Understanding Medicare: Key Questions

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Key questions for employers regarding Medicare & group health plans.

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Wednesday Wisdom

United States

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Understanding Medicare: Key QuestionsOnline version Key questions for employers regarding Medicare & group health plans. by Wednesday Wisdom 1 How does Medicare interact with employer-sponsored group health plans? a Medicare always pays first, regardless of employer size. b The group health plan always pays first for anyone over 65. c Medicare pays first only for active employees over 65 if they choose to enroll. d For employers with 20+ employees, the group health plan pays first for active employees over 65. 2 Can employers encourage employees to use Medicare instead of group health plans? a Yes, but only if the employee is over 70. b No, employers must offer equal benefits and cannot incentivize Medicare enrollment. c Yes, employers can offer post-tax incentives for employees to drop employer coverage. d No, unless the employee is already enrolled in Medicare. 3 How do COBRA and Medicare coordinate? a COBRA can end early if Medicare enrollment occurs after COBRA election. b Enrolling in Medicare after COBRA has no impact on COBRA coverage. c Enrolling in Medicare before COBRA disqualifies you from COBRA. d COBRA extends Medicare’s Special Enrollment Period. 4 What should employees know about Medicare enrollment periods? a COBRA extends the Special Enrollment Period by 8 months. b The General Enrollment Period begins in October. c There are only two enrollment periods: Initial and General. d The Special Enrollment Period does not extend due to COBRA. 5 How does Medicare affect HSA eligibility? a Turning 65 automatically disqualifies a person from HSA contributions. b You can keep contributing to an HSA after enrolling in Medicare. c Enrolling in Medicare disqualifies a person from contributing to an HSA. d Medicare enrollment has no impact on HSA usage or contributions. 6 How does Medicare affect FSA eligibility? a Medicare enrollment does not impact FSA eligibility. b Medicare-eligible employees cannot have FSAs. c Medicare enrolled individuals may only have a limited purpose FSA. d FSAs are only allowed before age 65. 7 What is the significance of the Medicare Part D Creditable Coverage Notice? a It informs employees about changes to Medicare premiums. b It helps employees understand retirement plan options. c It lets employees know if their employer's prescription coverage is creditable, and helps avoid Part D late enrollment penalties d It is only required for retirees enrolled in Medicare.

Understanding Medicare: Key QuestionsOnline version

Key questions for employers regarding Medicare & group health plans.

by Wednesday Wisdom

How does Medicare interact with employer-sponsored group health plans?

Medicare always pays first, regardless of employer size.

The group health plan always pays first for anyone over 65.

Medicare pays first only for active employees over 65 if they choose to enroll.

For employers with 20+ employees, the group health plan pays first for active employees over 65.

Can employers encourage employees to use Medicare instead of group health plans?

Yes, but only if the employee is over 70.

No, employers must offer equal benefits and cannot incentivize Medicare enrollment.

Yes, employers can offer post-tax incentives for employees to drop employer coverage.

No, unless the employee is already enrolled in Medicare.

How do COBRA and Medicare coordinate?

COBRA can end early if Medicare enrollment occurs after COBRA election.

Enrolling in Medicare after COBRA has no impact on COBRA coverage.

Enrolling in Medicare before COBRA disqualifies you from COBRA.

COBRA extends Medicare’s Special Enrollment Period.

What should employees know about Medicare enrollment periods?

COBRA extends the Special Enrollment Period by 8 months.

The General Enrollment Period begins in October.

There are only two enrollment periods: Initial and General.

The Special Enrollment Period does not extend due to COBRA.

How does Medicare affect HSA eligibility?

Turning 65 automatically disqualifies a person from HSA contributions.

You can keep contributing to an HSA after enrolling in Medicare.

Enrolling in Medicare disqualifies a person from contributing to an HSA.

Medicare enrollment has no impact on HSA usage or contributions.

How does Medicare affect FSA eligibility?

Medicare enrollment does not impact FSA eligibility.

Medicare-eligible employees cannot have FSAs.

Medicare enrolled individuals may only have a limited purpose FSA.

FSAs are only allowed before age 65.

What is the significance of the Medicare Part D Creditable Coverage Notice?

It informs employees about changes to Medicare premiums.

It helps employees understand retirement plan options.

It lets employees know if their employer's prescription coverage is creditable, and helps avoid Part D late enrollment penalties

It is only required for retirees enrolled in Medicare.

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Understanding Medicare: Key Questions

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About this activity

Created by

Download the paper version to play

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Understanding Medicare: Key QuestionsOnline version

by Wednesday Wisdom

How does Medicare interact with employer-sponsored group health plans?

Can employers encourage employees to use Medicare instead of group health plans?

How do COBRA and Medicare coordinate?

What should employees know about Medicare enrollment periods?

How does Medicare affect HSA eligibility?

How does Medicare affect FSA eligibility?

What is the significance of the Medicare Part D Creditable Coverage Notice?

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