Post-65 Medical benefits
Chubb offers medical plans to help supplement your primary coverage through Medicare if you are eligible for medical coverage. We are offering the following retiree medical plans for 2024:
Medicare Supplement Plan: available in all locations and offered through Horizon Blue Cross Blue Shield
Senior Advantage Plan: available in California only and offered through Kaiser
Post 65 Plan coverage
In network coverage
Plan Benefits |
Horizon Blue Cross Blue Shield Medicare Supplement Plan |
Kaiser Senior Advantage Plan |
|---|---|---|
In-network benefits only |
||
Annual deductible (retiree only/family) |
$200/$400 |
None |
Out-of-pocket maximum (retiree only/family) |
None |
$1,500/$3,000 |
Your coinsurance* |
20% |
20% |
Medical care: Your costs |
||
Office visit (primary care/specialist) |
20% after deductible |
$20 co-pay |
Inpatient hospital stay |
20% after deductible |
$500 co-pay per admission |
Outpatient hospital visit |
20% after deductible |
$50 co-pay |
Emergency room visit |
20% after deductible |
$50 co-pay |
Prescription out-of-pocket maximum (retiree only/family) |
$3,500/$7,000 |
None |
Retail prescriptions |
Tier 1: $7.50 |
Generic: $10 co-pay Brand name: $35 co-pay |
Mail-order or Smart90 prescriptions** |
Tier 1: $17.50 |
Generic: $10 co-pay Brand name: $35 co-pay |
In-network coverage details for each plan are provided. Under the Medicare Supplement Plan through Horizon Blue Cross Blue Shield, the plan pays the same benefits no matter which provider you choose. Under the Kaiser Senior Advantage Plan, you may only use in-network providers.
Choosing medical providers
The Medicare Supplement Plan through Horizon Blue Cross Blue Shield allows you to direct your own care. This means you can receive care from any doctor, specialist or hospital that you choose. Medicare must process all claims first as the primary insurer.
Kaiser’s Senior Advantage Plan only pays benefits when you visit an in-network provider. To find providers in Kaiser’s network, visit www.kp.org, then click “Find a Doctor” and enter your search criteria.
Have questions about your Medicare coverage?
Speak with a customer service representative who can assist you with Medicare and other retirement-related questions. Please call the Chubb Benefits Service Center at 1-844-58CHUBB (1-844-582-4822).
You can view your personalized rates for these plans and enroll by visiting chubb.bswift.com or calling the Chubb Benefits Service Center at 1-844-58CHUBB (1-844-582-4822) to speak to a Retirement Specialist.
Prescription drug coverage
If you enroll in the Medicare Supplement Plan through Horizon, your prescription drug benefits will be provided by Express Scripts. You can visit express-scripts.com to find a pharmacy near you.
Use your Express Scripts identification card when purchasing any prescriptions to ensure that you are charged the correct amount. The Preferred Prescription Drug list can be found in the Resource Center on the Chubb Benefits Portal. If you have any questions, please call Express Scripts at 1-866-544-6884.
If you enroll in a medical plan through Kaiser, you will use the same identification card for both medical and prescription expenses.: available in California only and offered through Kaiser.
Medicare
The federal government provides you with health insurance during retirement—Medicare. Let’s look at Medicare, and how it works with your Chubb retiree benefits.
Medicare basics
Generally, you are eligible for Medicare if you are age 65 or older, or if you receive Social Security disability benefits, regardless of your age. Here are a few important things to note:
If you retire when you are age 65 or older, you are immediately eligible for Medicare.
If you retire before age 65, you become eligible for Medicare when you reach age 65.
Once you are eligible for Medicare, it becomes your primary medical coverage.
Except for cases of Social Security disability, you are not Medicare-eligible if you are under age 65.
How Medicare and your Chubb medical benefits work together
Horizon Medicare Supplement Plan: As a retiree age 65 or older or under age 65 and enrolled in Social Security disability, by law, Medicare will be your primary insurance in almost all cases and the Medicare Supplement Plan will be secondary to Medicare. This means that when you receive medical care (excluding prescription drugs), Medicare pays for eligible services first. The Medicare Supplement Plan will pay 80% of the costs Medicare does not pay.
Kaiser Senior Advantage Plan: As a Medicare replacement plan, the Senior Advantage Plan works a little differently than the Horizon Medicare Supplement Plan. For example, the Senior Advantage Plan acts as a full replacement for Medicare Parts A, B and D. Please carefully review the Kaiser Plan details on the Chubb Benefits Portal before making your selection.
Medicare coverage Parts A and B—you must enroll when you are first eligible
You or a covered family member needs to enroll for both Parts A and B of Medicare when you first become eligible. If you do not sign up for Part B when you are first eligible, you may have to pay a late enrollment penalty for as long as you have Medicare. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B but didn’t sign up for it.
Additionally, enrollment is necessary when first eligible to avoid a gap in coverage. For more information about your Medicare eligibility and to sign up for Parts A and B, call 1-800-MEDICARE (1-800-633-4227) or visit medicare.gov and click the “Get started with Medicare” button.
Prescription coverage and Medicare Part D
Chubb Medicare-eligible plan enrollees do not need to purchase Medicare Part D. Actuaries have confirmed that Chubb’s prescription coverage is at least as good as the standard Medicare Part D coverage.
Other options for retiree medical coverage
Instead of Chubb medical coverage, you have the option of purchasing a Medicare supplemental policy directly from an insurance company. The types of plans you can purchase include Medigap policies and prescription drug plans offered through various health care providers, or you may choose a Medicare Advantage Plan. The premium for an individual plan may cost less or more than Chubb’s medical plans and may include features that Chubb’s medical plans do not have. For information on purchasing this type of retiree medical coverage, visit medicare.org.
Need help understanding your Medicare plan choices and enrollment?
SmartConnect: Your Medicare concierge
You may want to consider alternative options to Chubb’s plan. To assist you with decision-making, Chubb is partnering with SmartConnect to offer Medicare education and guidance. Experts at SmartConnect can help you navigate Medicare options and compare them to your Chubb plan. If you choose an alternative Medicare plan, they can assist with enrollment and coordination with the carrier if you choose to replace your Chubb Retiree plan with an alternative option.
You may call SmartConnect at 1-877-374-2705 Monday through Friday, 8:30 am to 6 pm ET.
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Get Started
You may call SmartConnect at 1-877-374-2705 Monday through Friday, 8:30 am to 6 pm ET.