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Medicare Open Enrollment Insights for Intuitive Surgical Employees: What You Need to Know About 2024 Cost Changes!

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Medicare's Open Enrollment Period — which runs from October 15 through December 7 — is your annual opportunity to switch your current Medicare health and prescription drug plans to ones that better suit your needs. Just in time for Open Enrollment, 2024 Medicare premiums, deductibles, and other costs have been announced, and surprisingly, some of these costs are lower than they were last year.


What to consider
Start by reviewing any materials your plan has sent you. Look at the coverage offered, the costs, and the network of providers, which may be different than last year. Maybe your health has changed, or you anticipate needing medical care, or new or pricier prescription drugs. If your current plan doesn't meet your health-care needs or fit your budget, you can make changes. But if you're satisfied with what you currently have, you don't need to do anything. The coverage you have will continue.

During Open Enrollment, you can:

  1. Switch from Original Medicare to a Medicare Advantage Plan

  2. Switch from a Medicare Advantage Plan to Original Medicare

  3. Change from one Medicare Advantage Plan to a different Medicare Advantage Plan

  4. Change from a Medicare Advantage Plan that offers prescription drug coverage to a Medicare Advantage Plan that doesn't offer prescription drug coverage

  5. Switch from a Medicare Advantage Plan that doesn't offer prescription drug coverage to a Medicare Advantage Plan that does offer prescription drug coverage

  6. Join a Medicare prescription drug plan (Part D)

  7. Switch from one Part D plan to another Part D plan

  8. Drop your Part D coverage altogether

Any changes made during Open Enrollment are effective as of January 1, 2024.

Medicare Part B (Medical Insurance) Costs for 2024

Any changes made during Open Enrollment are effective as of January 1, 2024.

Most people with Medicare who receive Social Security benefits will pay the standard monthly Part B premium of $174.70 in 2024. This premium has increased from 2023 due to rising healthcare costs and adjustments in Part B items and services ( Grant Thornton ) ( Kiplinger.com ).

People with higher incomes may pay more than the standard premium. If your modified adjusted gross income (MAGI) as reported on your federal income tax return from two years ago (2022) is above a certain amount, you'll pay the standard premium amount and an Income-Related Monthly Adjustment Amount (IRMAA), which is an extra charge added to your premium, as shown in the following table ( Grant Thornton ) ( Kiplinger.com ).

You filed an individual income tax return with MAGI that was: 

You filed a joint income tax return with MAGI that was:

You filed an income tax return as married filing separately with MAGI that was:

Total monthly premium in 2024 is:

*Total monthly premium in 2024 immunosuppressive drug coverage only is:

 

$103,000 or less $206,000 or less N/A $174.70

$103.00

Above $103,000 up to $129,000

Above $206,000 up to $258,000 N/A $244.60

$171.70

Above $129,000 up to $161,000

Above $258,000 up to $322,000

N/A

$349.40

$274.70

Above $161,000 up to $193,000 Above $193,000 and less than $500,000 N/A $454.20

$377.70

Above $193,000 and less than $500,000 Above $386,000 and less than $750,000 Above $103,000 and less than $397,000 $559.00

$480.70

$500,000 and above $750,000 and above $397,000 and above $594.00

$515.10

 

Additional Information

People with higher incomes may also pay a higher premium for a Medicare Part D prescription drug plan, as an IRMAA will be added to the Part D basic premium based on the same income limits in the table above. The average basic monthly premium for 2024 is projected to be about $55.50 ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ) ( Medicare ).

People with Medicare Part B must also satisfy an annual deductible before Original Medicare starts to pay. For 2024, this deductible is $240, up from $226 in 2023 ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ).

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*This premium applies to a new benefit that extends coverage for immunosuppressive drugs for people who qualify for Medicare coverage due to end-stage renal disease. Prior to 2024, Medicare coverage, including immunosuppressive drug coverage, ended 36 months after a successful kidney transplant. Beginning January 1, 2024, Medicare will offer a new benefit that will help continue to pay for immunosuppressive drugs beyond 36 months for people who don't have other health coverage. It does not cover other items or services. Rates shown apply to people who file individual or joint tax returns. Premiums for beneficiaries filing as married filing separately are different ( Centers for Medicare & Medicaid Services ) ( Medicare ).

Medicare Part A (Hospital Insurance) Costs for 2024

  • Part A deductible for inpatient hospitalization:  $1,632 per benefit period (up from $1,600 in 2023).

  • Part A premium for those who need to buy coverage:  Up to $514 per month (up from $506 in 2023) — most people don't pay a premium for Medicare Part A.

  • Part A coinsurance:  $408 per day for days 61 through 90, and $816 per 'lifetime reserve day' after day 90, up to a 60-day lifetime maximum (up from $400 and $800 in 2023).

Part A skilled nursing facility coinsurance:  $204 for days 21 through 100 for each benefit period (up from $200 in 2023) ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ).

What type of retirement savings plan does Intuitive Surgical offer to its employees?

Intuitive Surgical offers a 401(k) retirement savings plan to help employees save for their future.

Is there a company match for contributions to the 401(k) plan at Intuitive Surgical?

Yes, Intuitive Surgical provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

How can I enroll in the 401(k) plan at Intuitive Surgical?

Employees can enroll in the 401(k) plan at Intuitive Surgical by completing the enrollment process through the company’s benefits portal or contacting HR for assistance.

What is the eligibility requirement for participating in Intuitive Surgical's 401(k) plan?

To participate in Intuitive Surgical's 401(k) plan, employees typically need to meet certain eligibility requirements, such as being a full-time employee and completing a specified period of service.

Can I change my contribution amount to the 401(k) plan at Intuitive Surgical?

Yes, employees at Intuitive Surgical can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Intuitive Surgical's 401(k) plan?

Intuitive Surgical's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

When can I access my 401(k) funds after leaving Intuitive Surgical?

After leaving Intuitive Surgical, employees can access their 401(k) funds according to the plan's distribution rules, which may include options like rollovers or cash withdrawals.

Does Intuitive Surgical offer financial advice for 401(k) participants?

Yes, Intuitive Surgical may provide access to financial advisors or resources to help employees make informed decisions about their 401(k) investments.

Are there any fees associated with Intuitive Surgical's 401(k) plan?

Yes, there may be fees associated with Intuitive Surgical's 401(k) plan, which can include administrative fees and investment-related fees, as outlined in the plan documents.

How often can I review my 401(k) account at Intuitive Surgical?

Employees can review their 401(k) account at Intuitive Surgical as often as they like, typically through the online benefits portal.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Intuitive Surgical offers a comprehensive 401(k) plan known as the "Intuitive Surgical, Inc. 401(k) Plan." This is a defined contribution plan, meaning that employees can contribute a portion of their salary into the plan, and Intuitive Surgical may also contribute, particularly through profit-sharing based on the company’s earnings. The 401(k) plan allows participants to direct the investment of their accounts, with options including default investments for those who do not make specific selections. This plan was established to help employees save for retirement, and it provides flexibility in how funds can be managed and withdrawn, particularly in situations requiring a Qualified Domestic Relations Order (QDRO). The company also provides life and disability insurance at no cost to the employees and a stock purchase plan, allowing employees to buy Intuitive Surgical stock at a discounted rate. The 401(k) plan is administered by Intuitive Surgical itself, with the headquarters located in Sunnyvale, California. For years of service and age qualification for the 401(k) plan, the company follows standard practices where employees become eligible to participate upon meeting certain age and service requirements, though specific details on this aspect are typically found in the plan's summary documents.
In 2023 and 2024, Intuitive Surgical has experienced financial restructuring driven by the evolving economic environment. They have not announced large-scale layoffs, but there has been a steady focus on cost optimization​ (Intuitive Surgical)​ (Intuitive Surgical). The company has also revised long-term incentive plans and stock-based compensation, including phantom share awards for employees in China. These changes are tied to strategic performance metrics, which could impact the company’s workforce and benefits as it aligns with its financial goals​ (Intuitive Surgical).
Intuitive Surgical (ISRG) offers stock options and Restricted Stock Units (RSUs) through its 2010 Incentive Award Plan. Eligible employees, particularly in leadership and key roles, receive annual grants of stock options and RSUs. In 2022, RSUs with a target value of $1.5 million were granted to senior executives, aligning compensation with company performance. For 2023 and 2024, the company continues to offer RSUs and stock options to incentivize long-term retention, primarily to executives and employees in strategic roles.
Health Insurance and Healthcare Navigation: Intuitive provides comprehensive health, dental, and vision insurance, including telehealth services. Employees have access to Accolade, a healthcare navigator, which helps them manage medical inquiries and navigate the complexities of the healthcare system​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Mental Health and Emotional Support: Employees and their families can access mental health services through Lyra, which offers 12 free sessions per year. The platform is designed to streamline the process of finding the right therapist based on individual preferences​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Family Planning and Fertility Services: Intuitive offers fertility support through Progyny and Maven, providing in-vitro fertilization (IVF), surrogacy support, and postpartum care. These services include access to a network of fertility specialists and comprehensive pregnancy support​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Cancer and Chronic Disease Support: Employees benefit from specialized support services for cancer and chronic diseases like diabetes and obesity. They have access to second opinions and personalized treatment plans, along with concierge support for navigating complex care​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Other Notable Benefits: Intuitive provides gender-affirming care, virtual physical therapy, weight management programs, and services for caregivers. Employees also receive 8 weeks of paid parental leave, flexible time off, and coverage for surrogacy up to $20,000
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For more information you can reach the plan administrator for Intuitive Surgical at , ; or by calling them at .

https://investor.intuitivesurgical.com/news-releases/news-release-details/intuitive-announces-fourth-quarter-earnings-3 https://www.mddionline.com/robotics/intuitive-surgical-s-latest-acquisition-is-just-one-piece-of-a-much-bigger-puzzle https://wraltechwire.com/2023/08/03/robotic-surgery-manufacturer-closing-durham-operation-91-face-layoffs/ https://www.massdevice.com/johnson-johnson-cuts-nearly-350-surgical-robotics-jobs/ https://www.milliman.com/en/insight/interest-rates-pension-plans-implement-liability-driven-investment-strategy https://www.daypitney.com/insights/publications/2023/11/3-irs-publishes-2024-pension-plan-limitations/ https://valueyourpension.com/pbgc-vs-irc-vs-gatt-interest-rates-and-present-value-calculation-methods/ https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://www.milliman.com/en/ https://isrg.intuitive.com/node/19916/html https://careers.intuitive.com/en/employee-stories/benefits/five-intuitive-benefits-that-help-employees-thrive/ https://isrg.intuitive.com/investors-calculator https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://creativeplanning.com/insights/financial-planning/how-to-use-the-net-unrealized-appreciation-nua-strategy-in-your-401k/ https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://www.stordahlcap.com/insights/understanding-net-unrealized-appreciation-nua-and-its-tax-benefits https://qdro.com/retirement-qdro/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://simpleqdro.com/retirement-plans/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://investor.intuitivesurgical.com/sec-filings/sec-filing/10-k/0001035267-23-000019

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