrollment Periods for Medicare and the Late Enrollment Penalty
  • Deciding on the Right Choice for Medicare Enrollment
  • What Federal Retirees Need to Know About Medicare Part D

Related:

  • Federal Retirement Planning Checklists
  • 2027 GS Pay Scale (Freeze): Estimated Base, Locality & LEO Pay Tables

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