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MEDICARE PART B PREMIUM REIMBURSEMENT

2016 MEDICARE PART B REIMBURSEMENTS

The County of Los Angeles reimburses members and/or their eligible dependents for their Medicare Part B premiums (standard rate only) on a tax-free basis, provided they meet the following eligibility requirements:

  • Enrolled in the LACERA-administered Medicare Supplement Plan – Anthem Blue Cross Plan III or a LACERA-administered Medicare Advantage Prescription Drug Plan (MA-PD) such as Cigna-HealthSpring Preferred with Rx (available in Maricopa County and Apache Junction, Pinal County, AZ), Kaiser Senior Advantage, United Healthcare Medicare Advantage, or SCAN.
  • Paying for their Medicare Part B premium themselves.
  • They are not being reimbursed for their Medicare Part B Premium by another agency, such as another employer or state.

The Centers for Medicare and Medicaid Services (CMS) recently announced that for 2016, the Part B premium amount for most Medicare beneficiaries will remain the same ($104.90) who are held “harmless.” There will not be a Cost of Living Allowance (COLA) to Social Security benefits, therefore, the hold harmless provision will apply to most individuals in 2016, according to CMS. Medicare beneficiaries not subject to the hold harmless provision will pay a slightly higher standard rate ($121.80 per month). Higher income Medicare enrollees who filed an individual (or married and filing separately) 2014 tax return showing a modified adjusted gross income greater than $85,000 (or $170,000 for a joint tax return) are responsible for a larger portion of the estimated total cost of Part B benefit coverage. Read more about Medicare Premium Amounts for Persons with Higher Income Levels.

On December 8, 2015, the Board of Supervisors approved the 2016 Medicare Part B Premium Reimbursement Program for LACERA-administered Medicare Plan enrollees.

For members and eligible dependents who meet the eligibility requirements stated above, the following Medicare Part B Premium reimbursement rates (standard rates) are effective with the December 31, 2015 pay period for January 2016 coverage. The reimbursement, which is non-taxable, is added to the member's net allowance.

2016 L.A. County Medicare Part B Premium
Reimbursement Standard Rate (lower-cost premium)
Your 2016
Part B Cost
2016 Part B
Reimbursement Amount*
Single Party = $104.90 $104.90
Two Party = $209.80 $209.80

*You will be reimbursed this amount effective January 1, 2016.

2016 L.A. County Medicare Part B Premium
Reimbursement Standard Rate (higher-cost premium)
Your 2016 Part B Cost 2016 Part B
Reimbursement Amount**

Single Party = $121.80 $121.80
Two Party = $243.60 $243.60

**Proof of Part B premium higher-cost amount MUST be submitted to LACERA. Reimbursement will be time forward from the date of receipt.
NOTE: For Tier 2 members, Medicare Part B Premium reimbursement for retiree or survivor only.

12/11/15