Medicare and Employer Coverage
If you’re working after age 65 and have health insurance through your employer, you might be wondering how it works with Medicare. The good news is that you can have both Medicare and employer coverage, and they can work together to provide you with the comprehensive healthcare coverage you need.
Here’s how it works:
- Medicare is the primary payer. This means that Medicare will pay for your covered medical services first.
- Your employer plan will pay second. This means that your employer plan will pay for any covered medical services that Medicare doesn’t cover.
- You may have to pay deductibles and copayments for both Medicare and your employer plan.
There are a few things to keep in mind when you have both Medicare and employer coverage:
- You need to tell both Medicare and your employer plan that you have the other coverage. This will help them coordinate benefits and make sure you’re not paying for the same services twice.
- You may need to choose which plan you want to use for certain services. For example, you may want to use your employer plan for your doctor visits and Medicare for your hospital stays.
- You may be able to save money by having both Medicare and employer coverage. Your employer plan may offer coverage for things that Medicare doesn’t, such as dental and vision care.
Here are some resources that you may find helpful:
- Medicare’s website: https://www.medicare.gov/
- The Social Security Administration’s website: https://www.ssa.gov/
- Your employer’s human resources department
It’s important to talk to your doctor and your health insurance providers to figure out what coverage is best for you. They can help you understand your options and make sure you’re getting the most out of your benefits.
Here are some additional details and resources that you may find helpful:
- If your employer has 20 or more employees, then your employer plan will pay first, and Medicare will pay second. This is known as “COBRA continuation coverage.”
- If your employer has fewer than 20 employees, then Medicare will pay first, and your employer plan will pay second.
- You may be able to get additional help paying for your Medicare premiums and out-of-pocket costs if you have limited income and resources. This is known as “Medicare Savings Programs.”
- You can find more information about Medicare Savings Programs on the Medicare website: https://www.medicare.gov/
I hope this information is helpful. Please let me know if you have any other questions.