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Dartmouth College Medicare Supplement Plan

The Dartmouth College Medicare Supplement Plan is available to individuals who are enrolled in Medicare.

2015 Open Enrollment

There will be no changes to the format of the DCMS Plan for 2015.  The new base premium rate for 2015 will be $403.28 per member per month.  If you receive a retiree health subsidy toward the cost of your premium, you will be billed for the difference between the premium and your retiree health subsidy.  If you do not owe a premium you will not be billed.

More Information

Eligibility & Medicare
Medicare
SilverScript (Dartmouth's Medicare Part D Plan)
Plan Details and Summaries
Costs
Changing Your Election
Whom to Contact
Helpful Medicare Summaries

 

Eligibility & Medicare

In order to be eligible for the Dartmouth College Medicare Supplement (DCMS) Plan, you must  meet the minimum qualifications for the DCMS plan, and be eligible for Medicare according to the rules outlined by the Social Security Administration.  

You should enroll in Medicare Parts A & B.  You should not enroll in a separate Medicare Part D if you want to be the on the DCMS plan.  The DCMS plan will supplement Parts A & B and provide a Medicare Part D plan as well.

For more information on Medicare, you should visit the Social Security Administration website or contact your local Social Security Office.  You can find your local office by visiting the Social Security Administration office locater website.

The Social Security Administration also publishes an annual Medicare & You booklet which can be found here.

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Plan Details

As stated above, the Medicare Supplement Plan will supplement Medicare Parts A & B.  These expenses are subject to a $250 deductible, followed by a 20% coinsurance to a maximum of $200, a total out-of-pocket expense of $450 for your medical services for the year.

The Medicare Part D plan offered through Dartmouth College includes a 30% coinsurance payment for each prescription, until you've met the annual $450 out of pocket maximum. 

Further detail is available in the following resources:

You may also wish to refer to the Benefits Terminology and Definitions for further clarification of the terminology referenced on this page. 

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Costs

Other Individuals

If you are not a retiree and are eligible for Medicare (ex. due to a disability), you should contact the Benefits Office for more information on your costs.

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Changing Your Election 

If you would like to change your election in the Dartmouth College Medicare Supplement Plan, you may do so at any time.  However, as long as you are enrolled in Medicare, this is the only plan you are eligible to elect through Dartmouth College.

If you wish to make this change, you must do so by notifying the Benefits Office in writing (Note: E-mails are accepted.)

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Helpful Medicare Summaries & Links

 

2015 Medicare & You booklet
Who Pays First (Medicare Coordination of Benefits Summary)
Higher Income Beneficiary Rules (IRMAA premiums)
IRMAA Premium Reimbursement Form 
Medicare Extra Help program
TriCare for Life Handbook

 
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Whom to Contact

For questions on Medicare, you should you should visit the Social Security Administration website or contact your local Social Security Office. You can find your local office by visiting the Social Security Administration office locater website.

For questions on coverage for the Dartmouth College Medicare Supplement Plan, you should contact Cigna Health Insurance:

If you would like to make changes to your coverage or have questions on your eligibility for the DCMS plan, you should contact the Benefits Office:

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Last Updated: 10/20/14