THE SENIOR CITIZEN HEALTH PROGRAM — A PROGRAM TO COMPLEMENT YOUR MEDICARE COVERAGE
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Required Premiums under the Senior Citizen Program (continued)
If You Have $30,000 or More of Covered Earnings And Qualify for Active Coverage
If you would otherwise be covered under the Senior Citizen Program but then have at least $30,000 in covered earnings in any four consecutive calendar quarters, you will qualify for active Family Plan coverage and will not be covered under the Senior Citizen Program. Your AFTRA coverage will become primary to Medicare and you will regain eligibility for $30,000 in Life Insurance, $18,000 Accidental Death and Dismemberment Insurance (AD&D), and a $10,000 Loss of Voice Benefit, none of which are provided under the Senior Citizen Program. Coverage for yourself, your spouse and dependent children requires quarterly payments (see premium requirements for active Family Plan coverage).
If You Are Covered Under the Senior Citizen Program and Have Covered Earnings of at Least $10,000 but Less Than $30,000
If you would otherwise have Individual Plan coverage under the Senior Citizen Program but then have at least $10,000 but less than $30,000 in covered earnings, you can choose to pay the required $300 per quarter for yourself and become covered instead as an active participant, rather than under the Senior Citizen Program. Your AFTRA coverage would become primary to Medicare, and you would again become entitled to the Life Insurance, AD&D Insurance and Loss of Voice Benefit coverage described earlier. To cover your spouse and dependent children, you would still pay the same Family Plan “buy-up” premium you would have paid under the Senior Citizen Program.
If you are already entitled to Family Plan coverage through the Senior Citizen Program but then have at least $10,000 but less than $30,000 in covered earnings, you can choose to pay the $300 quarterly premium and become eligible under the Individual Plan as an active participant, rather than under the Senior Citizen Program. Again, your AFTRA coverage would become primary to Medicare and you would become entitled to the Life Insurance, AD&D Insurance and Loss of Voice Benefit coverage described earlier. Alternatively, you could choose not to pay the $300 per quarter that is required for Individual Plan coverage as an active. By doing so you would remain covered just as you would have been under the Senior Citizen Program and would be required to pay $120 per quarter for your own coverage, but you also would not be entitled to the additional benefits. In either case, if you have Family Plan coverage under the Senior Citizen Program, your dependents would remain covered provided you make the necessary quarterly payments as described above.
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Required Premiums under the Senior Citizen Program (continued)
If You Have $30,000 or More of Covered Earnings And Qualify for Active Coverage
If you would otherwise be covered under the Senior Citizen Program but then have at least $30,000 in covered earnings in any four consecutive calendar quarters, you will qualify for active Family Plan coverage and will not be covered under the Senior Citizen Program. Your AFTRA coverage will become primary to Medicare and you will regain eligibility for $30,000 in Life Insurance, $18,000 Accidental Death and Dismemberment Insurance (AD&D), and a $10,000 Loss of Voice Benefit, none of which are provided under the Senior Citizen Program. Coverage for yourself, your spouse and dependent children requires quarterly payments (see premium requirements for active Family Plan coverage).
If You Are Covered Under the Senior Citizen Program and Have Covered Earnings of at Least $10,000 but Less Than $30,000
If you would otherwise have Individual Plan coverage under the Senior Citizen Program but then have at least $10,000 but less than $30,000 in covered earnings, you can choose to pay the required $300 per quarter for yourself and become covered instead as an active participant, rather than under the Senior Citizen Program. Your AFTRA coverage would become primary to Medicare, and you would again become entitled to the Life Insurance, AD&D Insurance and Loss of Voice Benefit coverage described earlier. To cover your spouse and dependent children, you would still pay the same Family Plan “buy-up” premium you would have paid under the Senior Citizen Program.
If you are already entitled to Family Plan coverage through the Senior Citizen Program but then have at least $10,000 but less than $30,000 in covered earnings, you can choose to pay the $300 quarterly premium and become eligible under the Individual Plan as an active participant, rather than under the Senior Citizen Program. Again, your AFTRA coverage would become primary to Medicare and you would become entitled to the Life Insurance, AD&D Insurance and Loss of Voice Benefit coverage described earlier. Alternatively, you could choose not to pay the $300 per quarter that is required for Individual Plan coverage as an active. By doing so you would remain covered just as you would have been under the Senior Citizen Program and would be required to pay $120 per quarter for your own coverage, but you also would not be entitled to the additional benefits. In either case, if you have Family Plan coverage under the Senior Citizen Program, your dependents would remain covered provided you make the necessary quarterly payments as described above.
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