FEHB & Medicare

Health coverage, for life.

New & Updated for 2026

The latest additions.

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New to this? Read these first.

The Part B decision

The Part B decision

FEHB in retirement

FEHB in retirement

Coordinating Medicare & FEHB

Coordinating Medicare & FEHB

Coverage gaps & costs

Coverage gaps & costs

Article · 8 min

FEHB 2027: What’s Already Decided (and What You’re Still Waiting On)

OPM’s March 2026 call letter already locked in several FEHB and PSHB changes for plan year 2027 — even though premiums aren’t announced until fall. Here’s what’s settled, what’s still pending, and how to prepare for Open Season.

Article · 13 min

What Medicare Doesn’t Cover: The Gaps and How to Fill Them (2026)

Dental, vision, hearing, long-term care — and no out-of-pocket cap. Every gap, what each costs, how to fill it, and the federal FEHB advantage.

Article · 14 min

Long-Term Care Costs & Planning: The 2026 Guide for Federal Retirees

Long-term care can run $115k a year and Medicare won’t touch it. The 2026 costs, the four ways to pay, the FLTCIP suspension — and a cost projector.

Article · 14 min · New

Retiring Before 65: How to Bridge Healthcare Coverage Until Medicare

Bridging the gap to Medicare when you retire early — and in 2026 the ACA subsidy cliff is back. FEHB continuation, COBRA, and Marketplace plans compared, with a cost calculator.

Article · 13 min · New

The $172,500 Healthcare Bill Most Americans Don’t See Coming

Fidelity’s 2025 estimate for a single 65-year-old — before long-term care. What the number includes, the seven things Medicare doesn’t cover, the HSA strategy, and how FEHB changes the math for federal retirees.

Article · 13 min · New

The Hidden Medicare Surcharge Hitting Retirees Over $109K

IRMAA adds $1,148 to $6,936 per person above $109K single / $218K MFJ. The full 2026 bracket table, the two-year lookback, the cliff effect, and the Form SSA-44 appeal most retirees never file.

2026 Rule · 9 min

FEHB’s New Family-Member Verification Rule

Since July 1, 2026, you must prove eligibility for any family member you add — every time, including Open Season. Who’s eligible, the married-12-months second-proof trap, the ex-spouse trap, and an eligibility checker.

Long-Term Care · 9 min

The FLTCIP Is Closed: The Long-Term Care Gap

The federal LTC insurance program has been shut to new enrollees since 2022 — and Medicare and FEHB don’t cover custodial care. Why it’s frozen, your alternatives, and a funding-gap calculator.

The most-asked questions, answered

  • Do I have to enroll in Medicare at 65? Part A: usually yes (it’s free for those who paid in). Part B: depends on whether you keep FEHB.
  • Can I keep FEHB in retirement? Yes, if continuously enrolled for the 5 years immediately before retirement.
  • What’s PSHB? The new postal-worker health program that replaced FEHB for USPS employees and retirees in January 2025.
  • What about TRICARE for military retirees? Free at age 65 with Medicare Part B enrollment.
  • What is IRMAA? A Medicare premium surcharge for higher-income retirees. Income thresholds are cliffs, not slopes.

The full federal retirement picture

FEHB & Medicare is the healthcare layer. The FERS & CSRS pillar covers your pension. The TSP pillar covers your retirement savings. The Social Security pillar covers claiming strategy. The Tax Strategy pillar covers how each income stream is taxed.

Explore the FERS & CSRS pillar →