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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