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Medicare and Your Retiree Plan

How Retiree Coverage Works and What to Compare Before You Enroll

Disclaimer: HTA Insurance does not represent employer retiree plans. Please contact your employer, union, or plan administrator for details about your specific benefits.

Table of Contents

Your Medicare Benefit Options

Your Employer Offers a Retiree Plan

Your employer offers a Medicare-based retiree plan. This may be structured like a Medicare Supplement-style plan or a Medicare Advantage-style plan.

Your Action Steps: 

    • Enroll in Medicare A and/or B
    • Contact your Employer/Plan Administrator for Retiree Plan Benefits and Costs
    • Compare your retiree plan to other Medicare options, such as Individual Medicare Supplement or Medicare Advantage plans.  HTA Insurance can help!

Important: If you choose your employer retiree plan, HTA cannot enroll you in that plan. You will need to work directly with your employer, union, plan administrator, or required enrollment center.

How Medicare Works When You Retire

When you retire and leave active employer group coverage, Medicare becomes the foundation of your health insurance.

Key things to know:

  • Medicare generally becomes your primary insurance
  • Most retiree plans require you to have Medicare Part A and Part B
  • Your retiree plan may work differently than your active employer group plan
  • You may have a choice between a retiree plan or individual Medicare coverage

Enrolling in Medicare

  • Visit our How to Enroll in Medicare page.
  • Follow the step-by-step instructions provided there.
  • Contact Social Security if you need help with the Medicare enrollment process.

Medicare Part B Premiums

  • Medicare Part B requires a monthly premium.
  • Premium amounts are based on your modified adjusted gross income from two years prior.
  • Higher-income individuals may pay an additional premium amount.
  • Review the current Income Levels and Premiums chart for the latest Part B premium information.

Comparing Retiree Plans to Individual Medicare Plans

Retiree plans can be valuable, but they are not always the most cost-effective option.

It may be worth comparing your retiree plan to individual Medicare options if:

  • Your retiree plan costs more than $250 per month, per person
  • You are unhappy with the coverage
  • Your doctor or hospital network is limited
  • Your out-of-pocket costs are higher than expected
  • You want to better understand how your retiree plan compares to other Medicare options

Video: Retiree Plan Cost Analysis

Need Help Comparing Medicare Options?

If you would like to review secondary coverage outside of the retiree plan, HTA Insurance can help!

Please Note: HTA cannot enroll you in an employer retiree plan or any plan that requires enrollment through a specific administrator or enrollment center. Please contact your plan administrator for assistance.

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