Medicare Eligible Plan Year 2016

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NOTICE: Tuesday, August 2 Humana and Aetna announced they would divest themselves of several individual Medicare Advantage plans in order to comply with a U.S. Justice Department concern over the two company’s pending merger. 
Humana has informed us that this does not impact the Medicare group plans under which KRS retirees are covered. There is no expected impact on current or future Medicare-eligible retirees. Learn More Here​



KRS Humana Website Page 2016 Plan Information

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Silver Sneakers can help you get fit the way you want by providing you access to fitness locations nationwide.
 
As a member of KRS Humana Group Medicare Advantage plan, you are invited to join and educational technology class.  Click here for dates and time. Tech 101 Find out more about the basics of computers, the internet, and how smartphones and tablets work.
 

Humana Guidance Center in Louisville

Guidance Centers are retail “store fronts” that provide the community access to wellness resources.  There is an on-site customer service representative that can answer customer service questions, as well as social and wellness programs such as exercise bingo, Zumba,  iPad classes, healthy cooking demonstrations and many more activities throughout the month. 
View a monthly activity calendar here

 

Comprehensive Formulary (drug list for 2016)

At the September 10, 2015 KRS Board of Trustees meeting, the KRS Board of Trustees approved the contribution plan and the contribution rates for the Medicare KRS retiree health plans. The board chose the KRS Premium plan as the contribution plan with a maximum contribution rate of $244.25 for those retirees with 240 or more months of service (Note-Premium calculation for percentage contribution is based on service credit for Hazardous Duty or Nonhazardous Duty retirees or beneficiaries who began participation prior to 7/1/2003) .
 
The information on this page will help guide you in making a sound decision on what your insurance premium will cost you in 2015. The amounts that KRS pays are based on retirees who participated prior to July1, 2003. If you began participating employment on or after July 1, 2003, you should see the information below to determine how much will be paid toward your insurance premiums by KRS.
 
If you are a Hazardous Duty Retiree and have a spouse or dependent children (ages 18-22) you must submit a  Form 6256 Designation of Spouse and/or Dependent Child for Health Insurance Contribution.  See FAQ's.
 If you are Medicare eligible and have returned to work, KRS cannot offer you coverage due to the MSP (Medicare Secondary Payer) requirement. You must take your health insurance coverage through your current employer. Please call Medicare and/or KRS if you have questions.  Need more details click here.
 
Note: The Humana Medicare Employer PPO plans (Essential, Premium) are Medicare Advantage plans. You must have Medicare Parts A and B. If you do not have Part B, your premium amount may be higher. Please contact KRS if you have ​questions about this. For example if you have 240 months (100%) of Service Credit-Contribution, elect the KRS Premium Plan, and do not have Medicare Part B, you would still have an additional premium payment of $66.94.
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2016 Medicare Plan Premiums/Percentage Contribution
Available PlansMonthly Premium

​Medical Only

​$158.25

​KRS Essential

​$77.76

​KRS Premium

​$244.25

What KRS Pays Towards Your Premiums/Percentage Contribution
Sevice Credit% of Contribution Rate Paid by KRSAmount Paid by KRS

​240 months or more

​100%

​$244.25

​180-239 months

​75%

​$183.19

​120-179 months

​50%

​$122.13

​48-119 months

​25%

​$61.06

​0-47 months

​0%

​$0.00

Dollar Contribution Rates Plan Year 2016

Is your Participation Date After July 1, 2003? See the Dollar Contribution Rates Below.
 
If you began participating on or after July 1, 2003, please read the information below. If you have additional questions call KRS at 1-800-928-4646(Toll Free) or 502-696-8800(Frankfort).
 
Use this guide if you are receiving benefits, were Hired July 1, 2003 or later, and began Participating with KRS between August 1, 2004 and August 31, 2008.* Or began Participating with KRS on or after September 1, 2008.**
*In order to be eligible for health insurance benefits, you must have 120 months of service upon retirement.
**In order to be eligible for health insurance benefits, you must have 180 months of service upon retirement.
For service in a nonhazardous position, you will receive a monthly dollar contribution of $12.99 for each year of service per month. The Dollar Contribution will increase by 1.5% on July 1st.
i.e. if you began participating September 1, 2003 in a nonhazardous position, and retired effective October 1, 2013, you would receive $129.90 per month towards health insurance premiums.
For service in a hazardous position, you will receive a monthly contribution of $19.48 for each year of service per month. The Dollar Contribution will increase by 1.5% on July 1st.
i.e. if you began participating September 1, 2003 in a hazardous position, and retired effective October 1, 2013 you would receive $194.80 per month towards health insurance premiums.

If you have hazardous and nonhazardous service, you will receive contribution based on the amount of full years of service for each.
i.e. if you began participating September 1, 2003 in a nonhazardous position until September 30, 2008 (5 years x $12.99= $64.95), and then began participating October 1, 2008 in a hazardous position, and retired effective November 1, 2013 (5 years x $19.48= $97.40), you will receive $162.35 per month towards health insurance premiums ($64.95+$97.40= $162.35).
If you have a partial year of hazardous service and a partial year of nonhazardous service, they can be combined to equal a full year, you will receive 1 year of nonhazardous service.
i.e. if you have 9 years and 6 months of nonhazardous service and 6 months of hazardous service, your insurance contribution will be based on 10 years of nonhazardous service. You will receive $129.90 per month towards health insurance premiums.
 
If you are receiving a monthly retirement benefit, that qualifies you to receive a Health Insurance Percentage contribution and also receiving a monthly retirement benefit that qualifies you to receive a Health Insurance Dollar contribution, please contact the Retirement office for help calculating your cost.
 
How to Calculate your insurance cost if your participation date is after 7/1/2003
 
Hazardous Formula:
Service Credit-Dollar Contribution Level Amount ($19.48*) X Years of Service = Amount KRS Pays
Hazardous Example:
$19.48* X 10 (let's say you have 10 years of service for this example) = $194.80
 
Nonhazardous Formula:
Service Credit-Dollar Contribution Level Amount ($12.99**) X Years of Service = Amount KRS Pays
Nonhazardous Example:
$12.99** X 10 (let's say you have 10 years of service for this example) = $129.90
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