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Complete Guide

FEHB in Retirement

Federal Employees Health Benefits continues into retirement — one of the most valuable benefits of federal service. Here's what you need to know.

$200,000+

Estimated lifetime value of FEHB in retirement vs. buying marketplace insurance

72%

govt premium share

5 yrs

enrollment required

65

Medicare age

200+

plan options

Key Topics

FEHB Basics

How federal health insurance works in retirement.

  • Government pays ~72% of premium (same as while working)
  • Your share deducted from pension check automatically
  • Same plan options available as active employees
  • Can change plans during annual Open Season
  • Coverage continues for life (if eligible)

5-Year Eligibility Rule

The critical requirement to keep FEHB in retirement.

  • Must be enrolled for 5 continuous years before retiring
  • OR: enrolled since first opportunity to enroll
  • Breaks in coverage can disqualify you
  • Verify with HR before making retirement plans
  • No exceptions — this rule is strictly enforced

Coverage Options

Self Only, Self Plus One, and Family coverage levels.

  • Self Only: Just you (~$150-400/mo depending on plan)
  • Self Plus One: You + spouse OR one child
  • Family: You + spouse + children
  • Can add/remove dependents during qualifying events
  • Costs vary widely by plan choice

Medicare at 65

How FEHB coordinates with Medicare coverage.

  • At 65, you become eligible for Medicare
  • Most retirees keep FEHB AND add Medicare Part B
  • Medicare Part B: ~$185/month (2024)
  • FEHB becomes secondary coverage
  • Together, they cover nearly 100% of costs

FEDVIP

Dental and vision coverage in retirement.

  • FEDVIP continues separately into retirement
  • Dental: ~$30-50/month
  • Vision: ~$10-30/month
  • Not included in FEHB — separate enrollment
  • Can enroll during annual Open Season

Cost Comparison

Coverage TypeMonthly CostNote
FEHB (Self Only)$200-400Govt pays ~72%
ACA Marketplace (Age 60)$800-1,200No subsidy
Medicare Part B$185At age 65
Medigap Supplement$150-300Optional

Costs are approximate and vary by location, age, and plan choice.

FEHB Tools

Related Topics

See Your Full Retirement Picture

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