Medicare & Employer Health Insurance

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  • Опубліковано 20 вер 2024

КОМЕНТАРІ • 24

  • @RolandCaston
    @RolandCaston Рік тому +3

    Why does this have to be so complicated?

  • @MedicareSchool
    @MedicareSchool 3 роки тому +1

    Thanks for covering this!

  • @jacquibreitenbucher6913
    @jacquibreitenbucher6913 5 місяців тому +1

    I turn 65 years old July 2, 2024. I plan to continue my employer's insurance plan as a supplement to Medicare even though I retired June, 2022. Do I need to apply for Part B? How do I apply for Part B as the application process doesn't ask for retired-only still working?

    • @andystamas
      @andystamas 5 місяців тому

      Thanks for your question. If you're no longer working for the employer, then you can't delay Medicare...unless you're benefit eligible at another employer you're working for currently. So can you confirm that? Are you working somewhere else now, or are you fully retired from work?
      If you're retired from work, then you need to enroll in BOTH Parts A & B. It's primary coverage in this scenario.
      Does your employer offer a retiree health plan for Medicare eligible folks? We don't see that often, though. If they don't, then you'll need to get either a Medigap plan and Part D drug plan...OR...a Medicare Advantage (Part C) plan.

    • @jacquibreitenbucher6913
      @jacquibreitenbucher6913 5 місяців тому +1

      I am fully retired. But my employer allows retired employees to continue health coverage via Blue Anthem. I need this coverage for my youngest son until he has acquired a job w health benefits. I will apply for Part A & B. Your videos have been very helpful. Thank you!

    • @andystamas
      @andystamas 5 місяців тому

      @@jacquibreitenbucher6913 Gotcha. Then yes, you will need to enroll in BOTH A & B, as that will be primary coverage. Your employer/retiree health plan will be secondary.

  • @TobyMichaelPortableTechReview
    @TobyMichaelPortableTechReview Місяць тому +1

    I am 55 and have a PPO through my employer. My spouse who is 30 has recently become disabled and qualifies for Medicare starting in November 2024. We just got married so I can add them to my PPO but I don’t know how to determine if that is better than letting them go on Medicare. With their disability, they will have a regular doctors visits, significant prescription needs, and periodic surgeries. We are lost in the sea of information.

    • @andystamas
      @andystamas Місяць тому

      Thanks for reaching out.
      The size of your employer will be the first factor. Because it's Medicare based on SS Disability...
      If the employer has 100+ employees, the employer health plan is primary and Medicare is secondary. So that means your spouse has the option to decline Part B, which saves having to pay $174.70/mo for Part B. They must keep Part A since receiving SS benefits. No big deal since Part A doesn't have a premium.
      If the employer has under 100 employees, Medicare is primary and the employer health plan is secondary. They must keep both Parts A & B in that scenario.
      In either case, you'll need to compare the premiums paid in both scenarios and the medical and drug coverage comparison.
      Depending on the specific medications taken and the employer plan's benefit design, it might be better to stick with the employer plan. It just depends on the medications.
      There is more to it, so let me know what state you live in. If you're in OH, KY, IN, IL, TN, GA, NC, SC, FL, or AR...we can help you. If you're outside of those states, I can refer you to a trusted Medicare insurance agency who is licensed in your state.
      If you want, email me directly at info@medicaremindset.com

    • @TobyMichaelPortableTechReview
      @TobyMichaelPortableTechReview Місяць тому +1

      @@andystamas thank you for responding. I don’t know exactly how many people but in one building there are over 2000 people. So overall, it’s thousands of employees

    • @andystamas
      @andystamas Місяць тому

      @@TobyMichaelPortableTechReview Then your spouse has the option to decline Part B when the Medicare card arrives...and just stay on the group plan. Part A hospital would be secondary.
      But they will have the option to leave the employer plan if you determine Medicare is more advantageous.

    • @TobyMichaelPortableTechReview
      @TobyMichaelPortableTechReview Місяць тому +1

      @@andystamas thank you. You have been so helpful. I felt that was probably the best option considering I know my coverage is very good but options to change later are so confusing!

    • @andystamas
      @andystamas Місяць тому +1

      @@TobyMichaelPortableTechReview Sure thing. Yeah, the easiest path would be for your spouse to just stay on the group plan. Then the only decision will be whether to drop Part B or keep Part B. If you want to save the $175/mo for Part B, then have them drop Part B. They can always add back Part B at anytime while covered on your employer plan based on your active employment. No penalty in that scenario. Take care.

  • @mattmathew3115
    @mattmathew3115 Рік тому +1

    Hello. I have some questions about Medicare.
    First of all my birthday is on 09/23/1956 and I work in a big company that has about 1,541,000 employees and I chose (Aetna
    HSA, high deductible plan coverage). I want to know if it is ok to delay Medicare until I work at this company?
    The next question is that my wife’s birthday is 05/14/1959 and she will turn 65 on 05/14/2024. She works at a big company with
    about 2,300,000 employees and has employer (KP DHMO Coverage). Is it ok to delay Medicare until she works at this
    company?
    Please let me know.
    Thank you.

  • @arcanearcanum8926
    @arcanearcanum8926 Рік тому +1

    If you get insurance through a job, will they automatically know or be able to see your health records and diagnosis?

    • @MedicareMindset
      @MedicareMindset  Рік тому

      Who is "they"? The employer? Medicare? An employer of course sees the medical utilization of its employees overall. And then Medicare sees each individual's claims as they come in. But health records and pre-existing conditions would be unknown prior to signing up for a group health plan or Medicare.

  • @mattmathew3115
    @mattmathew3115 Рік тому

    Hello. I have some questions about Medicare.
    First of all my birthday is on 09/23/1956 and I work at a big company that has 1,541,000
    employees and I got (Aetna HSA, high deductible plan employer coverage). I want to
    know if it is ok to delay Medicare(part A & Part B) until I work at this company?
    The next question is that my wife’s birthday is 05/14/1959 and she will turn 65 on
    05/14/2024. She works at a big company with 2,300,000 employees and has employer
    Maintenance
    Medicare(A & B) until she works at this
    Please let me know.
    Thank you.

  • @georgemontes8440
    @georgemontes8440 2 роки тому +1

    So from what I understand here is not really a good thing to have medicare part A and B and a employer supplied health insurance, because I got to pay the medicare premium and and what ever partial premium from the employer supplied health insurance, Is that right? Also if I cancel part "B" of my medicare, when I quit working can I get it back with no penalty? Right now I'm retired but was offered a job that I like, now I don't know what's better for me, have 2 health insurances or drop one, but which one?

    • @andystamas
      @andystamas 2 роки тому

      George - In general, yes...you don't need Part B when covered on a large employer health plan (i.e. you're 65+ and the employer has 20+ employees). You typically wouldn't want to pay both the group plan premium and Part B premium. But there are some exceptions to that rule.
      For example, if you have ESRD (kidney failure), we always recommend keeping A & B when on a group plan of any size. Another example is Social Security disability situations. Sometimes those folks feel more comfortable having the extra coverage and paying both the group health premium and the Part B premium. But that's a case-by-case basis.
      If you cancel Part B and join a large employer health plan, you can add it back again later without penalty when you come off that group plan (or up to 8 months after losing that coverage). As far as what you should do, I don't know. It would require comparing the group plan coverage to Medicare with supplemental coverage, as well as the cost in both scenarios. Depending on your state of residence, we might be able to help you. If you don't live in a state we're licensed in, we can connect you with a trusted agent we know in your state. Email us at info@medicaremindset.com and we'll go from there. Thanks.

  • @jenjenkins
    @jenjenkins 2 роки тому +2

    What if the employee's spouse has Medicare due to disability?

    • @MedicareMindset
      @MedicareMindset  2 роки тому

      Hi Jennifer - I'm not exactly sure what your question is...specific to creating a My Social Security online account.

  • @Diamond-gv7xw
    @Diamond-gv7xw 2 роки тому +1

    If a man age 43 is on disability and has medicare part a and part b can he cancel both plans and have his mother put him on her health plan which is through government?

    • @MedicareMindset
      @MedicareMindset  2 роки тому

      Thanks for your question. If on SSDI, you must keep Medicare Part A...but can cancel Part B, if you don't need it (i.e. covered a group health plan based on active work, and the employer has 100+ employees). Whether this person can get on the group plan through the government (i.e. FEHB), you'll need to check with your human resources contacts. Take care.

  • @mrdeyabu0077
    @mrdeyabu0077 2 роки тому

    🙏🙏🙏