PEEHIP PREMIUM CALCULATOR
These hospital medical premium calculations are based on the fiscal year 2022 rates set by the PEEHIP Board. These rates reflect the out–of–pocket premium BEFORE the $50 per member and/or spouse Tobacco User Premium. These rates reflect the out–of–pocket premium BEFORE the $50 per member and/or spouse Wellness Premium.
|What is your Date of Retirement?|
|What was your age on your Retirement Date?|
|Are you Medicare Eligible as of Retirement Date?|
|What is your DROP Status?|
|How many years of service will you have on your Retirement Date? (Please enter with 2 decimals, i.e. 25.00)|
|Will anyone else be covered on this policy?|
|How many nonspousal dependents are on your policy?|
|Will he/she be Medicare Eligible as of Retirement Date?|
|Is your spouse covered on your policy?|
|What is your spouse's current status?|
|Is your spouse Medicare Eligible?|
|If your spouse is a "TRS Retiree", also complete these questions:|
|What is your spouses Date of Retirement?|
|What was your spouse's age on his/her Retirement Date?|
|What is your spouse's DROP status?|
|How many years of service does your spouse have? (Please enter with 2 decimals, i.e. 25.00)|
|RETIREE Monthly Premium (Rates effective 10/1/2021 - 9/30/2022):|
|PEEHIP will only pay Secondary to Medicare for all Medicare eligible dependents covered on a retired account regardless of the dependent’s employment status. If dependent is not enrolled in Medicare Part B, member is responsible for Medicare’s portion out-of-pocket. If dependent does not have Medicare Part A, dependent will not have prescription coverage with PEEHIP.|
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The PEEHIP Retiree Premium Calculator is intended to allow you to generate an estimate of your health insurance premiums after your retirement. It does not replace the actual calculation of your premium when you retire. We hope that you will find this estimate program helpful in your retirement planning decisions. No estimate produced by this calculator shall be in any way binding upon the RSA or the Public Education Employees’ Health Insurance Board, which have sole authority under law to determine your retirement benefits and premium costs.
Note: If you retired on or after 10/1/2005, you are subject to the Retiree Sliding Scale. Your monthly premium may include an additional premium based on your years of service. If you retired on or after 1/1/2012 and you are not eligible for Medicare, your monthly premium may include an additional premium based on your years of service and your age on your date of retirement.