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Frequently Asked Questions
Yes. You must be enrolled in Medicare Part A and Part B to be eligible for our retiree plans and you must continue to pay your Part B premium to the government. If you stop paying your Part B premium, you may be disenrolled from your plan.
By enrolling into the SAMBA Medicare Advantage Plan, SAMBA will subsidize $100 (High Option) or $75 (Standard Option) for each enrolled individual's monthly Part B premium
Yes. You must remain in the High Option or Standard Option to enroll in the Enhanced Level of Benefits. Do not suspend or terminate your coverage with OPM or you will no longer be eligible for the Medicare Advantage plan.
No. While you will remain a SAMBA plan member, upon enrollment into the SAMBA Medicare Advantage plan, this plan will take over as the primary and only payor. You will no longer need to coordinate between two plans.
Thank you for your service!
While VA Providers cannot submit claims to a Medicare Advantage plan, Veterans can request reimbursement when all of the following are true:
- You are a Medicare Advantage member or were at the time of the service
- You received Medicare-covered services from a VA Provider or facility
- You paid a higher copayment or coinsurance for the Medicare-covered services (including prescription drugs) through the VA than you would have using your Medicare Advantage plan
You can submit a request for reimbursement, by completing the VA 10-583 Form and mailing it to the address on your ID card.
IRMAA is an amount Social Security determines you may need to pay in addition to your monthly Part B and D premium if your modified adjusted gross income on your IRS tax return from 2 years ago is above a certain limit. The SAMBA Medicare Advantage plan’s included prescription drug coverage is considered a Part D plan therefore if you currently have a Part B IRMAA then you may incur an additional Part D IRMAA when enrolling in this plan.
Your monthly Medicare part B premium subsidy will be automatically applied to your Medicare part B premium in the form of a reduced part B premium charge.
The method in which you pay your part B premium will be the method in which you will receive the subsidy. Your reduced part B premium will be applied on your Social Security benefit, direct bill from Medicare, or Annuity benefit depending on how you pay your premium.