So people who are making decisions about YOUR health get subsidies for their’s. This is not that long of a diary but a little info that should be burning up the media. The Dems should be introducing bills and telling McConnell.. Pass Trumpcare ...but you can’t go back to the freebies you had.. If it is so great..We all have to live with it. Or Die with it.
Here is the deal:
The bottom line is this: Members of Congress and their staff members are required by law to purchase their health insurance through the exchanges offered by the Affordable Care Act. However, the federal government subsidizes approximately 72 percent of the premium cost.
Like those late-night Ginzu knife commercials on late-night TV, however: “but wait, there’s more!”
MOC and their staff are also eligible to set salary aside in Flex 125 savings plans, which help the employee pay for healthcare and childcare expenses with pre-tax dollars. If they enroll in high-deductible health plans (which is unlikely, since only the gold plans offer an employer contribution), they can also enroll in health savings accounts. If Members of Congress or staff purchase dental and vision or long-term care insurance, they pay 100 percent of their premiums through pre-tax dollars.
Again, these benefits are similar to those offered by many large employers. However, there are two areas where Members of Congress (not staff or family members) can receive free or low-cost health care that the average citizen cannot access. The first is having access to the Office of the Attending Physician. For an annual fee (unspecified), MOC can receive limited care for routine examinations, consultations, and certain diagnostic tests.
The second option is also only available to current Members of Congress. In the Capital region only, they may receive free medical outpatient care at military facilities. If they are outside of the Capital region or if they need inpatient care, then MOC must pay 100 percent of the full cost of that military health care.
Finally, upon separation from political life, Members of Congress may purchase FEHBP insurance if they are otherwise eligible for retirement and if they have had five years of continuous healthcare coverage under their DC SHOP plans.
If the Affordable Care Act is repealed, members of Congress have a fallback plan. They would be able to return to the FEHBP. Twenty million other Americans won’t
The Federal Employees Health Benefits (FEHB) ProgramThe FEHB Program can help you and your family meet your health care needs. Federal employees, retirees and their survivors enjoy the widest selection of health plans in the country. You can choose from among Consumer-Driven and High Deductible plans that offer catastrophic risk protection with higher deductibles, health savings/reimbursable accounts and lower premiums, or Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Health Maintenance Organizations (HMO) if you live (or sometimes if you work) within the area serviced by the plan.
Use this site to compare the costs, benefits, and features of different plans. We chose the different benefit categories based on enrollee requests, differences among plans, and simplicity. However, we urge you to consider the total benefit package, in addition to service and cost, and provider availability when choosing a health plan.
The FEHB plan brochures show you what services and supplies are covered and the level of coverage. Review the brochures carefully. The brochures are formatted to ensure they are all organized alike. You can get brochures from the health plans or your human resource office. When it comes to your health care, the best surprise is no surprise.
Pharmacy Incentive Programs and FEHBOPM does not prohibit FEHB members from participating in pharmacy-sponsored incentive or pharmaceutical company co-pay reimbursement programs, and we are unaware of any Federal laws restricting participation. Enrollees in other Federal Programs such as Medicare and Medicaid are statutorily prohibited from participating in pharmacy incentive programs under section 1320a-7b of title 42, United States Code (“the Anti-Kickback Act). However, the FEHB Program is exempt from the application of this provision.
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