FEHB & Medicare

Coverage gaps & costs.

What Medicare doesn't cover, long-term care, bridging to 65, and the surcharges that catch higher earners.

Coverage gaps & costs · 7 articles

Every guide in this cluster

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.

Back to the full pillar

This is one cluster of the FEHB & Medicare pillar. Explore the Part B decision, FEHB in retirement, coordinating Medicare & FEHB, and coverage gaps in the full pillar.

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