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USG Corporation Breaking Down the Parts of Medicare

'For USG Corporation workers reaching retirement age, it is important to know the ins and outs of Medicare options, including Original Medicare and Medicare Advantage, to control long-term healthcare costs and to make sure that you can get the care you need without having to worry about surprise out-of-pocket expenses.'

'USG Corporation employees should carefully evaluate their Medicare options because choosing the right plan affects not only the availability of care but also plays a significant role in the company's financial situation during retirement.'

In this article, we will discuss:

Overview of Original Medicare and its components.
Difference between Original Medicare and Medicare Advantage Plans.
The need to comprehend the available coverage and select the appropriate plan for the needs of your health.
General Description of the Medicare Parts A, B, C, and D programs.

The different Medicare parts provide coverage for particular services. Most beneficiaries are enrolled in Original Medicare, which is the traditional fee-for-service program provided by the federal government for Parts A and B. It is also referred to as Traditional Medicare or Fee-for-Service Medicare (FFS). The government pays directly for your health care services under Original Medicare. You can visit any doctor or hospital in the United States that accepts Medicare because the majority of them do.

In Original Medicare:

When you need medical attention, you go to the specialist or hospital right away. You don’t need a primary care physician or approval from your primary care physician to see your specialist or hospital under Medicare. You will be required to pay a monthly Part B premium; some people also pay a Part A premium. Each service received will usually require a coinsurance payment. There are restrictions on how much physicians and hospitals can charge for medical care.

If you want prescription drug coverage under Original Medicare, you will have to select and enroll in a Medicare private drug plan (PDP) provided by a Medicare-approved private company. Note: If you meet the eligibility requirements, several government programs may help you lower your healthcare and prescription drug expenses. Unless you decide to opt out, you will be covered by Original Medicare.

You can receive your Medicare benefits from a Medicare Advantage Plan, also referred to as Part C or a Medicare private health plan. Remember that if you join a Medicare Advantage Plan, you will still have Medicare. This means that you still have to pay the monthly Part B premium (and the Part A premium if applicable). Every Medicare Advantage Plan has to provide all the services that are covered under Original Medicare, but it does so in a different way and with different restrictions that may affect when and how you can get the care you need.

It is crucial to understand your Medicare coverage options and make a decision about your coverage. The source of the benefits you receive and how you receive them can affect how much you pay out of pocket and where you can get treated. For example, in Original Medicare, you can consult with any doctor in the United States and go to any hospital. On the other hand, Medicare Advantage Plans have network restrictions, which mean that you will be able to see your doctor or go to the hospital that is part of the network. However, Medicare Advantage Plans can also provide services that Original Medicare does not, like yearly vision and dental care.

© 2019 Medicare Rights Center. Reprinted with permission. It is based on sources that it considered to be reliable and which provide true information. This material is not intended to serve as tax or legal advice. It is prohibited from being used to evade federal tax penalties. Please consult with a legal or tax professional for information specific to your situation. This content was developed and produced by FMG Suite to provide information on a potentially interesting topic. FMG, LLC has no relationship with the specified broker-dealer, state-registered investment advisory firm, or SEC-registered investment advisory firm. The opinions expressed and materials provided are for informational purposes only and should not be construed as an offer to buy or sell any security. Copyright FMG Suite.

Interesting and Surprising Facts About Medicare
Did you know that Medicare covers certain preventive services at no cost to you? This means that USG Corporation employees should be aware that under Medicare, you can get various preventive care screenings, vaccines, and educational services to help prevent and detect diseases early. These services include, but are not limited to, mammograms, colonoscopies, flu shots, diabetes screenings, and cardiovascular disease screenings. It is, therefore, important that you take the preventive services offered by your plan to help you prevent diseases and detect them early. Source: Centers for Medicare & Medicaid Services (CMS), 'Medicare Preventive Services' (last reviewed: October 2021).

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Metaphor: Medicare:

A Health Care Safety Net for the Retiree
Medicare is like a comprehensive toolbox that helps protect your health and well-being as you navigate the challenges of retirement. Just as a toolbox has various tools for certain jobs, Medicare has its components to address particular healthcare needs. Original Medicare is like the basic tools and provides the basic benefits and lets you go to any doctor or hospital that accepts Medicare. It is like having a screwdriver and a hammer at your disposal. On the other hand, Medicare Advantage Plans are like the specialized tools that come with additional features such as dental and eye care. They may have some drawbacks, but they offer a focused way of working to meet your individual requirements. Whether you like the idea of the toolbox or the tools themselves, knowing your Medicare coverage options helps you pick the right tools for your healthcare.

Sources:

1. Centers for Medicare & Medicaid Services (CMS). 'Compare Original Medicare & Medicare Advantage.' Medicare.gov , U.S. Department of Health and Human Services, October 2021, www.medicare.gov .

2. Humana. 'Original Medicare vs. Medicare Advantage: Which Should I Choose?' Humana , 28 Mar. 2024, www.humana.com .

3. Centers for Medicare & Medicaid Services (CMS). 'Understanding Medicare Advantage Plans.' Medicare.gov , U.S. Department of Health and Human Services, October 2021, www.medicare.gov .

4. Primary Immune. 'Take Time to Compare Original Medicare Versus Medicare Advantage.' Primary Immune , October 2021, www.primaryimmune.org .

5. The Commonwealth Fund. 'Traditional Medicare or Medicare Advantage: Older Americans' Choices.' The Commonwealth Fund , October 2022, www.commonwealthfund.org .

How does the retirement plan structure at USG Corporation impact both final average earnings participants and cash balance participants, especially regarding their eligibility and benefits accrued over time? In what ways does the differentiation between these two categories influence the retirement outcomes for employees of USG Corporation?

Retirement Plan Structure: USG Corporation's retirement plan differentiates between Final Average Earnings Participants and Cash Balance Participants. Final Average Earnings participants, who joined before January 1, 2011, accrue benefits based on their final average earnings and years of service, which can result in higher benefits for longer-serving employees. Cash Balance participants, who joined after January 1, 2011, have their benefits calculated based on a cash balance account, which grows with contributions and interest credits. These differences affect retirement outcomes, as Final Average Earnings participants may see higher pension payments if they have longer service or higher wages, while Cash Balance participants have more predictable but potentially lower benefits based on their account balance(USG Corporation_Retirem…).

USG Corporation's Retirement Plan allows for different age-specific rules regarding early retirement. How do the "Rule of 90" and "Rule of 82" affect the financial planning of employees considering an early retirement option, and what should they consider regarding their long-term financial security?

Rule of 90 and Rule of 82: The "Rule of 90" allows employees to retire early without a reduction in benefits if their age plus years of service total 90, provided they retire at or after age 62. The "Rule of 82" permits early retirement with reduced benefits for those whose age and years of service total 82. Employees planning early retirement must consider these rules as they directly affect the amount of benefits they receive, making it important to assess how long-term financial security will be impacted, especially if they retire before age 62(USG Corporation_Retirem…).

Could you elaborate on the process through which employees at USG Corporation can change their beneficiaries within the retirement plan? What steps need to be taken, and what are the implications of these changes on the benefits received upon the participant's death?

Changing Beneficiaries: To change beneficiaries, USG Corporation employees must contact Your Benefits Resources™, where they can designate a primary and contingent beneficiary. If married, the spouse must provide notarized consent to name a different primary beneficiary. The process involves completing a form, and any changes affect who receives benefits upon the participant's death. Failing to update the beneficiary could result in benefits being paid to unintended individuals(USG Corporation_Retirem…).

As part of the retirement process at USG Corporation, how are pensionable earnings calculated? What factors are included in this determination, and how might they vary among different employees based on their roles within the organization?

Pensionable Earnings Calculation: Pensionable earnings at USG Corporation include regular pay, shift differentials, and bonuses but exclude items like nonqualified deferred compensation, severance, and stock awards. These earnings are used to calculate benefits based on formulas that take into account an employee’s service years and earnings over the 36 highest consecutive months of the last 15 years of participation(USG Corporation_Retirem…).

How does the automatic enrollment in the USG Corporation Retirement Plan work, and what options do employees have if they initially chose not to participate? What implications might this have for their retirement savings strategy?

Automatic Enrollment and Opting In: Employees at USG Corporation are automatically enrolled in the retirement plan unless they choose to opt out. If employees decide not to participate initially, they can enroll later by contacting Your Benefits Resources™. Failure to participate from the start could result in lower retirement savings due to fewer years of contributions(USG Corporation_Retirem…).

In the context of USG Corporation, what are the potential tax consequences for employees withdrawing their retirement benefits, especially regarding the mandatory withholdings? How might employees effectively manage these tax liabilities when planning for retirement?

Tax Consequences of Withdrawals: Employees withdrawing their retirement benefits from USG Corporation will face mandatory federal income tax withholdings, typically 20% for lump sum distributions, unless the distribution is rolled over into an IRA. Employees must plan for these taxes when withdrawing to avoid unexpected liabilities and ensure they maximize their after-tax retirement income(USG Corporation_Retirem…).

How do employees at USG Corporation access the necessary documents related to their retirement benefits, and what is the process for obtaining copies of these documents if needed? What are the responsibilities of the Plan Administrator in this process?

Accessing Retirement Documents: Employees can access documents related to their retirement benefits through Your Benefits Resources™ online or via phone. If additional copies are needed, employees can request them from the Plan Administrator for a small fee. The Plan Administrator oversees ensuring these documents are provided to participants as required by ERISA(USG Corporation_Retirem…).

What unique provisions exist for USG Corporation employees who experience a break in service? How do these provisions impact their accumulated benefit service and overall benefits upon reemployment?

Break in Service Provisions: USG Corporation allows employees who experience a break in service to retain their accumulated benefits if they are reemployed within one year. If reemployed after one year, their previous service may not count toward future benefits unless they were vested prior to termination. This can affect the total benefits an employee accrues if they leave and later return(USG Corporation_Retirem…).

What options do employees of USG Corporation have for managing their benefits if they return to work after retirement? How does this affect their pension benefits and the overall strategy for maximizing retirement income?

Returning to Work After Retirement: Employees returning to work after retirement at USG Corporation will have their pension payments suspended and recalculated based on additional years of service. This recalculation takes into account prior payments, meaning employees should consider the impact of returning to work on their long-term pension strategy(USG Corporation_Retirem…)(USG Corporation_Retirem…).

How can employees of USG Corporation contact their Benefits Resourcesâ„¢ for more information on their retirement plan options? Are there specific channels preferred for different types of inquiries, and what resources are available to assist them?

Contacting Benefits Resources™: Employees can contact Your Benefits Resources™ via the web or a toll-free number to inquire about retirement plan options. Different inquiries, such as changes to beneficiaries or requesting benefit estimates, can be handled through these channels. Resources such as detailed benefit estimates are available to help employees plan for retirement(USG Corporation_Retirem…).