FEHB & Medicare

Health coverage, for life.

The five-year FEHB rule. Medicare Part B timing at 65. PSHB for postal workers. TRICARE For Life. IRMAA. Everything that decides what you pay for healthcare in retirement.

New & Updated for 2026

The latest additions.

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.
Foundation

FEHB & Medicare articles.

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 · 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 · 13 min

The FEHB 5-Year Rule for Retirement: What Federal Employees Need to Know

5 U.S.C. § 8905(b), the rule’s mechanics, the TRICARE strategy that keeps the backdoor open, the OPM “skip-over” example, and the lifetime value of $500,000+ in government premium support.

Article · 14 min

Medicare Part B at 65 for Federal Retirees: The $2,400 Decision

The Part B enrollment decision, the 2026 IRMAA brackets, the PSHB mandate for postal retirees, the 10% per year penalty math, and the situations where Part B is genuinely worth $2,400+ per year.

Article · 14 min

Medicare Open Season Decisions for Federal Retirees

FEHB plan review, Medicare Part D EGWP, suspending FEHB, and the cancel-vs-suspend rule that matters more than people realize. The 2026 numbers: +12.3% FEHB premiums, $2,100 Part D cap, and Form RI 79-9.

Article · 14 min

TRICARE for Life and FEHB: The Decision for Military Feds

The suspend strategy, the coordination of benefits, and when each plan wins for dual-status retirees in 2026. With a three-strategy cost comparison calculator showing 20-year savings.

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.

Article · 14 min · New

2026 FEHB Changes and the PSHB Transition

Postal workers moved out of FEHB into PSHB — bringing a Medicare Part B requirement that’s catching retirees off guard. Who’s affected, who’s exempt, the 12.3% premium jump, and an interactive Part B requirement checker.

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 · 14 min · New

Medicare vs. Medicare Advantage: How to Choose in 2026

Original Medicare or Medicare Advantage — plus the FEHB-sponsored third path most feds never hear about. The 2026 trade-offs, the one-way-door warning, and a “which fits you” priorities matcher.

Article · 11 min · New

Medicare Part B Givebacks: Which 2026 FEHB Plans Reimburse Your Premium

Several FEHB plans pay back $800–$1,200 of your Part B premium, and some MA plans reimburse more. Which plans, how to claim, and a break-even calculator.

More articles in production

Coverage of FEHB plan selection at retirement, the PSHB transition for postal workers, and the IRMAA bracket cliffs deep-dive is in build.

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 →