Category: Life Insurance

Key Takeaways

• Pairing FEHB with Medicare in 2025 provides layered protection, helping you reduce gaps in coverage and unexpected costs.

• Strategic enrollment choices at age 65 ensure your healthcare stays predictable and aligned with your retirement budget.

---

Why Coordination Matters for Retirement Healthcare

As you transition into retirement, health coverage becomes one of the most important pieces of your financial puzzle. Federal Employees Health Benefits (FEHB) has always been a dependable program, but once you become eligible for Medicare at age 65, decisions around coordination directly shape your long-term financial security. Without careful planning, you risk paying more out-of-pocket or facing unexpected coverage gaps.

---

Understanding the Building Blocks: FEHB and Medicare

Before looking at how they work together, it is important to understand what each program covers in 2025.

Federal Employees Health Benefits (FEHB)

• Available for active and retired public sector employees and their families.

• Provides comprehensive coverage across preventive care, hospital services, physician visits, and prescriptions.

• Retirees who maintain eligibility by carrying FEHB for the required five years before retirement can keep it for life.

Medicare in 2025

• Part A (Hospital Insurance): Covers inpatient care, skilled nursing facilities, hospice, and some home health services. Premium-free if you have at least 40 quarters of covered employment.

• Part B (Medical Insurance): Covers outpatient care, preventive services, durable medical equipment, and physician services. Requires a monthly premium.

• Part D (Prescription Drugs): Covers prescription medications, with a $2,000 out-of-pocket cap now in place for 2025.

• Part C (Medicare Advantage): Alternative to Original Medicare, though many federal retirees rely on FEHB instead of switching.

---

The Critical Age: Decisions at 65

Turning 65 is when FEHB and Medicare start interacting in a meaningful way. Even if you remain covered by FEHB, Medicare enrollment becomes an important choice:

• Part A Enrollment: Almost all retirees enroll in Part A at 65, since there is no premium and it adds hospital coverage protection.

• Part B Enrollment: This decision requires careful thought. Part B comes with a monthly premium, but it also coordinates with FEHB to reduce cost-sharing. Delaying without proper coverage may trigger late enrollment penalties.

• Part D Enrollment: If you keep FEHB, you may not need standalone Part D since most FEHB plans already include prescription coverage. However, FEHB and Medicare Part D together offer the new $2,000 out-of-pocket drug cap for 2025.

---

How FEHB and Medicare Work Together

When used correctly, FEHB and Medicare complement each other rather than duplicate costs.

Coordination of Benefits

• Medicare Primary, FEHB Secondary: Once you retire and enroll in Medicare, Medicare typically pays first. Your FEHB plan then covers costs Medicare does not fully pay.

• Reduced Out-of-Pocket Costs: Many retirees find that by having both, copayments, coinsurance, and deductibles shrink significantly.

• Prescription Drug Coverage: FEHB drug coverage remains strong, but in 2025, Medicare Part D provides an extra safeguard with its capped costs.

Financial Protection

• Using both programs can help protect your retirement income from high unexpected medical expenses.

• Combining Medicare with FEHB may also allow you to choose a lower-cost FEHB option since Medicare shoulders more of the initial expense.

---

Common Scenarios You Will Face

1. Retiree with FEHB Only

   • You rely entirely on FEHB. While it offers strong coverage, you miss the extra layer of Medicare. Without Part B, you face larger out-of-pocket costs if FEHB leaves gaps.

2. Retiree with FEHB and Medicare Part A

3. Retiree with FEHB, Medicare Part A, and Part B

   • The most comprehensive protection. Medicare pays first, and FEHB pays second, reducing your bills significantly. You must weigh the Part B premium against the cost savings.

4. Retiree with FEHB, Medicare Part A, and Part D

   • Less common, but it can work for retirees who want the $2,000 prescription cap. This adds stability for those with high prescription costs.

---

Costs That Matter in 2025

Healthcare costs are not only about premiums. The real difference shows up in:

• Deductibles: FEHB plans have deductibles, while Medicare Part B has its own annual deductible ($257 in 2025).

• Coinsurance: Medicare Part A and B require coinsurance payments, but FEHB can cover most or all of these when it acts as secondary.

• Out-of-Pocket Limits: FEHB includes maximum out-of-pocket caps, and Medicare Part D now caps drug costs at $2,000.

---

Why Skipping Medicare Part B Can Be Risky

Some retirees consider declining Part B because of the added premium. While this can save money upfront, it introduces risks:

• Higher out-of-pocket medical costs for outpatient services.

• FEHB may not fully pay the balance if Medicare is absent.

• Late enrollment penalties if you decide later to join Part B, adding long-term expense.

---

Timing and Enrollment Windows

Understanding the timelines keeps you from facing penalties or lapses:

• Initial Enrollment Period (IEP): Seven-month window surrounding your 65th birthday (3 months before, your birthday month, and 3 months after).

• General Enrollment Period (GEP): Runs January 1 to March 31 each year. Coverage begins in July but often includes penalties.

• Special Enrollment Period (SEP): Available if you delayed Medicare while covered under employment-based insurance. Once you retire, you have 8 months to sign up.

---

Strategic Ways to Use Both Programs

You can approach coordination strategically by:

• Enrolling in Part A at 65 automatically.

• Considering Part B enrollment to lower out-of-pocket costs while factoring premiums into your retirement budget.

• Reviewing FEHB options during Open Season. Since Medicare pays first, you may not need the highest-cost FEHB plan.

• Using FEHB prescription coverage but weighing if Part D’s cap benefits you given your medication needs.

---

Healthcare Planning Beyond Coverage

Pairing FEHB with Medicare is not only about cost savings. It is about long-term security:

• Safeguarding retirement income from medical shocks.

• Reducing anxiety about healthcare unpredictability.

• Allowing you to focus on lifestyle and family rather than medical bills.

---

The Importance of Annual Reviews

Even after setting up FEHB and Medicare together, you should:

• Revisit your choices during Medicare’s Annual Enrollment (October 15 to December 7).

• Compare FEHB options during Open Season (November to December).

• Adjust if your healthcare needs or income levels change.

---

Securing Your Retirement Health Plan

When FEHB and Medicare work together in retirement, they provide a balanced framework of coverage that is both broad and deep. By understanding enrollment timelines, layering benefits, and revisiting your plan each year, you set yourself up for predictable healthcare spending and peace of mind. If you are uncertain about how to align these programs with your retirement plan, reach out to a licensed agent listed on this website for tailored advice.

Key Takeaways

• Final expense coverage in 2025 is shifting from a last-minute choice to an essential piece of retirement planning, providing stability and peace of mind for families.

• Retirees are now recognizing the importance of planning ahead for funeral and end-of-life costs, with policies structured to reduce sudden financial strain on loved ones.

---

A Changing Conversation Around Final Expense Coverage

For many years, final expense coverage was seen as an optional safety net. In 2025, this perception has changed. Retirees are now taking this coverage more seriously as part of their financial planning. The rising costs of funerals, which currently average between $7,000 and $12,000 depending on the services chosen, make it clear that preparing ahead can prevent families from facing unexpected financial burdens. What was once an overlooked product is now becoming a mainstream conversation in retirement circles.

---

Why Retirees Are Paying Attention Now

Several shifts are driving the new interest in final expense policies:

1. Rising End-of-Life Costs: Funeral expenses, burial services, cremation, and memorial arrangements continue to increase annually. Inflation between 2020 and 2024 pushed costs higher, and 2025 has already seen adjustments in service fees and related expenses.

2. Longevity Trends: With life expectancy in the U.S. continuing to rise, retirees are planning for longer retirements. Longer lives mean a greater chance of needing resources set aside for end-of-life costs.

3. Financial Pressures on Families: Adult children are often balancing their own financial responsibilities. Without coverage, they may have to absorb costs during a highly emotional time.

4. Shifts in Retirement Planning: The new retirement approach is holistic, addressing not just income and healthcare but also legacy and protection for loved ones.

---

How Final Expense Coverage Fits into Retirement Planning

You may think of final expense coverage as limited to funeral bills, but in reality, it plays a broader role:

• Protecting Savings: It ensures that retirement accounts, pensions, and Social Security benefits remain intact for surviving spouses or heirs, instead of being drained by sudden costs.

• Providing Certainty: Policies are designed to offer fixed benefits, which can be counted on regardless of when they are needed.

• Simplifying Decisions: Having coverage in place reduces the number of financial choices your family must make during a stressful period.

---

Common Features Retirees Look For

In 2025, retirees are seeking specific features in final expense coverage that align with their retirement goals:

• Stable Premiums: Many prefer policies that lock in rates for life, avoiding cost increases later.

• Coverage Flexibility: The ability to adjust coverage amounts based on evolving needs is attractive.

• Accessibility: Simplified underwriting makes it easier for older retirees or those with medical conditions to qualify.

• Guaranteed Payouts: Assurance that the policy will provide funds directly to beneficiaries when needed.

---

The Real Cost of Waiting Too Long

Some retirees delay decisions about final expense coverage, assuming they can handle arrangements later. However, waiting often leads to higher costs and fewer available options:

• Premiums tend to rise with age.

• Certain health conditions can limit eligibility or reduce available benefits.

• Families without coverage may face difficult financial trade-offs within days of a loved one passing.

By planning in advance, you reduce stress for yourself and your family while locking in benefits that will not change as you age.

---

Comparing Final Expense Coverage to Other Retirement Tools

Retirement planning is full of options. How does final expense coverage compare?

• Retirement Savings: Accounts like IRAs or 401(k)s are designed for income, not sudden end-of-life costs. Drawing from them may reduce long-term stability.

• Life Insurance: While traditional life insurance provides larger benefits, final expense coverage is tailored specifically to cover funeral and related expenses.

• Emergency Funds: Even if you have savings, earmarking money for funeral costs can leave gaps in other areas of financial need.

Final expense coverage provides targeted protection, complementing broader financial tools.

---

The Emotional and Practical Relief

Planning for your final expenses is more than financial—it is emotional. By addressing these costs now, you:

• Lift the burden from loved ones.

• Prevent conflicts over who pays for what.

• Create space for family members to focus on grieving instead of scrambling for funds.

Families consistently report that having final expense coverage in place made the process smoother and less overwhelming.

---

Questions to Ask Before Choosing Coverage

Before you commit, you should consider several questions:

1. How much coverage will actually be needed based on local service costs?

2. Do you prefer burial, cremation, or alternative arrangements, and what are the financial implications?

3. Does the policy guarantee fixed premiums for life?

4. How quickly will beneficiaries receive the payout?

5. Are there any restrictions or waiting periods that could affect immediate coverage?

Answering these ensures that your policy aligns with your expectations.

---

Timelines and Milestones in Retirement Planning

The ideal time to secure final expense coverage is early in retirement. Consider these benchmarks:

• At Age 60: Many retirees begin reviewing all insurance and financial products, making this a smart time to add final expense coverage.

• At Age 65: Medicare enrollment often prompts broader financial planning conversations, making this another natural point for evaluation.

• At Age 70 and Beyond: Coverage is still possible, but costs may be higher and health-related restrictions may apply.

By thinking ahead, you avoid last-minute choices that can limit your options.

---

How 2025 Differs From Past Years

The conversation in 2025 is not the same as it was in 2024. Retirees now:

• Place greater emphasis on predictable expenses.

• Seek out products that integrate seamlessly with broader retirement strategies.

• Recognize that funeral costs, which steadily increased throughout the past decade, are unlikely to decline.

This new awareness reflects a larger cultural shift toward planning comprehensively for retirement rather than reacting to emergencies.

---

Why You Should Act Before It’s Too Late

Retirement planning in 2025 is about more than managing income streams. Final expense coverage is a critical step toward leaving your family protected and ensuring your retirement remains focused on the life you want to live, not on potential financial gaps. The longer you wait, the more difficult and costly this decision may become.

---

Ensuring Peace of Mind for Your Loved Ones

By securing final expense coverage, you give your family a priceless gift: the ability to remember you without financial worry clouding the process. This simple step ensures your legacy is one of stability and thoughtfulness.

If you want personalized help in choosing the right coverage for your retirement plan, get in touch with a licensed professional listed on this website for guidance tailored to your needs.

Key Takeaways

• Paychecks, annuities, and health insurance decisions in retirement are tied closely to ongoing federal workforce policies. Ignoring headlines can lead to missed opportunities or unexpected expenses.

• Knowing which policy shifts matter most allows you to adjust retirement strategies before deadlines and benefit changes take effect.

---

Why Federal Workforce Headlines Should Not Be Ignored

You may read countless articles about market volatility, inflation, or private-sector wage growth, but as a government employee, your paycheck, annuity, and healthcare coverage are tied far more directly to federal policy headlines. Updates issued by OPM, Congress, or federal agencies often carry more weight for your retirement than economic forecasts. By focusing on these developments, you protect your income and benefits both during your career and after you retire.

---

Annual Pay Adjustments and Their Impact on Retirement

Every January, federal employees see changes to their salaries based on across-the-board increases or locality pay adjustments. These shifts do not just affect your take-home pay today. They directly influence your high-3 average salary, which determines your FERS annuity.

• A 1% increase in base pay compounds over time and raises your future annuity.

• Locality pay remains a key issue, with legislative proposals in 2025 considering its exclusion from the high-3 calculation. If passed, this would reduce annuities for employees in high-cost areas.

• Tracking annual adjustments allows you to project your retirement income with more accuracy and adjust savings strategies in your Thrift Savings Plan (TSP).

---

Social Security Changes That Influence Retirement Timing

Headlines about Social Security matter more now than in past decades. In 2025:

• The full retirement age (FRA) is 67 for those born in 1963.

• The annual cost-of-living adjustment (COLA) for 2025 is set at 2.5%, which raises monthly benefits for retirees.

• The maximum taxable earnings limit has increased to $176,100, meaning higher-income employees contribute more before reaching the cap.

• The earnings limit for early retirees under FRA is $23,480 this year. If you retire and claim Social Security before reaching FRA, earning more than this amount reduces your benefits.

For government employees, these numbers should inform the timing of your retirement, especially if you plan to coordinate your FERS annuity, TSP withdrawals, and Social Security benefits.

---

Cost-of-Living Adjustments for Federal Annuities

While Social Security COLAs are widely publicized, FERS and CSRS annuity COLAs are equally important to follow.

• FERS retirees under age 62 generally do not receive COLAs unless they are special category employees.

• In 2025, retirees 62 and older under FERS receive a COLA adjustment, though it may be capped below the full CPI increase if inflation rises sharply.

• CSRS retirees receive full COLAs matching the CPI.

These distinctions make it critical to monitor yearly OPM announcements on COLA formulas and apply them when projecting long-term retirement income.

---

TSP Policy Updates Affecting Withdrawals and Contributions

The Thrift Savings Plan (TSP) often updates contribution limits, withdrawal options, and investment rules. In 2025:

• The elective deferral limit is $23,500.

• Catch-up contributions allow those aged 50 or older to contribute an extra $7,500, while employees aged 60 to 63 can contribute an additional $11,250 under SECURE Act provisions.

• Policy discussions continue about removing subsidies from the G Fund, which could reduce returns for conservative investors.

For retirees, withdrawal rules and tax policies tied to Required Minimum Distributions (RMDs) make TSP updates essential reading. Missing deadlines for RMDs can trigger steep tax penalties.

---

Health Insurance Decisions in Retirement

Your health coverage options evolve once you retire. Several 2025 headlines highlight why staying informed matters:

• Federal Employees Health Benefits (FEHB) coverage continues into retirement if you were enrolled for the five years leading up to your retirement date.

• Postal retirees have moved to the Postal Service Health Benefits (PSHB) program starting in 2025, with Medicare Part B enrollment requirements for certain groups.

• Medicare costs for 2025 include a Part B premium of $185 per month and a deductible of $257. Part A deductibles and coinsurance levels have also increased.

• Medicare Part D has eliminated the coverage gap, with a $2,000 out-of-pocket cap now in effect.

Keeping track of these updates ensures you choose the right coverage and avoid unexpected gaps or penalties.

---

Legislative Proposals That Could Reshape Retirement

Not all headlines translate to immediate changes, but proposals under debate in 2025 could reshape your retirement planning:

1. Excluding locality pay from high-3 annuity calculations, reducing annuities for employees in high-cost cities.

2. Shifting FEHB contributions to a flat-rate model, which could increase out-of-pocket healthcare costs.

3. Eliminating subsidies from the TSP G Fund, lowering safe investment returns.

Following these proposals allows you to anticipate changes rather than being caught off guard after implementation.

---

Deadlines You Cannot Miss

Key deadlines define how federal retirement benefits work:

• Medicare Initial Enrollment Period: Lasts seven months around your 65th birthday. Missing it triggers late penalties.

• Medicare General Enrollment Period: Runs January 1 through March 31 each year. Coverage begins July 1.

• Medicare Advantage Open Enrollment Period: January 1 through March 31. You may switch plans or return to Original Medicare.

• Annual Enrollment Period for Medicare: October 15 through December 7. Adjustments take effect January 1.

• FEHB Open Season: Occurs each November and December. Missing this deadline means waiting until the next year unless a qualifying life event applies.

These dates are consistent every year, making it crucial to align them with your retirement timeline.

---

Planning Around COLA, Pay Raises, and Health Premium Increases

When you combine COLA updates, federal pay raises, and healthcare premium adjustments, you get a clearer picture of what your net income will look like in retirement. Premiums in FEHB and PSHB typically increase each year, and federal COLA announcements offset only part of that burden. Without accounting for both, you risk overestimating your disposable income.

---

The Role of OPM Announcements

The Office of Personnel Management issues annual updates on COLAs, health insurance premiums, and retirement processing. OPM also provides retirement processing timelines, which remain around 60 to 90 days in 2025. These timelines matter if you plan to retire at the end of a year and rely on interim payments until your full annuity is finalized.

---

Why Market Headlines Do Not Replace Policy Updates

You may be tempted to pay more attention to stock market forecasts than federal workforce announcements. While markets affect your TSP growth, OPM rules and legislative decisions determine your annuity, COLA, and healthcare premiums. Market updates fluctuate daily, but benefit policies often shift once a year, with long-term effects on retirement.

---

Staying Proactive With Your Retirement Strategy

Your best approach is to create a calendar that integrates pay raise announcements, COLA releases, TSP updates, and Medicare enrollment windows. By mapping these headlines to your personal timeline, you transform federal news from a source of confusion into a planning tool.

---

Securing Your Financial Future With Awareness

The federal retirement system is designed to provide stability, but only if you stay informed about ongoing changes. Missing a COLA update, overlooking an FEHB premium increase, or ignoring TSP legislation can create gaps in your planning.

To ensure you align your decisions with current policies, consider seeking professional help. Get in touch with a licensed agent listed on this website for personalized advice tailored to your retirement strategy.

Key Takeaways

• Aligning your FERS pension, TSP withdrawals, and Social Security benefits is critical for ensuring long-term income stability in retirement. Missteps in timing can result in reduced monthly payments or tax inefficiencies.

• Understanding when each benefit begins, how they interact, and the financial trade-offs of early or delayed claiming gives you the power to construct a more resilient retirement income strategy.

Understanding the Three Pillars of Your Retirement Income

As a government employee under the Federal Employees Retirement System (FERS), you have access to a robust three-part retirement package: the FERS annuity, the Thrift Savings Plan (TSP), and Social Security. Each piece functions differently and has its own eligibility rules, payment schedules, and tax implications.

Balancing them effectively requires more than simply waiting until you hit retirement age. It involves a careful analysis of when each income stream begins, how long each will last, and how they fit together to meet your actual living expenses.

FERS Annuity: The Foundation Layer

The FERS basic annuity is typically the most stable and predictable income stream you’ll receive. It’s calculated based on your high-3 average salary and years of service. Most employees become eligible for an immediate unreduced annuity at:

• Age 62 with at least 5 years of service

• Age 60 with at least 20 years of service

• Your Minimum Retirement Age (MRA) with at least 30 years of service

In 2025, the MRA is between 56 and 57, depending on your year of birth.

While the annuity provides a steady foundation, retiring before meeting one of the above thresholds may mean using the MRA+10 provision. That option lets you retire early but comes with a permanent reduction of 5% per year for each year you are under age 62.

Timing Insight

Claiming the FERS annuity as soon as you become eligible often sounds ideal, but retiring too early may reduce your lifetime income. The longer you work, the larger your annuity becomes—and it is paid for life.

TSP: The Flexible, Tax-Deferred Engine

The Thrift Savings Plan gives you the most flexibility in terms of access and investment control. But with flexibility comes complexity. Your TSP can be tapped as early as age 55 if you retire in the year you turn 55 or later (or age 50 for special category employees like law enforcement).

However, withdrawals before age 59½ from traditional TSP may trigger a 10% IRS early withdrawal penalty unless you meet an exception.

In 2025, TSP contribution limits are:

• $23,500 for standard elective deferrals

• An additional $7,500 catch-up for those age 50+

• Super catch-up of $11,250 for ages 60–63 (under SECURE Act 2.0)

TSP withdrawals are fully taxable if from traditional accounts. If you have Roth TSP, qualified withdrawals are tax-free.

Timing Insight

Tapping your TSP too early may subject you to penalties or drain your savings before Social Security kicks in. On the other hand, delaying too long could result in higher Required Minimum Distributions (RMDs) starting at age 73, potentially spiking your tax liability.

Social Security: The Inflation-Protected Variable

Social Security benefits are available as early as age 62, but the full retirement age (FRA) in 2025 is 67 for anyone born in 1960 or later. Delaying benefits beyond 67 earns you an 8% increase for every year you wait until age 70.

Here are the trade-offs:

• Claim at 62: Receive 70% of your full benefit

• Claim at 67: Receive 100% of your full benefit

• Claim at 70: Receive 124% of your full benefit

Social Security also adjusts annually for inflation through the cost-of-living adjustment (COLA), which was 3.2% for 2024 and is 2.5% in 2025.

Timing Insight

The optimal time to claim depends on your life expectancy, other income sources, and whether you’re still working. Claiming early reduces your benefit permanently. If you’re earning more than $23,480 in 2025 before reaching FRA, part of your benefit may be withheld.

Coordinating All Three: A Layered Approach

These income sources don’t operate in isolation. They need to work together. Let’s explore how timing decisions for one can impact the others.

1. Early Retirement Before Age 60

If you retire between your MRA and age 60 with 10 to 29 years of service, you may:

• Qualify for the MRA+10 provision, triggering a permanent annuity reduction

• Be ineligible for the Special Retirement Supplement (SRS), which typically bridges the gap until Social Security begins

• Need to tap your TSP early, possibly paying the 10% penalty

This approach requires careful budgeting, as your only income may be a reduced annuity and taxed TSP withdrawals.

2. Retiring Between 60 and 62

If you retire at 60 with 20+ years of service, you receive an unreduced annuity and the FERS Supplement until age 62. This supplement mimics Social Security and helps smooth income during the gap years.

TSP can be accessed without penalty if you separate in the year you turn 55 or later, giving you more withdrawal options.

This can be a financially balanced window to retire, assuming your healthcare and lifestyle costs are manageable.

3. Post-62 Retirement

By waiting until 62 or later, you may:

• Qualify for full annuity and drop the 5% per year penalty

• Begin reduced or full Social Security

• Coordinate withdrawals from TSP to fill income gaps

You lose the FERS Supplement at 62, so you’ll need to replace that income if delaying Social Security. This makes TSP even more important.

Tax Strategy Considerations

Each of the three income sources is taxed differently:

• FERS Annuity: Taxed as ordinary income

• TSP: Traditional withdrawals are taxable; Roth withdrawals may be tax-free

• Social Security: Up to 85% of benefits may be taxable depending on other income

This means poor timing can unintentionally push you into higher tax brackets or trigger unexpected Medicare premium surcharges.

Strategic Coordination Tactics

• Withdraw from Roth TSP or taxable brokerage first to manage your tax bracket

• Delay Social Security if possible to reduce taxable income

• Use the early retirement window to do Roth conversions from TSP

Working with a licensed agent or tax advisor can help you implement these in a tax-efficient manner.

Required Minimum Distributions (RMDs)

Starting at age 73, you must begin RMDs from traditional TSP and IRAs. Failing to take RMDs triggers steep penalties.

This creates another reason to evaluate your TSP withdrawal strategy well in advance. Large balances left untouched can cause a spike in taxable income during your 70s and beyond, especially if layered with Social Security and a pension.

Planning ahead by gradually drawing down TSP before RMD age can help level out your taxable income over time.

Healthcare Timing and Its Role

If you retire before age 65, you won’t yet be eligible for Medicare. You’ll need to maintain FEHB coverage and pay the full cost if not receiving your annuity yet.

At age 65, you become Medicare-eligible. Many government retirees pair FEHB with Medicare Parts A and B for more complete coverage. Your income (including Social Security, TSP, and annuity) can impact your Medicare Part B premiums due to IRMAA (Income-Related Monthly Adjustment Amount).

Delaying Social Security can help reduce your IRMAA exposure.

Survivorship and Longevity Planning

FERS allows you to elect a survivor benefit for your spouse, which reduces your annuity slightly but ensures continued payments after your death.

Social Security also provides survivor benefits. Delaying your Social Security claim increases the amount your spouse may be eligible for if you pass first.

TSP balances can be left to heirs or converted to an annuity. How you structure withdrawals can impact how much is left for your beneficiaries.

Pulling the Pieces Together

By 2025, retirement planning for public sector employees requires more than passive accumulation. It requires sequencing—deciding when to trigger each benefit so they align smoothly and cover your needs without overlap, gaps, or tax inefficiencies.

Start by building a timeline of when you’re eligible for each component:

• FERS Annuity: earliest MRA, unreduced at 60/20 or 62/5

• TSP: penalty-free access at 55 or 59½

• Social Security: 62 to 70, with FRA at 67

• Medicare: 65

• RMDs: 73

Then model how each of these layers would interact over time. Consider:

• Monthly income needs

• Inflation protection

• Tax impact

• Health care coverage

• Longevity planning

Even small shifts in timing—such as delaying Social Security by 12 months or drawing TSP earlier to preserve tax brackets—can yield meaningful improvements to your retirement security.

Optimizing the Timing Could Be the Most Critical Decision You Make

If you’re approaching retirement, don’t just assume the default options are your best ones. A poorly timed Social Security claim, premature TSP withdrawal, or early annuity decision could significantly reduce your long-term income or spike your taxes.

Instead, take the time to align these income sources deliberately.

Get in touch with a licensed agent listed on this website for professional guidance that’s specific to your age, career path, and goals.

Key Takeaways

• Coordinating FEHB and Medicare in 2025 can significantly reduce your out-of-pocket healthcare costs, but only if you understand which parts to enroll in and how they interact.

• Enrolling in Medicare Part B is often crucial for retirees to access lower deductibles, copays, and cost-sharing under their FEHB plan—but not every retiree is required to enroll.

Why Coordination Matters Now More Than Ever

You’ve spent your career as a government employee earning a retirement packed with benefits—chief among them, continued access to the Federal Employees

Health Benefits (FEHB) Program. But once you reach age 65, Medicare enters the scene. Knowing how to align these two systems can help you protect your income, reduce unexpected medical bills, and get the most out of both programs.

In 2025, healthcare costs continue to climb. FEHB plans alone offer solid coverage, but Medicare can fill gaps and reduce your costs when combined correctly. The catch? Missteps can lead to overlapping coverage or unnecessary premiums.

Let’s explore how to get this coordination right.

Understanding the Role of Medicare

Medicare becomes your primary insurance once you turn 65 and enroll in it. FEHB, which was your primary coverage before, becomes secondary. This change affects how claims are paid and how much you end up paying.

Medicare has four parts:

• Part A (Hospital Insurance): Usually premium-free for most retirees. Covers inpatient hospital care, skilled nursing facilities, hospice, and some home health.

• Part B (Medical Insurance): Covers doctor visits, outpatient care, durable medical equipment, and preventive services. Has a standard monthly premium ($185 in 2025) and a $257 annual deductible.

• Part C (Medicare Advantage): Not applicable here—most federal retirees stick with Original Medicare and FEHB.

• Part D (Prescription Drugs): Usually unnecessary if you’re enrolled in an FEHB plan that includes prescription drug coverage.

How FEHB and Medicare Work Together

Once you’re enrolled in both, the coordination between Medicare and your FEHB plan determines which program pays first.

• Medicare pays first for most medical services.

• FEHB pays second, covering costs not paid by Medicare—like coinsurance and deductibles.

This coordination can lead to very low out-of-pocket costs. But it only works efficiently if you’re enrolled in both Medicare Part A and Part B.

Enrolling in Medicare Part A and B: What You Need to Know

Medicare Part A

Enrollment in Part A is strongly recommended if you’re eligible for premium-free coverage. Even if you keep your FEHB plan, Part A offers extra hospital coverage at no cost to you.

Medicare Part B

Part B is where the decision gets more complicated. In 2025, the standard Part B premium is $185 monthly, and it increases with income. If you’re already paying FEHB premiums, adding Part B may seem unnecessary.

However, many FEHB plans reduce or eliminate deductibles and copayments for enrollees who also have Medicare Part B. Some also offer reimbursement programs to offset the Part B premium, especially if you’re a retiree.

Not enrolling in Part B during your Initial Enrollment Period (IEP)—the 7-month window around your 65th birthday—can result in late enrollment penalties if you decide to sign up later without qualifying for a Special Enrollment Period (SEP).

Should You Drop FEHB After Enrolling in Medicare?

The short answer: No.

Keeping your FEHB plan is usually wise. Medicare alone doesn’t cover everything, and FEHB adds protection. Dropping FEHB could leave you without:

Retaining both gives you full-spectrum protection. The combination usually results in minimal out-of-pocket costs, provided you choose a plan that coordinates well with Medicare.

What If You’re Still Working at Age 65?

If you’re still employed as a government worker at 65, your FEHB plan remains your primary insurance.

• You’re not required to enroll in Medicare Part B while actively working.

• You can delay Part B without penalty if you’re covered under a group health plan based on current employment.

• Once you retire, you’ll have an 8-month Special Enrollment Period to sign up for Part B without late penalties.

This provision helps delay the additional premium costs until you actually need the coverage.

Key Scenarios You May Face

1. Retired, Over 65, and Enrolled in Both FEHB and Medicare A/B

You’ll likely see lower out-of-pocket costs. Medicare pays first, and FEHB picks up the rest. This setup works particularly well with plans that waive deductibles and coinsurance when Part B is present.

2. Retired, Over 65, But Only Enrolled in FEHB

You risk paying higher deductibles, copays, and coinsurance. Plus, if you change your mind and try to enroll in Medicare Part B later, you may face late enrollment penalties.

3. Working, Over 65, and Still Covered Under FEHB

You can defer Medicare Part B without penalty. However, enrolling in Part A is still a good idea since it’s premium-free and can serve as secondary coverage for hospital-related costs.

4. Retired, Not Eligible for Premium-Free Part A

You may decide to delay enrolling in Medicare altogether, but keep in mind:

What About Medicare Part D?

In nearly all cases, you do not need to enroll in Medicare Part D if you have an FEHB plan. FEHB prescription drug coverage is considered creditable, meaning it is as good as or better than Medicare’s.

Avoiding Part D can prevent overlapping coverage and extra premiums.

Can You Suspend FEHB?

You may choose to suspend your FEHB (not cancel) if you’re enrolling in certain other programs like TRICARE or a Medicare Advantage plan. This is rare and not usually advisable for most retirees, but it is an option.

Suspending means you can return to FEHB during a future Open Season or under a qualifying life event. Canceling, however, is permanent and forfeits future access.

Timing and Enrollment Periods You Must Know

• Initial Enrollment Period (IEP): 3 months before your 65th birthday, your birthday month, and 3 months after.

• Special Enrollment Period (SEP): Begins when you leave active employment and lose group coverage. Lasts 8 months.

• General Enrollment Period (GEP): If you miss IEP and don’t qualify for SEP, you can enroll in Part B from January 1 to March 31 each year. Coverage starts July 1 and you may owe a penalty.

• Open Season for FEHB: Typically November to December every year. You can switch FEHB plans but not enroll or drop Medicare during this period.

• Assuming FEHB alone is enough after 65: You may face higher costs if you skip Medicare Part B.

• Missing the IEP or SEP windows: This can lead to late penalties and delayed coverage.

• Dropping FEHB entirely after enrolling in Medicare: You lose important supplemental coverage and can’t get FEHB back unless you suspended it.

• Failing to check coordination policies: Not all FEHB plans coordinate equally well with Medicare. Some offer better cost-sharing than others.

Make Your Decision Based on Your Situation

There’s no universal answer. The decision to enroll in Medicare Part B alongside FEHB depends on:

• Your expected healthcare usage

• Premium affordability

• Plan coordination benefits

• Whether you’re still working

• Whether your FEHB plan offers incentives or cost reductions with Medicare

Careful comparison of your FEHB plan brochure and Medicare coverage options is essential before finalizing your choices.

Getting the Balance Right Can Lead to Better Coverage and Lower Costs

Coordinating FEHB and Medicare in 2025 requires careful timing, plan selection, and awareness of how the systems interact. But when done right, the rewards can be significant—more complete coverage, fewer out-of-pocket surprises, and peace of mind for you and your family.

If you’re unsure about what steps to take, speak with a licensed agent listed on this website to review your personal situation and make informed choices about your retirement health coverage.