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Group Insurance

Group Insurance - There are two principal sources of group insurance: employers and voluntary associations.

Employer insurance for Retirees. Many folks have non-public insurance after they reach age sixty five that usually is purchased through their or their spouse’s current leader or union membership. If you've got such coverage, ascertain if it will be continuing once you or your partner retires. Check the value and also the advantages, as well as advantagesfor your partner. 

Group Insurance

Group Insurance

Group insurance that's continuing once retirement typically has the advantage of getting no waiting periods or exclusions for pre-existent conditions, and also the coverage is typically supported cluster premium rates, which canbe under the premium rates for singly purchased policies. One note of caution, however. If you've got a partnerunderneath sixty five UN agency was lined underneath the previous policy, ensure you recognize what impact you are continuing coverage can wear his or her insurance protection.

Furthermore, since employer group insurance policies do not have to comply with the federal minimum benefit standards for Medigap policies, it is important to determine what coverage your specific retirement policy provides. While the policy may not provide the same benefits as a Medigap policy, it may offer other benefits such as prescription drug coverage and routine dental care.

Special Rules for Working People Age 65 or Over. If you are 65 or over and you or your spouse works, Medicare may be secondary payer to any employer group health plan (EGHP) coverage you have. This means that the employer plan pays first on your hospital and medical bills. If the employer plan does not pay all of your expenses, Medicare may pay secondary benefits for Medicare-covered services to supplement the amount paid by the employer plan.

Employers who have 20 or more employees are required to offer the same health benefits, under the same conditions, to employees age 65 or over and to employees’ spouses who are 65 or over, that they offer to younger employees and spouses. EGHP coverage of employers of 20 or more employees is primary to Medicare.

You may accept or reject coverage under the EGHP. If you accept the employer plan, it will be your primary payer. If you reject the plan, Medicare will be the primary payer for Medicare-covered health services that you receive. If you reject the employer plan, you can buy supplemental insurance but an employer cannot provide you with a plan that pays supplemental benefits for Medicare-covered services or subsidize such coverage. An employer may, however, offer a plan that pays for health care services not covered by Medicare, such as hearing aids, routine dental care, and physical checkups.