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Other Private Insurance - Employer or Union Health Coverage

Call the benefits administrator at your, your spouse's, or other family member's current or former employer or union. Ask if you have or can get health care coverage based on past or current employment. Coverage from an employer or union is usually provided voluntarily. The employer or union generally has the right to change benefits and Premiums or stop offering coverage.

Medicare will help employers or unions continue to provide retiree drug coverage. If you have prescription drug coverage based on your current or previous employment, your employer or union will notify you about how your drug plan will work with Medicare prescription drug coverage. Keep the notice you get. You may need to show it as proof of Creditable Prescription Drug Coverage if you join a Medicare drug plan at a later date. In some cases, if you join a Medicare drug plan, it can limit or end your employer or union coverage. Call your employer's or union's benefits administrator before you join a Medicare drug plan. For more information, see "What if I have prescription drug coverage from a former or current employer or union? ".



If you drop your employer or union group health coverage .
If you drop your employer or union group health coverage, you may not be able to get it back. You also may not be able to drop drug coverage without also dropping all of your health coverage. If you drop coverage for yourself, you may also have to drop coverage for your spouse and dependents. Call your employer's or union's benefits administrator for more information.

Note about COBRA
COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) is a law that may allow you to keep health coverage from your or your spouse's employer after the employment ends. When the employment ends, you will get only one Special Enrollment Period (SEP) to sign up for Part B without paying a penalty, whether or not you have COBRA coverage.

Part D works a little differently. For Part D, if you leave an employer-sponsored plan (including COBRA), you have a Special Enrollment Period.

Before you elect COBRA, talk with your State Health Insurance Assistance Program to see if buying a Medigap Policy and/or a Medicare drug plan is better for you than COBRA. See Other Important Medicare Contacts their telephone number.

(Primary Source: Centers for Medicare and Medicaid Services - Medicare and You Handbook 2007. This content may have been added upon by Q1Group LLC to include further examples, explanations, and links.)


Last updated on: 07/18/2008

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