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Medicare Open Enrollment for AT&T Employees: Cost Changes in 2024!

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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, 2023 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:

  • Switch from Original Medicare to a Medicare Advantage Plan
  • Switch from a Medicare Advantage Plan to Original Medicare
  • Change from one Medicare Advantage Plan to a different Medicare Advantage Plan
  • Change from a Medicare Advantage Plan that offers prescription drug coverage to a Medicare Advantage Plan that doesn't offer prescription drug coverage
  • Switch from a Medicare Advantage Plan that doesn't offer prescription drug coverage to a Medicare Advantage Plan that does offer prescription drug coverage
  • Join a Medicare prescription drug plan (Part D)
  • Switch from one Part D plan to another Part D plan
  • Drop your Part D coverage altogether

Any changes made during Open Enrollment are effective as of January 1, 2023.

Medicare Part B (Medical Insurance) costs for 2023
Most people with Medicare who receive Social Security benefits will pay the standard monthly Part B premium of $164.90 in 2023. This premium is $5.20 lower than it was in 2022 due to lower-than-projected spending for a new drug, Aduhelm, and other Part B items and services. 1

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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 (2021) 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.
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 2023 is:
*Total monthly premium in 2023 immunosuppressive drug coverage only is:
$97,000 or less
$194,000 or less
$97,000 or less
$164.90
$97.10
Above $97,000 up to $123,000
Above $194,000 up to $246,000
N/A
$230.80
$161.80
Above $123,000 up to $153,000
Above $246,000 up to $306,000
N/A
$329.70
$258.90
Above $153,000 up to $183,000
Above $306,000 up to $366,000
N/A
$428.60
$356.00
Above $183,000 and less than $500,000
Above $366,000 and less than $750,000
Above $97,000 and less than $403,000
$527.50
$453.10
$500,000 and above
$750,000 and above
$403,000 and above
$560.50
$485.50

People with higher incomes may also pay a higher premium for a Medicare Part D prescription drug plan, because an IRMAA will be added to the Part D basic premium based on the same income limits in the table above. Part D premiums vary, but the average basic monthly premium for 2023 is projected to be $31.50 (down from $32.08 in 2022).

People with Medicare Part B must also satisfy an annual deductible before Original Medicare starts to pay. For 2023, this deductible is $226 (down from $233 in 2022).

*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 2023, Medicare coverage, including immunosuppressive drug coverage, ended 36 months after a successful kidney transplant. Beginning January 1, 2023, 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.

Medicare Part A (Hospital Insurance) costs for 2023

  • Part A deductible for inpatient hospitalization: $1,600 per benefit period (up from $1,556 in 2022)
  • Part A premium for those who need to buy coverage: up to $506 per month (up from $499 in 2022) — most people don't pay a premium for Medicare Part A
  • Part A coinsurance: $400 per day for days 61 through 90, and $800 per 'lifetime reserve day' after day 90, up to a 60-day lifetime maximum (up from $389 and $778 in 2022)
  • Part A skilled nursing facility coinsurance: $200 for days 21 through 100 for each benefit period (up from $194.50 in 2022)

1) The Centers for Medicare & Medicaid Services, 2022

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
AT&T offers a defined benefit pension plan with a cash balance component. The cash balance plan grows with annual interest credits and employer contributions. Employees can choose between a lump-sum payment or monthly annuities upon retirement.
Layoffs and Restructuring: AT&T is expanding its $8 billion cost-reduction program, which includes significant layoffs. The company has reduced its workforce by more than 115,000 employees over the past five years, with further cuts expected in 2024 (Sources: TechBlog, WRAL TechWire). Operational Strategy: The restructuring efforts are part of AT&T's broader strategy to improve efficiency and adapt to a maturing market. This includes collaborations with firms like Blackrock to create open-access networks, which could provide new growth opportunities (Source: TechBlog). Financial Performance: Despite these challenges, AT&T reported strong financial results in 2023, driven by growth in 5G and fiber services. Revenues from mobility and consumer wireline segments saw significant increases, reflecting the company's strategic focus on high-growth areas (Source: AT&T).
AT&T offers RSUs that vest over several years, giving employees a stake in the company's equity. They also grant stock options, allowing employees to purchase shares at a set price.
AT&T has consistently updated its healthcare benefits to address the dynamic healthcare landscape and ensure comprehensive coverage for its employees. In recent years, AT&T has focused on enhancing its wellness programs, introducing initiatives like virtual healthcare services and telemedicine, which have become increasingly important during and after the pandemic. These services provide employees with convenient access to healthcare, reducing the need for in-person visits and supporting overall health management. Additionally, AT&T has increased its focus on mental health resources, offering counseling services and stress management programs, reflecting the company's commitment to holistic employee wellness. For 2024, AT&T has made adjustments to its healthcare plans to better align with the rising costs of medical services and prescription drugs. The company has introduced higher contribution limits for Health Savings Accounts (HSAs) and has implemented more robust wellness incentives to encourage proactive health management among employees. These changes are essential in the current economic and political environment, where healthcare affordability and accessibility remain critical issues. By continuously evolving its healthcare benefits, AT&T aims to support its employees' health and financial well-being, ensuring they have the resources needed to navigate the complex healthcare landscape.
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If you have questions about a potential AT&T surplus or would like more information you can reach the plan administrator for AT&T at p.o. box 132160 Dallas, TX 75313-2160; or by calling them at 210-351-3333.

https://www.att.com/documents/pension-plan-2022.pdf - Page 5, https://www.att.com/documents/pension-plan-2023.pdf - Page 12, https://www.att.com/documents/pension-plan-2024.pdf - Page 15, https://www.att.com/documents/401k-plan-2022.pdf - Page 8, https://www.att.com/documents/401k-plan-2023.pdf - Page 22, https://www.att.com/documents/401k-plan-2024.pdf - Page 28, https://www.att.com/documents/rsu-plan-2022.pdf - Page 20, https://www.att.com/documents/rsu-plan-2023.pdf - Page 14, https://www.att.com/documents/rsu-plan-2024.pdf - Page 17, https://www.att.com/documents/healthcare-plan-2022.pdf - Page 23

*Please see disclaimer for more information

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