{"id":3224,"date":"2023-09-18T09:01:03","date_gmt":"2023-09-18T14:01:03","guid":{"rendered":"https:\/\/www.bbrown.com\/?post_type=insight&#038;p=3224"},"modified":"2023-09-19T21:23:45","modified_gmt":"2023-09-20T02:23:45","slug":"medicare-and-employer-sponsored-group-health-plans-faq","status":"publish","type":"insight","link":"https:\/\/www.bbrown.com\/us\/insight\/medicare-and-employer-sponsored-group-health-plans-faq\/","title":{"rendered":"Medicare and Employer-Sponsored Group Health Plans &#8211; FAQ"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column]\n\t<div class=\"hero hero--wrap    \">\n\n\t\t<div class=\"hero--background-image hero--background-image-blur\">\n\t\t\t<div class=\"hero--overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"hero-background\" style=\"background: url(https:\/\/www.bbrown.com\/wp-content\/uploads\/2023\/09\/iro-klg-wfpdImDRlV4-unsplash-2-scaled-1.jpg) center center no-repeat; background-size: cover;\"><\/div>\n\t\t\t\t\t<\/div>\n\n\t\t<div class=\"hero--container\">\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"hero--inner width-100\">\n\n\t\t\t\t\t\n  <div class='content-heading  100%  '>\n    <p class='text-white subheading'>Employee Benefits<\/p>\n    <h1 class='text-white    '>\n      Medicare and Employer-Sponsored Group Health Plans - FAQ\n    <\/h1>\n\t\n  <\/div>\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t<\/div>\n\n\t\n[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;]\n  <div class='content-heading  100% content-heading--ruled '>\n    \n    <h1 class='text-brand-dark-blue    h2'>\n      Medicare and Employer-Sponsored Group Health Plans - FAQ\n    <\/h1>\n\t\n  <\/div>[vc_column_text]<\/p>\n<h3>Medicare Basics<\/h3>\n<h4>What is Medicare Part A?<\/h4>\n<p>Medicare Part A is hospitalization coverage. It covers eligible hospital expenses, skilled nursing care, home health care and hospice care.<\/p>\n<h4>What is Medicare Part B?<\/h4>\n<p>Medicare Part B is general medical coverage. It covers medical services, such as inpatient and outpatient medical services and doctors\u2019 charges, office visits, therapy services and preventive care.<\/p>\n<h4>What is Medicare Part D?<\/h4>\n<p>Medicare Part D is prescription drug coverage.<\/p>\n<h4>What is Medicare Part C?<\/h4>\n<p>Medicare Part C is called \u201cMedicare Advantage.\u201d It is a plan intended to replace Parts A and B in a more controlled managed care setting (such as an HMO with a more restricted network of providers).<\/p>\n<h4>What is a Medigap Policy?<\/h4>\n<p>A Medigap, or Medicare Supplement policy, is a private insurance policy purchased to fill gaps in coverage not covered by Medicare Part A or B. For example, Medigap policies often cover hospital services beyond 90 days per benefit period, provide benefits for services not covered by Medicare, and pay some or all out-of-pocket expenses (e.g., Medicare Part A or B deductible and\/or coinsurance).<\/p>\n<h4>When can individuals sign up for Medicare A or B?<\/h4>\n<p>In general, individuals can enroll in Medicare:<\/p>\n<ul>\n<li>During the Medicare Open Enrollment Period that begins three months before their 65th birthday, includes their birthday month and ends three months after their 65th birthday month.<\/li>\n<li>After age 65\n<ul>\n<li>Any time an individual is actively working and covered by their employer\u2019s group health plan,<sup>1<\/sup>\n<ul>\n<li>Individuals working for employers with fewer than 20 employees should confirm with CMS that this enrollment opportunity is available.<\/li>\n<\/ul>\n<\/li>\n<li>During the Medicare Annual General Enrollment Period (AGEP) from January 1 through March 31 each year for coverage beginning July 1, or<\/li>\n<li>During an eight-month special enrollment period that begins the earlier of (a) the date the individual retires or terminates employment or (b) the date their group health plan coverage ends.<\/li>\n<li>When an individual is determined to be disabled by the Social Security Administration\n<ul>\n<li>Generally, entitlement begins after 24 months of Social Security Benefits, except if the individual is diagnosed with end-stage renal disease. When individuals first enroll in Medicare based on ESRD and are on dialysis, Medicare coverage usually begins with the fourth month of dialysis treatments but may begin earlier if the individual receives a kidney transplant.<sup>2<\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4>Is there a difference between being eligible for Medicare and being \u201centitled\u201d to Medicare?<\/h4>\n<p>Yes. Under the Medicare rules, to be \u201centitled\u201d to Medicare means a person is generally both eligible and enrolled. If the individual must take additional steps to enroll in Medicare before receiving benefits, then that individual is not entitled to Medicare.<\/p>\n<p>[\/vc_column_text]\t<div class='wpb_content_element text-left btn-container'>\n\t\t\t\t\t<a class='btn btn-brand-green  '\n\t\t\t\thref='https:\/\/www.bbrown.com\/wp-content\/uploads\/2023\/09\/Medicare-and-Employer-Sponsored-Group-Health-Plans-FAQ-Brown-Brown.pdf' target='_blank' data-toggle=''>\n\t\t\t\t<span class=\"btn-text-color--default\">Continue Reading<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[vc_column_text]<em><sup>1<\/sup> CENTERS for MEDICARE &amp; MEDICAID SERVICES &#8211; <a href=\"https:\/\/www.medicare.gov\/Pubs\/pdf\/11036-Enrolling-Medicare-Part-A-Part-B.pdf\" target=\"_blank\" rel=\"noopener\">Enrolling in Medicare Part A &amp; Part B<\/a><\/em><br \/>\n<em><sup>2<\/sup> CENTERS for MEDICARE &amp; MEDICAID SERVICES &#8211; <a href=\"https:\/\/www.medicare.gov\/Pubs\/pdf\/11036-Enrolling-Medicare-Part-A-Part-B.pdf\" target=\"_blank\" rel=\"noopener\">Enrolling in Medicare Part A &amp; Part B<\/a><\/em>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;2348&#8243; alignment=&#8221;center&#8221; style=&#8221;vc_box_circle_2&#8243;][vc_separator border_width=&#8221;2&#8243; el_width=&#8221;60&#8243;][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\">Regulatory and Legislative Strategy Group<\/h6>\n<p>[\/vc_column_text]\t<div class='wpb_content_element text-center btn-container'>\n\t\t\t\t\t<a class='btn btn-brand-dark-blue  '\n\t\t\t\thref='\/us\/contact\/contact-general\/' target='' data-toggle=''>\n\t\t\t\t<span class=\"btn-text-color--default\">Connect Now<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Medicare Basics What is Medicare Part A? Medicare Part A is hospitalization coverage. It covers eligible hospital expenses, skilled nursing care, home health care and hospice [&hellip;]<\/p>\n","protected":false},"author":66,"featured_media":5559,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"insight_category":[31,73],"class_list":["post-3224","insight","type-insight","status-publish","has-post-thumbnail","hentry","insight_category-employee-benefits","insight_category-regulatory-and-legislative-strategy"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medicare and Employer-Sponsored Group Health Plans - FAQ - Brown &amp; Brown<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bbrown.com\/us\/insight\/medicare-and-employer-sponsored-group-health-plans-faq\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medicare and Employer-Sponsored Group Health Plans - FAQ\" \/>\n<meta property=\"og:description\" content=\"[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content&#8221;][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Medicare Basics What is Medicare Part A? 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