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Need coverage for a Spouse under 65?
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(Note, Supplements do not ever change, but the market does and we might save money.)
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If you know anyone with a plan decision, please have them 𝗰𝗮𝗹𝗹 𝗺𝘆 𝗼𝗳𝗳𝗶𝗰𝗲.
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Christopher Westfall
Chapters:
00:00 Introduction
00:45 Chris Westfall Medicare
02:20 Do I have to take Medicare?
03:15 HSA Contributions and Medicare
04:19 Prescription Drugs Creditable?
06:41 COBRA and Medicare
08:49 Medicare Options at 65
11:05 Medicare Supplement at Age 65
12:45 Open Enrollment vs Guaranteed Issue
14:13 Medigap Plan N Explained
17:28 Choosing to Stay on COBRA
21:35 Part B Late Enrollment Penalty
25:23 Parts of Medicare
26:28 Medicare Advantage Trial Right
30:45 Spouse is Under 65
31:59 Retirement Savings Safety
33:38 Dental Insurance
34:09 Life insurance at retirement
34:35 Recommendations on timing
38:09 Cancer Insurance Importance
42:00 FREE help with Medicare choices
42:44 Retirement Timeline Download
#medicare #medicaresupplement #medicareadvantage
The term "Cobra Trap" refers to a problematic situation when someone is enrolled in both COBRA (Consolidated Omnibus Budget Reconciliation Act) continuation coverage and Medicare. Here’s how it works:
Eligibility for COBRA: When an individual loses their job, they may be eligible to continue their employer-sponsored health coverage through COBRA for a limited period (usually 18 months). COBRA allows individuals to keep their existing health insurance but requires them to pay the full premium.
Eligibility for Medicare: At age 65, individuals become eligible for Medicare. They can sign up during their Initial Enrollment Period, which starts three months before their 65th birthday and ends three months after their birthday month.
The Trap:
If an individual enrolls in COBRA before becoming eligible for Medicare and then turns 65, they must sign up for Medicare Part A and Part B during their Initial Enrollment Period.
Once they are eligible for Medicare, COBRA becomes secondary insurance, and Medicare is considered the primary payer.
If the individual does not enroll in Medicare when they become eligible and continues relying on COBRA, they may face substantial penalties and gaps in coverage.
Penalties and Gaps in Coverage:
Late Enrollment Penalties: If the individual delays enrolling in Medicare Part B past their Initial Enrollment Period, they may incur a late enrollment penalty, which increases their premiums by 10% for each 12-month period they were eligible but did not enroll.
Coverage Gaps: Since Medicare is the primary payer once eligible, COBRA coverage alone may not be sufficient. Certain services may not be covered, leading to out-of-pocket expenses.
Loss of COBRA: Additionally, if the employer providing the COBRA coverage goes out of business or terminates the group health plan, the individual may lose their COBRA coverage entirely, leaving them without any health insurance until the next Medicare enrollment period.
How to Avoid the Cobra Trap:
Enroll in Medicare on Time: Sign up for Medicare Part A and Part B during the Initial Enrollment Period when turning 65, even if you have COBRA coverage.
Drop COBRA If Unnecessary: Once enrolled in Medicare, evaluate if continuing COBRA is necessary. COBRA might be redundant and costly if Medicare provides adequate coverage.
Understand Coverage: Medicare will be the primary payer, and COBRA will be secondary. Ensure you understand what each will cover to avoid unexpected expenses.
Navigating the transition from COBRA to Medicare can be complex, and it's often helpful to seek guidance from a Medicare specialist or advisor to ensure you're making the best choices for your situation.
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