How will claims be paid by Medicare and GuideStone?

I am:
 		 Circumstance
 		 Pays first
 		 Pays second
 

Working, age 65 or older and:
 

  • covered by GuideStone or another employer Group Health Plan, or
 Actively working
 		 GuideStone or other Group Health Plan
 		 Medicare
 
  • covered by working spouse's Group Health Plan
 Actively working
 		 GuideStone or other Group Health Plan
 		 Medicare
 

Retired, under age 65 and:
 

  • covered by GuideStone or another employer-sponsored health plan, or
 Not eligible for Medicare
(under age 65)
 		 GuideStone or other employer-sponsored health plan or spouse's plan
 		 No Medicare coverage
 
  • covered by working spouse's Group Health Plan
 Not eligible for Medicare
(under age 65)
 		 GuideStone or other employer-sponsored health plan or spouse's plan
 		 No Medicare coverage
 

Retired, age 65 or older and:
 

  • covered by GuideStone or another employer-sponsored retiree health plan, or
 Entitled to Medicare
 		 Medicare
 		 GuideStone or other employer-sponsored retiree health plan or spouse's plan
 
  • covered by working spouse's Group Health Plan
 Entitled to Medicare
 		 GuideStone or other group health plan
 		 Medicare
 

Disabled and:
 

  • covered by GuideStone or another Group Health Plan, or
 Not employed
 		 Medicare
 		 GuideStone or other Group Health Plan
 
  • covered by working family member
 Actively working
 		 GuideStone or other Group Health Plan
 		 Medicare
 
Diagnosed with End Stage Renal Disease and covered by GuideStone or another Group Health Plan
 		 First 30 months of Medicare entitlement or eligibility
 		 GuideStone or other Group Health Plan
 		 Medicare
 
After 30 months*
 		 Medicare
 		 GuideStone or other Group Health Plan
 		  

*If under age 65, participant will remain on PPO plan. Highmark will coordinate benefits with Medicare.

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