Medicare Part B

And All You Need to Know

IMPORTANT NOTICE - Retirees Must Read

Medicare Part B (Only for US based Doctors)

Effective 01 January 2011, the UNHQ Medical Programme required all UN After Service Health Insurance (ASHI) participants and their dependents enrolled in a US-based plan, who have reached the age of 65 to enroll in Medicare Part B as soon as they become eligible in an effort to contain medical cost.  The relevant documents of the mailing are listed below for ease of reference:

Summary of Eligibility Rules for Medicare Part A and Medicare Part B

List of Frequently Asked Questions (FAQs)

Medicare Part B Premium Reimbursement form

Declaration of Medicare Part B Ineligibility form

Information Circular ST/IC/2011/3

Coordination of Benefits Brochures

Effective 2016 the UN has changed its method for Medicare reimbursement.  Medicare reimbursement no longer reduces your ASHI contribution as was the process from Jan 2011-Nov 2015.  As of now and with the new ERP system, Medicare is reimbursed to the retiree's banking account.  Additional information is available by clicking on the link below:

NEW: Reimbursement of Medicare Part B Premiums

In order to register for Medicare and to be seen expeditiously at your local office, please make an appointment by calling 1-800-772-1213. You can locate your local office by visiting the Social Security Administration's website.On your assigned appointment you will need to bring the following:

• Birth Certificate
• 2 separate pieces of IDs issued at least 5 years ago (ex. Passport and Driver License)
• Certificate of Naturalization or USA passport
• I551 card (Green Card''s official name) with proof of 5 years of continuance residency from present.

In addition, we have since obtained a letter from Social Security that confirms the rules regarding Medicare Part B eligibility requirements which may be useful.

New Medicare Part B Numbers Coming

There are upcoming changes to your Medicare Part B number in relation to the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.  MACRA requires the removal of Social Security Numbers (SSNs) from all Medicare cards by April 2019.

A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status.  

Beginning in April 2018, the Centers of Medicare and Medicaid Services will start mailing the new Medicare cards with the MBI to all people with Medicare in phases by geographic location.  Therefore, it is important that you insure that Social Security has your correct mailing details.

You may find additional details regarding this change on the Centers of Medicare and Medicaid Services website, https://www.cms.gov/Medicare/New-Medicare-Card.

Once you receive the new card, please provide us a copy including your full name, index number, mailing address, and email address.  You may send us a copy via email, ashi@un.org or by fax at (917) 367-1670.   Please note that failure to provide the updated Medicare information may affect the processing of your claims.

As mentioned previously, this memorandum is simply a courtesy to ensure that you are aware of the upcoming change, therefore the Health and Life Insurance does not have any additional details.  All queries must be addressed to the Centers of Medicare and Medicaid Services or the Social Security Administration.

Medicare Part D Notice

The prescription drug benefits provided by the UNHQ Medical Programme is considered to be
"Creditable Prescription Drug Coverage". Therefore ASHI participants do not need to enrol in Medicare Part D.

The UNHQ recently mailed all USA based ASHI participants information regarding this requirement.

Medicare Part D memo and Annex 1 (chart that provides a summary of the standard Medicare Prescription Drug benefit for 2013).