OPM Admits Forcing You into Medicare Part D will Save Money for the PSHB Program – NOT YOU!

10/31/24 – In an article published by Government Executive 10/30/24 OPM admits that forcing you, USPS employees, retirees, and family members, i nto Medicare Part prescription drug coverage will save the PSHB program money. Their statement is below:

“While the commenters are correct that the PSRA [Postal Service Reform Act] does not explicitly require Part D-eligible annuitants and their family members to enroll in Medicare Part D as a condition of PSHB enrollment—and, indeed, CMS regulations afford individuals that are group enrolled into a Part D EGWP the right to opt out—the PSRA’s express goal is to create cost savings for the PSHB program, in part through shifting costs to Medicare,” the agency wrote. “OPM believes that requiring Part-D eligible annuitants and their Part-D eligible family members to obtain PSHB prescription drug coverage through a Part D EGWP, rather than through their PSHB plan, best advances Congress’ intent.”

OPM said in its regulations that its hands were tied by the law and congressional intent.

NARFE [Nat. Assoc. of Retired Federal Employees] writes:

The Office of Personnel Management (OPM) released the final rule regarding the Postal Service Health Benefits (PSHB) Program, clarifying regulations concerning Medicare Part B enrollment and Medicare Part D integration, among other points. NARFE’s comment letter in response to the proposed rule can be found here

In the final rule, OPM affirmed the Medicare Part B enrollment requirement exception for certain survivor annuitants and more explicitly clarified their expectation of “equal or better” regarding PSHB Medicare Part D prescription drug coverage when compared to the corresponding PSHB drug coverage, both of which were strongly supported by NARFE.

On the other hand, OPM also affirmed their decision that Medicare-eligible postal annuitants and their families would be automatically enrolled in their plan’s Medicare Part D prescription drug benefits, and if they choose to opt- out, those individuals would lose all prescription drug coverage under PSHB. NARFE did not support this provision in the proposed rule, as we believe in maintaining choice when considering healthcare coverage, but we are hopeful that with the promise of “equal or better” coverage, postal annuitants will retain quality drug coverage. 

Note: Make certain to read the letter written by NARFE President William Shackelford. You can find that letter here (PDF).

PEN believes there is no way to correct this situation since Congress, assisted by your unions and USPS, forced us out of the FEHB health insurance program and into their PSHB program. You can thank then if you want – we will never do that.

Here is a list of politicians that voted in favor of the Postal Reform Act:

Alphabetical by Senator Name:

Baldwin (D-WI), Yea
Barrasso (R-WY), Yea
Bennet (D-CO), Yea
Blackburn (R-TN), Nay
Blumenthal (D-CT), Yea
Blunt (R-MO), Yea
Booker (D-NJ), Yea
Boozman (R-AR), Yea
Braun (R-IN), Nay
Brown (D-OH), Yea
Burr (R-NC), Yea
Cantwell (D-WA), Yea
Capito (R-WV), Yea
Cardin (D-MD), Yea
Carper (D-DE), Yea
Casey (D-PA), Yea
Cassidy (R-LA), Yea
Collins (R-ME), Yea
Coons (D-DE), Yea
Cornyn (R-TX), Nay
Cortez Masto (D-NV), Yea
Cotton (R-AR), Yea
Cramer (R-ND), Yea
Crapo (R-ID), Nay
Cruz (R-TX), Nay
Daines (R-MT), Yea
Duckworth (D-IL), Yea
Durbin (D-IL), Yea
Ernst (R-IA), Yea
Feinstein (D-CA), Yea
Fischer (R-NE), Yea
Gillibrand (D-NY), Yea
Graham (R-SC), Yea
Grassley (R-IA), Yea
Hagerty (R-TN), Not Voting
Hassan (D-NH), Yea
Hawley (R-MO), Yea
Heinrich (D-NM), Yea
Hickenlooper (D-CO), Yea
Hirono (D-HI), Yea
Hoeven (R-ND), Yea
Hyde-Smith (R-MS), Nay
Inhofe (R-OK), Not Voting
Johnson (R-WI), Nay
Kaine (D-VA), Yea
Kelly (D-AZ), Yea
Kennedy (R-LA), Yea
King (I-ME), Yea
Klobuchar (D-MN), Yea
Lankford (R-OK), Nay
Leahy (D-VT), Yea
Lee (R-UT), Nay
Lujan (D-NM), Yea
Lummis (R-WY), Yea
Manchin (D-WV), Yea
Markey (D-MA), Yea
Marshall (R-KS), Yea
McConnell (R-KY), Yea
Menendez (D-NJ), Yea
Merkley (D-OR), Yea
Moran (R-KS), Yea
Murkowski (R-AK), Yea
Murphy (D-CT), Yea
Murray (D-WA), Yea
Ossoff (D-GA), Yea
Padilla (D-CA), Yea
Paul (R-KY), Nay
Peters (D-MI), Yea
Portman (R-OH), Yea
Reed (D-RI), Yea
Risch (R-ID), Nay
Romney (R-UT), Nay
Rosen (D-NV), Yea
Rounds (R-SD), Yea
Rubio (R-FL), Nay
Sanders (I-VT), Yea
Sasse (R-NE), Nay
Schatz (D-HI), Yea
Schumer (D-NY), Yea
Scott (R-FL), Nay
Scott (R-SC), Nay
Shaheen (D-NH), Yea
Shelby (R-AL), Nay
Sinema (D-AZ), Yea
Smith (D-MN), Yea
Stabenow (D-MI), Yea
Sullivan (R-AK), Yea
Tester (D-MT), Yea
Thune (R-SD), Yea
Tillis (R-NC), Yea
Toomey (R-PA), Nay
Tuberville (R-AL), Nay
Van Hollen (D-MD), Yea
Warner (D-VA), Yea
Warnock (D-GA), Yea
Warren (D-MA), Yea
Whitehouse (D-RI), Yea
Wicker (R-MS), Yea
Wyden (D-OR), Yea
Young (R-IN), Yea
Find it here.

2 Responses to "OPM Admits Forcing You into Medicare Part D will Save Money for the PSHB Program – NOT YOU!"

  1. Not only is it a double wammy but for the insurance industry it’s essentially the equivalent of double dipping. Both the tax payers and retirees are paying the same level of premiums as before and during medicare eligible. Premiums
    are not being reduced equivalently and specially fairly as they are for many local and state retirees. (ref Baltimore city Fire and Police). This is unethical and shows how much political power insurance companies have over our legislators.
    (PS NARFE is sponsored by BCBS, Cigna, Atena and others..nothing like letting the wheasl in the hen house!)

    It is also so evident that the insurance carriers went up tremendously to cover the THEIR cost of Medicare Part D inclusion. Rick @ PEN

  2. Let us not forget that the Postal Reform Act itself was written by a Dem. from NY, Carol Maloney and that this bill was signed into law by “The Prez” also a Dem., you know the same guy who walked the picket line with UAW strikers and said that they deserved everything that they were asking for and more! The same Prez that told the longshoremen that they should get everything they are asking for and more. The same prez that gave the teamsters union $36 BILLION to bail out their pension….
    It would seem that he readily supports the non-government union employees while at the same time giving his own (government) employees what amounts to a cut in their retirement pension by supporting this bill that mandates signing up for medicare!! Keeping in mind that this shift to the PSHB is the reason the health insurance premiums went up significantly, so it’s a double whammy of medicare mandate and insurance price increases!
    Thanks democrats!!

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