Turning 65 & Adding Dependents
How do you handle a request by a caller to provide his Medicare ID number.
What is complete a MAVB TIR?
TRS-Care eligibility requirements.
What is 10 years of service credit + Meet the rule of 80 or 30 years of service credit at retirement?
The TRS-Care plan and third-party administrator for a retiree who is over age 65.
What is the Medicare Advantage Plan administered by United Healthcare?
Enrollment in this part of Medicare required to be on the TRS-Care Medicare Advantage Plan
What is Medicare Part B?
Useful oral skill for diagnosing & investigating a caller's problem
What is asking questions?
This application is needed when there is a retiree or surviving spouse turning 65 and they have not been enrolled in the Standard medical plan before
What is the TRS 700EO application
The group of TRS retirees that are eligible to receive health care benefits
What are TRS members working in the public school system, Pre K - 12th grade.
Three consecutive months but not less than 90 days after a member's retirement date; or the date that TRS30 Retirement Application is entered, whichever is the later.
What is the initial enrollment deadline?
The family deductible for TRS-Care Standard Plan.
What is $3,000?
The term used to describe the total amount an individual or family must meet before TRS-Care Standard Plan pay 100%.
What is the maximum out-of-pocket (MOOP)?
The only dependent enrollment opportunities offered by TRS-Care
What are the
1. Retiree's initial enrollment period
2. Retiree's age 65 enrollment opportunity
3. Special enrollment event (SEE)
Types of family members that can be covered under the retiree's insurance - please name them
What are:
Spouses
Children under age 26
Adopted children
Foster Children
Stepchildren
Grandchildren - living with retiree and claimed on income taxes
Enrollment period for a disability retirees.
What is three consecutive months, but not less than 90 after the TRS Medical Board approves the disability.
Name given to high income earners who pay more for Medicare premiums.
What is D-IRMAA?
The premiums a member pays is determined by this
What is the TRS retiree's Medicare eligibility and who is on the plan
The earliest coverage start date for a dependent added by application an application received on 3/20/2022.
What is April 1st
Another medical plan that is not advertised to members when they are eligible for Medicare, but not yet enrolled into Medicare Part B
What is the Alternative Plan
The earliest date a retiree's initial insurance coverage can begin.
What is the 1st of the month following the receipt of the enrollment application, or the retirement date, whichever is later?
Provider for TRS-Care Standard Plan drug coverage.
Who is CVS Caremark?
Counselor's process for requesting a TRS 700B be emailed
What is creating a TIR to HIB-General?
Application needed when a retiree on the TRS-Care Standard Plan is turning 65 and wants to enroll a dependent spouse.
What is the TRS 700U4
Insurance providers for Higher Education retirees
Who are the Univ of TX system, Texas A&M system, or ERS?
Purchased service credit that can be counted as the the base 10 years of service credit used for TRS-Care eligibility.
What are:
Withdrawn, Unreported, Military and USERRA service credit?
The amount of covered medical expenses within the calendar year that the participant must pay before TRS-Care begins payment for eligible expenses.
What is a deductible?
$500; Sick visit: $5, Urgent care: $35 & Emergency room: $65
What are the Medicare Advantage plan's deductible and copays?