OPM puts it simply: "Some FEHB plans offer reimbursement for Part B premiums" (OPM, Medicare and the annuitant). Which plans, how much, and on what conditions is only in each plan's brochure. We read the 2027 brochures; here is what they say.
Three ways a plan can pay toward Part B
- A reimbursement with Original Medicare. You keep Original Medicare, pay your Part B premium as usual, and the plan pays some of it back, usually when you claim it.
- A giveback through the plan's Medicare Advantage plan. You join the carrier's Medicare Advantage plan (you need Parts A and B) and keep your FEHB or PSHB enrollment; the Medicare Advantage plan lowers (or, at Kaiser Permanente, reimburses) the Part B premium you pay.
- A fund. Consumer-driven and high-deductible plans may let you use their HRA or personal care account for Medicare premiums, if money is left.
FEHB plans, 2027
| Plan | With Original Medicare | Through its Medicare Advantage plan |
|---|---|---|
| APWU Health Plan High Option | None | $100 a month |
| Blue Cross and Blue Shield FEP Blue Basic | Up to $800 a year per member | None |
| GEHA High Option | Up to $1,000 a year per enrollment | $100 a month |
| GEHA Standard Option | None | $75 a month |
| MHBP Standard Option | None | $75 a month |
| SAMBA High Option | None | $100 a month |
| SAMBA Standard Option | None | $75 a month |
| Compass Rose Health Plan High Option | None | $125 a month |
| Foreign Service Benefit Plan | None | $75 a month |
| Aetna Advantage | None | $100 a month |
PSHB plans, 2027
From each plan's 2027 brochure (linked), read on October 27, 2026. Kaiser Permanente's two amounts are its two Medicare Advantage plans; only the second ("Senior/Medicare Advantage 2") pays toward Part B. Some 2027 PSHB brochures (Aetna, Rural Carrier, CareFirst, HMSA, HAP, Medical Mutual, TakeCare, Triple-S) weren't published yet on that date and aren't in these tables.
The conditions that matter
- FEP Blue Basic (FEHB and PSHB): Basic Option members with Parts A and B can be reimbursed up to $800 a calendar year for Part B premiums they paid, through the Medicare Reimbursement Account.
- GEHA High Option (FEHB): up to $1,000 a calendar year for members with Parts A and B who are not in a Medicare Advantage plan.
- NALC High Option (PSHB): up to $600 a year, only for High Option members in NALC's SilverScript Medicare drug plan with Original Medicare Part B.
- HealthPartners High Option (PSHB): up to $1,200 a calendar year for members with Parts A and B, with proof of payment.
- Kaiser Permanente Washington Core High Option (PSHB): $50 a month (up to $600 a year), only for members who live outside Kaiser's Medicare Advantage service area.
Funds that can pay Medicare premiums, if money is left
- Aetna Direct (FEHB): Medical Fund of $900 Self Only or $1,800 otherwise; Part B premiums are repaid "if Medical Fund dollars are available".
- Aetna HealthFund CDHP (FEHB): Medical Fund of $1,000 or $2,000; Medicare premiums are repaid if fund dollars are available.
- Aetna HealthFund HDHP (FEHB): an HRA of $800 or $1,600 a year for members with Medicare, who can't have an HSA.
- GEHA HDHP: an HRA of $1,000 or $2,000 a year in FEHB, $1,300 or $2,600 in PSHB, for members with Medicare.
- APWU Health Plan Consumer Driven Option (FEHB and PSHB): retirees with Part B may ask for Part B premiums back "if PCA funds are available".
A fund pays your claims first
These funds pay your deductible, coinsurance and (for some) drug costs first. What's left at the end can go toward Medicare premiums, so the real amount depends on your year.
Is a reimbursement worth switching for?
Only if the plan also fits the rest of your care. Part B costs $2,434.80 a year at the 2026 standard premium (more with IRMAA); a reimbursement of $600 to $1,200 covers part of it. What usually matters more is what the plan waives once Medicare pays first, and its premium. Our FEHB/PSHB check starts free; the report adds the reimbursement, the waivers and the premium into one yearly total per plan.
Should you take Part B with FEHB or PSHB in 2027?.Start the free FEHB/PSHB check