Employees, Retirees and their Spouses Turning 65

Employees & their Spouses 

Federal Law requires that you and your spouse must apply for Medicare if you are 65 years or older, even if you think you are not eligible.  You may qualify under a spouse’s (including divorced or deceased spouse’s) record. The closest Social Security Office to Canton, MA is located at:  One (1) Edgewater Drive, Suite 102, Norwood, MA 02062.  The telephone number is 1-800-772-1213. Also, they have a website for applying for Medicare at http://www.socialsecurity.gov/medicare for additional program information.
   
If you and/or your spouse do qualify for Medicare and are currently working for the Town of Canton or School Department when you turn 65, you may defer enrolling into Part B.  Please contact Jody Middleton, Human Resources Director at jmiddleton@town.canton.ma.us or (781) 821-2936 or Carlene Campbell-Hegarty, Human Resources Specialist at cchegarty@town.canton.ma.us or (339) 502-5727. 

If you and/or your spouse do not qualify for Medicare, please send the letter from Social Security to the Human Resources Department.
 
Retirees & their Spouses Medicare Part A & B Enrollment Requirements
 
Federal Law requires that you must apply for Medicare if you are 65 years or older, even if you think you are not eligible.  You and/or your spouse may qualify under a spouse’s (including divorced or deceased spouse’s) record.  The closest Social Security Office to Canton, MA is located at:  One (1) Edgewater Drive, Suite 102, Norwood, MA 02062.  The telephone number is 1-800-772-1213. Also, they have a website for applying for Medicare at www.socialsecurity.gov/medicare

for additional program information.
 
The Town of Canton requires  retirees and their spouses, who are eligible for Medicare, to enroll in Medicare Part A (hospital insurance) and Medicare Part B (physician’s insurance).  If retirees and their spouses choose to enroll in the Town’s Medicare supplemental insurance plan, Medex, which includes prescription coverage. (Do NOT enroll in Medicare Part D). Medex is, a Blue Cross Blue Shield Supplemental Insurance, sold by private insurance companies to fill “gaps” in Medicare coverage  
   
If retirees and/or their spouse do not qualify for Medicare, please send the letter from Social Security to the Human Resources Department.

2016 Medicare Part B Premiums

The Medicare Part B premium effective January 1, 2016 has been announced.  The standard Part B premium
will be $121.80 (or higher depending on the employee’s income).  

However, most people who get Social Security benefits will continue to pay a Part B premium of $104.90 each month.  There will be a  different premium amount in 2016 if:

  • You enroll in Part B for the first time in 2016
  • You don’t get Social Security benefits
  • You have Medicare and Medicaid, and Medicaid pays your premiums
  • Your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount.

If you’re in 1 of these 4 group, the payments will be as follows:

 

If your yearly income in 2014 (for what you pay in 2016) was

You pay (in 2016)

File individual tax return

File joint tax return

File married & separate tax return

$85,000 or less

$170,000 or less

$85,000 or less

$121.80

above $85,000 up to $107,000

above $170,000 up to $214,000

Not applicable

$170.50

above $107,000 up to $160,000

above $214,000 up to $320,000

Not applicable

$243.60

above $160,000 up to $214,000

above $320,000 up to $428,000

above $85,000 and up to $129,000

$316.70

above $214,000

above $428,000

above $129,000

$389.80

 

Retirees & their Spouses MEDEX Enrollment Requirements
   
To enroll in MEDEX, please review and complete the following documents:

Send  the completed documents and  a photocopy of your Medicare card or a your letter from the Social Security Administration to:

Town or Canton
Human Resources Department
801 Washington Street
Canton, MA  02021

If the Town of Canton does not receive your completed forms with a copy of your Medicare A & B by the 15th of the month, prior to your birth month, we cannot guarantee that your prescription drug program will be effective on the first of your birth month.  (i.e. birth month – July. All information must be received by June 15th in order to be processed in a timely manner).   The Blue Cross Medicare D program cannot make your prescription drug coverage retroactive to your Medicare A & B effective date.  This coverage will be effective the first of the following month.