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Retirees & Spouses Health Insurance Coverage
When an employee retires from the Town of Canton or Canton Public Schools, he/she can elect to remain on the health insurance plans, provided they are drawing a pension from the Town of Canton. The premiums will be deducted from his/her pension check(s).
The Town of Canton is currently subsidizing the insurance rates for retirees and their spouses. The current monthly contribution is 25% of the insurance cost. In event of the death of a retiree or spouse please contact 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 Edgewater Drive
Suite 102
Norwood, MA 02062
The telephone number is 800-772-1213. Also, they have a website for applying for Medicare.
Medicare Part A (Hospital Insurance) & Medicare Part B (Physician’s Insurance)
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 plans. Medicare Supplement plans are sold by private insurance companies to fill gaps
in Medicare coverage. If retirees and/or their spouses do not qualify for Medicare, please send the letter from Social Security to the Human Resources Department.
2022 Medicare Part B Premiums
The standard Part B premium amount in 2022 is $170.10. Most people will pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.
Income & Payment
If your yearly income in 2020 (for what you pay in 2022) was:
| File Individual Tax Return: | File Joint Tax Return: | File Married and Separate Tax Return: | You Pay Each Month in 2022: |
|---|---|---|---|
| $91,000 or less | $182,000 or less | $91,000 or less | $170.10 |
| Above $91,000 up to $114,000 | Above $182,000 up to $228,000 | Not applicable | $238.10 |
| Above $114,000 up to $142,000 | Above $228,000 up to $284,000 | Not applicable | $340.20 |
| Above $142,000 up to $170,000 | Above $284,000 up to $340,000 | Not applicable | $442.30 |
| Above $170,000 and less than $500,000 | Above $3400,000 and less than $750,000 | Above $91,000 and less than $409,000 | $544.30 |
| $500,000 or above | $750,000 and above | $409,000 and above | $578.30 |
2023 Medicare Part B Premiums
The standard Part B premium amount in 2022 will be $164.90. Most people will pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.
Income & Payment
The 2023 Part B total premiums for high-income beneficiaries with full Part B coverage are shown in the following table.
If your yearly income in 2021 (for what you pay in 2023) was:
| Beneficiaries who file individual tax returns with modified adjusted gross income: | Beneficiaries who file joint tax returns with modified adjusted gross income: | Income-Related Monthly Adjustment Amount: | Total Monthly Premium Amount: |
|---|---|---|---|
| Less than or equal to $97,000 | Less than or equal to $194,000 | $0.00 | $164.90 |
| Greater than $97,000 and less than or equal to $123,000 | Greater than $194,000 and less than or equal to $246,000 | $65.90 | $230.80 |
| Greater than $123,000 and less than or equal to $153,000 | Greater than $246,000 and less than or equal to $306,000 | $164.80 | $329.70 |
| Greater than $153,000 and less than or equal to $183,000 | Greater than $306,000 and less than or equal to $366,000 | $263.70 | $428.60 |
| Greater than $183,000 and less than or equal to $500,000 | Greater than $366,000 and less than or equal to $750,000 | $362.60 | $527.50 |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | $395.60 | $560.50 |
MEDEX Enrollment Documents
Fiscal Year 2022 Information
- Fiscal Year 2022 Insurance Rates (PDF)
- Medex 2 Plan Summary 2022 (PDF)
- BlueMedRx (PDP-Prescription Drug Program) Summary of Benefits (PDF)
- Blue Cross Blue Shield Enrollment/Change Form (PDF)
- Blue MedicareRx PDP Group Enrollment Form 2022 (PDF)
- Blue MedicareRx (PDP) 3 Tier Select 2022 Formulary (PDF)
- Summary Plan Description - BCBS Medex - Canton as of 1-1-22 (PDF)