Tag Archives: contribution

What health care coverage does a congressman have? What happens to it when they leave office?

Ask:

America faces a health care crisis. How can Congress or the Senate much care if they have top notch health care coverage and the taxpayers pay for it?

Answers:

Answer 1:

They have a 100 percent covered plan for them and their families for life (assuming they serve at least 6 years), along with an excellent pension plan for life.

They will care about the crisis if it is something the voters want! After all, if they are not acting in the interest of the voters, they will lose their seat and their health care plan.

Unfortunately, there is so much disagreement between the “left” and the “right” that it is difficult for congress to do anything. In addition, many people (even those who truly need health care reforms) vote based on moral values, leaving health care to be ignored.

Answer 2:

THIS is the menu of plans they have to choose from as a federal employee:

“Members of Congress receive retirement and health benefits under the same plans available to other federal employees. They become vested after five years of full participation.

Members elected since 1984 are covered by the Federal Employees’ Retirement System (FERS). Those elected prior to 1984 were covered by the Civil Service Retirement System (CSRS). In 1984 all members were given the option of remaining with CSRS or switching to FERS.

As it is for all other federal employees, congressional retirement is funded through taxes and the participants’ contributions. Members of Congress under FERS contribute 1.3 percent of their salary into the FERS retirement plan and pay 6.2 percent of their salary in Social Security taxes.

Members of Congress are not eligible for a pension until they reach the age of 50, but only if they’ve completed 20 years of service. Members are eligible at any age after completing 25 years of service or after they reach the age of 62. Please also note that Member’s of Congress have to serve at least 5 years to even receive a pension.

The amount of a Congressperson’s pension depends on the years of service and the average of the highest 3 years of his or her salary. By law, the starting amount of a Member’s retirement annuity may not exceed 80% of his or her final salary.

According to the Congressional Research Service, 413 retired Members of Congress were receiving federal pensions based fully or in part on their congressional service as of Oct. 1, 2006. Of this number, 290 had retired under CSRS and were receiving an average annual pension of $60,972. A total of 123 Members had retired with service under both CSRS and FERS or with service under FERS only. Their average annual pension was $35,952 in 2006.”

ACCURATE information on retirement:
Easy SUMMARY of ACCURATE information:
“Members who have participated in the congressional pension system are vested after 5 years of service. A full pension is available to Members 62 years of age with 5 years of service; 50 years or older with 20 years of service; or 25 years of service at any age. A reduced pension is available depending upon which of several different age/service options is chosen. If Members leave Congress before reaching retirement age, they may leave their contributions behind and receive a deferred pension later.

How much they receive depends on a complicated formula based on when they joined Congress, how old they are at the time of retirement, how many years of service they had at the time of retirement (including previous military or other federal service), their salary, and which pension option they chose when they enrolled. In any case, a Member’s pension amount may not exceed 80% of his/her salary upon retirement.”

“The average annuity for retired Members, as of 1998, was either $50,616 [for those that retired under CSRS] or $46,908 [for Members that retired under FERS]. However, these averages don’t take into account any additional funds these Members may have also accrued through investments in the Thrift Savings Plan described above.

Congressional pensions are funded the same way as those of other federal employees: through a combination of general tax provisions and contributions from the participants. Members of Congress in the FERS plan must pay 1.3% of their salary to FERS and 6.2% in Social Security taxes.

For more detailed information concerning pension benefits and age and service formulas under both CSRS and FERS, I recommend you obtain a copy of “Retirement Benefits for Members of Congress”, a report by Patrick Purcell of the Congressional Research Service. [CRS Report RL30631, July 31, 2000]. CRS reports are free, but can only be obtained by requesting them through the office of a Member of Congress. ”

If you review the FACTS, which I have documented with the correct sources, you will see that:
members of Congress PAY for their health insurance (subsidized just like the other federal employees, like a clerk at the White House would be)
they have co-pays, deductibles, etc.
they do NOT get “free” prescriptions
they can have LOUSY health care packages–take the next step and click on the EVALUATIONS of the plans–some have barely over 50% satisfaction with those on them.

What IS different is two things:
these are NOT regular plans–as the membership is far more limited AND the people are power players they will NOT so likely have legit claims denied as REGULAR FOLKS because the insurers know that this would lead to actual ENFORCEMENT of contract law and their corporate heads on a platter
AND
no doc or hospital is going to mistreat a Congressman or his immediate family or someone he makes a fuss over–they don’t want the bad PR, the investigations, etc. that a Congressman can launch.

So if you think Congress has it perfect (which they don’t) IF you would DEMAND that both contract and antitrust laws be enforced with OUR insurance policies, that would go a LONG WAY to reducing abuse.

Thanks for asking for FACTS. Interesting how the media LIE and the general public is about 180 off the mark on this information, isn’t it? Ask yourself who benefits.

 

Help! I Need Affordable Health Insurance

The statistics are startling when it comes to the amount of uninsured Americans. So what do you do if you don’t have a job and can’t get affordable health insurance – either individually or for your family? Or if you have a job but still cannot afford the health insurance offered by an employer? There are options for finding more affordable health insurance.

There are low cost health insurance options out there that, in fact, many Americans have already implemented and are beating the rising battle against being uninsured.

Top 10 Ways to Find Affordable Health Insurance

1. COBRA

A good place to start looking for affordable health insurance is with the Consolidated Omnibus Budget Reconciliation Act (COBRA). If you are not employed you may be eligible to continue your previous employers’ health insurance through COBRA. This also applies to children going off to college… you may be able to continue on your parent’s insurance coverage through COBRA. This is a good option for people who may have lost their job and are still undergoing medical treatments. WARNING! This will not be an affordable health insurance option. The premiums will be much higher. It is best to gather all your available health insurance options first and then pick the best health insurance plan for you.

2. Worker’s Compensation Insurance

Sometimes, you don’t need to look far for affordable health insurance. Many people don’t realize that they may be covered under their state’s Workers’ Compensation program. If you are being treated for any work related injury, your employer must offer you treatment under their Workers’ Compensation program.

3. Medicaid

Medicaid is often overlooked as an affordable health insurance option. Some think if have a job, they won’t qualify for Medicaid. Medicaid will pay health care expenses for low-income families and individuals. Each state sets the eligibility requirements. If you are working and still don’t have enough to buy affordable health insurance, it doesn’t cost you to see if you or your children qualify for Medicaid, so it is always best to check Medicaid first before moving on to the next options. And, there is good news about Medicaid… more states are adding health care benefits for low-income families so if you don’t qualify now, keep informed of your state’s Medicaid and health insurance laws because you may qualify in the future.

4. Medicare

Most people know if they qualify for Medicare or not, but I need to add it to the list just to make sure it is not overlooked as an affordable health insurance choice. Medicare is provided by the government and administered by the Social Security Administration. If you are sixty-five years old or older you would qualify for Medicare. You may also qualify if you are getting Social Security disability benefits.

5. State High Risk Health Insurance Pool

If you are turned down by individual health insurance companies because of pre-existing conditions, your state may have a high risk health insurance pool you can obtain health insurance from. It may not be an affordable health insurance choice, but it may be the only individual or family health insurance option available to you that will pay for your pre-existing conditions if you don’t qualify for COBRA (see #1 of this list).

6. Individual and Family Health Insurance

This affordable health insurance option is fairly simple: you just go to an insurance company and buy individual or family health insurance the same way you would by home or auto insurance. These plans work similar to what an employer would offer their employees but would be more expensive since you don’t get the cheaper group rate and you would not have an employer contributing to some of the costs. Another drawback of individual and family health insurance plans is that there is usually a pre-existing conditions clause (they may not cover pre-existing conditions or may not cover them until after a certain period of time) and a medical exam.

7. High Deductible Health Plan

High deductible health plans are becoming a popular affordable health insurance option. Say someone did decide to cover their basic doctor’s visits and prescriptions out-of-pocket, but wanted the assurance of knowing that if they did need major medical care, such as for a surgery or disease, that they were covered. A high deductible health plan would do just that. It is designed to only “kick-in” after the out-of-pocket expenses (the doctor’s visits, prescriptions, ect.) reach the deductible, which is higher than a normal insurance plan. Using a health insurance plan such as this has a lower premium because the deductible is higher.

8. Short Term Health Insurance Coverage

This is a great affordable health insurance option for someone in-between jobs or who knows they will be starting a job soon. Short-term health insurance coverage works the same as an individual health insurance policy (see #6 above), but you will only be covered for a specific amount of time which would keep your premiums down. This is also a good option for someone who needs time to examine their individual and family health insurance choices but still would like to be covered quickly to avoid any coverage gaps. Continue reading Help! I Need Affordable Health Insurance