TRAIL provides those who are eligible and their dependents health coverage through a Medicare Advantage Prescription Drug (MAPD) plan (Illinois Department of Central Management Services). The 2022 Benefit Choice Period for insurance changes during the fiscal year that begins on July 1, 2022 wasMay 1 through May 31, 2022. At retirement, we will send information to members who qualify for the plan. For questions about your coverage or premium, contact the Group Insurance Commission at 617-727-2310. See what's covered Featured updates MDLIVE Office: Sams/Hockaday & Associates 122 W. Prairie Ave, #201 Decatur, Illinois 62523. All other claims for your healthcare services (including prescription drugs) should be sent to your MAPD plan administrator for processing and benefit determinations. In order to join TRIP, you must be receiving a monthly benefit from TRS and have at least eight years of creditable service. For the 2022-23 school year, the post-retirement limitations will revert to 120 days or 600 hours. Dependent beneficiaries can be enrolled in the program at an additional cost and will have the same health plan as the benefit recipient. Copayment, coinsurance and deductible payments for the services listed below apply to the out-of-pocket maximum for the plan year (effective July 1, 2023 - June 30, 2024). This premium-free coverage includes medical, prescription and EyeMed vision coverage. The reduction is equal to 6% a year for each year under the age of 67. Accordingly, if you are either an employee of a charter school, or you are not employed by a school district, as soon as you start thinking about retiring, investigate your eligibility for retiree health coverage, as your districts rules may affect your retirement decisions. All members are required to pay a premium for dental and dependent coverage. $117.27. Total Retiree Advantage Illinois Board of Trustees; Careers; Financial Reports; FOIA/Public Record; Investments; Legislation; Vendors; Teachers' Retirement System of the State of Illinois Location. All members and enrolled dependents have the same dental benefits available through Delta Dentalregardless of the health plan selected. You can find the 2019 plan summaries here. Illinois Department of Central Management Services Bureau of Benefits Teachers' Retirement Insurance Program FY2022 TRIP Rates FY2022 TRIP Rates * You must enroll in both Medicare Parts A and B to qualify for the lower premiums. TRS members with at least five years of service with a qualified state of Illinois agency may be eligible for benefit options under the State of Illinois Group Insurance Plan. Prior to July 1, 1933, contributions were based on a flat dollar amount per year. Teachers' Retirement Insurance Program (TRIP) Medicare Retirees and Survivors This program provides medical and prescription insurance benefits for annuitants receiving a monthly benefit or annuity from the Teachers' Retirement System (TRS) who prior to retiring, were an employee of an Illinois school district. Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are an all in one alternative to Original Medicare. You are not eligible to enroll in a TRAIL plan. We prefer the simplicity and depth-of-coverage Medicare Supplements offer seniors. This program provides medical and prescription insurance benefits for annuitants receiving a monthly benefit or annuity from the Teachers Retirement System (TRS) who prior to retiring, were an employee of an Illinois school district. Id encourage you to really take a look at what youre paying for. She is a member of the Forbes Finance Council and frequently writes about Medicare, retirement, and personal finance. During the 2021-22 school year, a retired Tier I member may work in a TRS-covered position for 140 days or 700 hours and not lose benefits. 2024 Summary of Benefits and Coverage. We're here to help you get the most from your plan. Illinois hasnt had a balanced budget since 2001. Territories, Members need to take their original Medicare cards instead of the MAPD cards to have the booster shot administered. Your dependent beneficiary would be $391.07. There are annual Benefits Choice Periods during which new retirees will transition from TRIP into a TRAIL Medicare Advantage plan. Plan Year deductible and Out-of-Pocket Maximums will start over with your new TRAIL MAPD Health Plan. The four groups include State employees and retired State employees; retired community college employees . Starting January 1, 2023, many of these retirees will have a new Aetna Medicare Advantage plan with prescription drug coverage. As a newly-eligible participant in the TRAIL MAPD Program, you: MUST enroll in the TRAIL MAPD health plan during your enrollment period, via MyBenefits.illinois.gov or by calling the MyBenefits Service Center (toll-free) 844-251-1777. Add or drop dependent coverage. Sign into the Member Account Access website. TRIP is a comprehensive program of quality health care coverage for retired teachers and their eligible dependents. Medical underwriting will be required to add or increase Member Optional Life and to add Spouse Life coverage. Dependent Coverage. 2021 RetirementTalk.net | For retirees whose total earnings exceed $80,000 or $160,000 , the Part B premiums increase on a sliding scale, up to a maximum of $161.40/month for those retirees whose income exceeds $200,000 or $400,000 . To help you understand your options better, weve put together a chart showing you three options: The premiums are relatively close, but we see four major differences when comparing the Medicare Advantage HMOs to a Medicare Supplement: First and foremost, networks are always a concern here in Macon County. Prior to February 1, 2014, retired teachers enjoyed a program that resembled a Medicare Supplement Plan F. None of us can say with absolute certainty why TRS decided to change its Medicare program to only offer Medicare Advantage plans. 1013 0 obj <> endobj It ends 3 months after your 65th birthday month. @7"SULh%KE{q_WG,KtEZT;::vic00H1\ !U| In 2014, the program changed to only offer a few Medicare Advantage plans. Last Updated 04/22/2022. Please make an appointment so that we are prepared for your counseling session. Further information about MyBenefits Service Center is available athttps://www.illinois.gov/cms/benefits/Teachers/Pages/TRIPContactInformation.aspx. Please confirm your TRS plan options and benefits. Please turn on JavaScript and try again. Teachers deserve better, and we want to make sure youre doing whats best for you in retirement. Starting in 2007, the Medicare Part B premium is higher for retirees whose income exceeds certain limits. Please reach out to us here at Sams/Hockaday. So those are the two most common situations where wed recommend you stay on TRAIL: you have a very expensive drug or you also get coverage through the VA. We dont recommend your dependent to utilize the TRAIL options. You may re-enroll throughout the plan year and coverage will be effective the first of the month following your enrollment request or during your annual TRAIL MAPD Enrollment Period. If you are a teacher (or employee) retiring from a State of Illinois school district, youll likely have some questions about Medicare and how your TRS retiree medical insurance (TRIP) coverage works. To request automatic premium deduction, please complete a Health Care Program Premium Deduction Authorization for IMRF Endorsed Plans, form and return it to Doyle Rowe LTD with your enrollment form. Youll receive this newsletter three times a year via email or mail. However, here in Decatur, there are fewer options, and you may discover your favorite doctor is not in your network. You will not pay any separate Part D premiums. Since Medicare Advantage plans are a type of Medicare, you must continue to pay your federal Medicare premiums in order to remain enrolled in TRAIL. H6q>0 TRIP offers a number of different Medicare Advantage plans based on the county in which you live. The Teachers' Retirement Insurance Program (TRIP) offers its members a healthcare program called Total Retiree Advantage Illinois (TRAIL). Select this link to view Aetna's MAPD PPO Plan FAQs for your new Prescription drug coverage. Send a copy of your Medicare card to TRS. Jerry Birkeys wife, one of our clients, was diagnosed with cancer in June of 2016. All newly-eligible participants, who elect to enroll in the TRAIL MAPD Program will be enrolledin the Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan. The TRS Benefit Report is available online by signing into your secure member account . The percentage of the premium that you pay as a retiree may remain the same or even go down. One of the benefits available to retired teachers is TRAIL, or the Total Retiree Advantage Illinois (TRAIL) Program. Watch the 3.5 minuteBenefit Choice Open Enrollment video. Read Also: How Much Money Needed To Retire At 55. HMO plans also must use the plans network providers in all circumstances except emergencies. To be eligible for coverage under theTotal Retiree Advantage Illinois MAPD plan,you and your eligible dependents must: As a TRIP member who is eligible for Medicare, the Teachers' Retirement Insurance Program (TRIP) offers you a retiree healthcare program called Total Retiree Advantage Illinois (TRAIL). TEACHERS' INSURANCE PROGRAM. Your insurance plan can override your doctors recommendations in the interest of saving money. At the end of fiscal year 2016, TRS had 406,855 members and processed more than $5.8 billion in benefits (Illinois.gov). They had a Medicare Supplement. 2024 Description of Coverage. Moving? To obtain additional coverage you may enroll in a Part D prescription drug plan for prescription drug coverage, re-enroll in the TRIP-Sponsored TRAIL plan throughout the plan year with coverage effective the first of the month following your enrollment request, or enroll during your next annual TRAIL MAPD Enrollment Period. The standard base premium in 2019 is $135.50/month. This program provides Medicare-eligible members and their covered dependents comprehensive medical and prescription drug coverage through TRAIL Medicare Advantage Prescription Drug (commonly referred to as "MAPD") plans. Your insurance coverage will automatically continue as it is in 2022. By 2010, Illinois had the worst credit rating out of any state in our country. The annual plan year deductible for dental coverage for the 2022plan year (January 1, through December 31, 2022) is $100 per participant per plan year. 2022-23 Teachers' Retirement Insurance Program (TRIP) Rates: Download: Footer. You can find us on any of our social pages or reach out directly. TRS pays two death benefits: a refund of your accumulated contributions and survivor benefits. The Teachers Retirement Insurance Plan (TRIP) in Illinois was a fabulous program until February 1, 2014. They also have better coverage for hospitalizations and skilled nursing facility stays.. When we understand this history, it makes sense that the Illinois government would be looking for ways to save money. The TRAIL Program provides comprehensive medical and prescription drug coverage through the Aetna MAPD PPO plan, which is a Medicare-approved plan that combines the different parts of Medicare into one plan. Informational seminars will be held virtually this year to give eligible retirees and survivors an opportunity to learn about the Total Retiree Advantage Illinois (TRAIL) Program. Medicare Advantage plans must include all the same inpatient and outpatient benefits that you would normally get under Original Medicare. With a Plan G, youd have freedom of choice. $139.97. Teachers' Retirement Insurance Program Rates as of July 1, 2022 Most TRIP members who are eligible for Medicare Parts A and Bmust enroll in the TRAIL Medicare Advantage plan in order to keep TRIPinsurance coverage after December 31. Medicare Advantage Plans are not a Medicare Supplement plan. If you do not want TRAIL MAPD coverage or do not enroll in the Aetna MAPD PPO plan, you will be waived from TRIPs coverage. Nearly all annuitants receive a 3 percent annual increase in their annuities. This is essentially a few Medicare Advantage plans you can choose from. The Total Retiree Advantage Illinois (TRAIL) Program, a sub-program of the Illinois Department of Central Management Services (CMS) oversees the Medicare Advantage Open Enrollment for State of Illinois retirees and survivors. Please confirm your TRS plan options and benefits. Some services have limits to how often they can be obtained. Retired teachers were confused and didnt understand was this a positive change, or were the benefits they grew to know and love in jeopardy? You will receive the increase on thelater of: Jan. 1 following your first anniversary in retirement or. When you enroll in a Medicare Advantage Prescription Drug (MAPD) plan, you are no longer in Original Medicare, but still have the same covered services and the same rights and protections as people with Original Medicare. Use your Delta Dental card for dental services. Questions you should ask your local benefits coordinator include: Once you become eligible to receive health care coverage through Medicare, you may be required to enroll in Medicare. Does my retirement option have any bearing on the eligibility of my spouse to enroll in health care insurance? Be retired and enrolled in Medicare Parts A and B, due to age or disability. Your benefits are unique in that TRIP will transition over to your Medicare and TRIP after age 65. This type of Medicare Advantage plan, also known as an MAPD plan, is aMedicare-approved planthat combines the different parts of Medicare - Part A, Part B and Part D into one plan. This program provides Medicare-eligible members and their covered dependents comprehensive medical and prescription drug coverage through TRAIL Medicare Advantage Prescription Drug (commonly referred to as an MAPD) plan. please contact Teachers' Retirement System of the State of Illinois at 877-927-5877. The TRAIL Medicare Advantage Open Enrollment Period for the 2022 plan year is October 15 November 15, 2021. When we calculate the first increase percentage, we determine the number of years that have elapsed since your TRS retirement annuity began and the effective date of your initial increase, and then multiply that amount by 3 percent. Benefit recipients and all dependent beneficiaries who are eligible for Medicare Parts A & B must enroll in the TRAIL Medicare Advantage Program. Teachers' Retirement Insurance Program (TRIP) Health Insurance, Teachers' Retirement System of the State of Illinois, https://www.illinois.gov/cms/benefits/Teachers/Pages/TRIPContactInformation.aspx, TCHP (PPO) when a managed care plan is available, TCHP (PPO) when a managed care plan is unavailable in your county, CURRENT - Teachers' Retirement Insurance Program (TRIP) Summary: July 1, 2022 - June 30, 2023, TRIP Benefits Handbook as of Sept. 1, 2022, Fiscal Year 2023 Benefit Choice booklet (May 1 - May 31, 2022). Make sure youre doing whats best for you in retirement! Health Maintenance Organization PlanIn the HMO plan, you must select a primary care physician from a network of providers to act as your health guide. Your primary care physician will direct all of your healthcare needs, from advice on hospital services to specialist referrals. You can find us on any of our social pages or reach out directly. Medicare and Medicare Supplements do not have networks, and you can see any provider that accepts Medicare. If you prefer to reach us by telephone, call our toll-free number, 877-927-5877 , from 8:30 a.m. to 4:30 p.m., Monday Friday.In addition to these services, youll find a wide variety of information in the Topics & Report newsletters about legislation impacting TRS, benefit topics and current events. All official TRAIL documents and forms carry the states TRAIL logo . All members and enrolled dependents have the same vision coverage regardless of the healthplan selected. Your feedback is very important to us. The State of Illinois offers members of the Teachers' Retirement Insurance Program (TRIP) a healthcare program called Total Retiree Advantage Illinois (TRAIL). While this may be in the best interest of the states budget, that doesnt mean its in the best interest of our states teachers. You may re-enroll in medical/prescription drug coverage if you previously canceled coverage. The TRAIL Medicare Advantage Open Enrollment Period for the 2023 plan year was November 1 - November 30. In most cases, your local community will give you the option of an indemnity plan or a choice of an HMO. The Tier status of an employee impacts retirement eligibility: You May Like: Things To Do When You Retire Book. Your feedback is very important to us. You get to utilize the Original Medicare benefits youve been paying into for years. To join any Medicare Advantage plan, including the TRAIL plans, Medicare beneficiaries must first enroll in both Medicare Parts A and B. All of the TRAIL benefit information published here is publicly available via Illinois.gov. Yes. The Department of Central Management Services (CMS) has recently announced that open enrollment for the state of Illinois Total Retiree Advantage Illinois (TRAIL) Medicare plans will be Nov. 1- Nov. 30, 2022. It requires contributions from each active member and public employer to a commingled trust fund. This report will be available in late November and you will be notified via email when it is ready for viewing. Specifically, you should determine your local communitys policy regarding the coverage of your spouse in the event that you predecease him or her. Note: If you cancel your TRIP TRAIL MAPD coverage, medical and prescription drug coverage for you and your enrolled dependents will end. The MTRS will be able to deduct your monthly premium from your retirement allowance. The health insurance options available to you under this plan will vary according to the insurance plans negotiated within your local community. Medicare Advantage. Retirees and annuitants who have over 20 years of service, as well as survivors whose annuity is based on the death of an employee who had 20 years or more of creditable service, receive their healthcare coverage premium-free through the State. Also, enrolling in the three months prior to your birthday month will ensure your benefits begin by the 1st of the month in which you turn 65. All Illinois counties have an HMO, OAP, and TCHP option.. Illinois Department ofCentral Management Services. TRS members with at least five years of service with a qualified state of Illinois agency may be eligible for benefit options under the State of Illinois Group Insurance Plan. Canceling TRAIL MAPD coverage does not allow you to stay in your current TRIP health plan. You can select the pharmacy you love and select the current drugs you take, and Medicares Plan Finder will tell you which plan is best for you at the lowest price available. None of us can say with absolute certainty why TRS decided to change its Medicare program to only offer Medicare Advantage plans. Note: If you cancel your TRIP TRAIL MAPD coverage, medical and prescription drug coverage for you and your enrolled dependents will end. 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