Can I Have Both Employer Insurance and Medicare?

An employer insurance plan is also known as group health insurance. This health insurance package is provided by companies or organizations and is offered to active or full-time employees. If you are 65 or older and you have health insurance from your employer, you can also enroll in Medicare as soon as you become eligible, or choose to postpone your enrollment until a later date, depending on certain factors. 

More recently, people have decided to keep working after turning 65, making them eligible to have Medicare and employer insurance at the same time. And, if you are eligible, you can hold both plans to get more coverage for your healthcare expenses. In fact, if you have employer insurance and Medicare, one of the coverages will serve as the primary insurance, while one will serve as the secondary insurance. 

Employer Insurance

Employer insurance is a package offered to full-time employees by organizations and companies. They have certain features:

  • They provide coverage to all qualified employees, including those with preexisting conditions at the same rates.
  • The insurance plan must provide coverage when the employee falls sick, provided it is covered under the package.
  • They cover healthcare visits and offer free preventive screenings.
  • Group health plans do have limits on essential health benefits.
  • Employer health packages are required to follow the standards of conduct of the U.S Department of Labor. The services covered depend on the type of coverage offered by the company, though all group plans provide comprehensive health benefits. 

Employer Insurance and Medicare

If you are eligible, you can have both employer insurance and Medicare. Medicare covers inpatient and outpatient hospital and medical services. In a case where you have both plans, one will serve as the primary or secondary insurance. If you work at a company with fewer than 20 employees, Medicare will serve as the primary insurance, while your employer insurance will serve as the secondary insurance. This means Medicare will cover healthcare costs first, while your employer insurance plan will cover the remaining approved costs. If the company has 20 or more employees, Medicare will be the secondary insurance. In this case, you can also delay your Medicare enrollment without any penalty. 

For more information on having employer insurance and Medicare coverage together, give us a call today at 704-765-4689. We are always here to help you get the best coverage possible!