WHEN IT COMES TO MEDICARE, WHO PAYS FIRST?
Understanding Medicare typically isn’t a hot bucket list item, and for good reason – it’s complex, lengthy and dry. Trying to make sense of Medicare laws can be overwhelming for both individuals and businesses. When an employee or dependent is enrolled in a group plan and Medicare, the rules for who is responsible to cover that individual’s medical bills first can be confusing. We’ve laid out a few scenarios to make it a little easier to understand when the employer’s group plan is responsible for paying first and when Medicare takes on the role of primary payor.
COBRA & MEDICARE: DO THEY WORK TOGETHER?
COBRA provides temporary continuation of health benefits at group rates for qualifying individuals and their dependents if coverage is lost based on a specific qualifying event. If you qualify for Medicare coverage based on age and are also eligible for COBRA, whether you can have both COBRA and Medicare coverage will depend on which coverage you have first.
How Does The ACA Impact COBRA?
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows individuals and their dependents to maintain their employer or group healthcare coverage after a certain qualifying event has occurred, like termination of employment or reduction in work hours, for a set period of time. However, there are other available health plan options to choose from, which may work better for you.
What Are My Options After My COBRA Health Plan Ends?
If you have lost your group health insurance because of job loss or reduction of work hours, death, or divorce, then you have probably heard of COBRA. While COBRA continues your group health coverage, it only lasts for a limited time. Learn more about your options for healthcare coverage after COBRA ends to understand what is right for you.
RedQuote Joins The Employee Navigator Marketplace
RedQuote is now participating in the Employee Navigator Marketplace, bringing even more convenience to clients.
How Does Cobra Work?
Many people never hear of COBRA coverage until they qualify to receive it, and even for those who have heard the term, they often don’t understand what it means or how this form of healthcare works.
What Happens if My COBRA Payment is Late?
The election notice for COBRA continuation coverage of your group health plan contains all the pertinent information you need regarding payments: how much you will have to pay, when payment is due, and what happens if a payment is late. The plan is required to detail the fixed cost of the plan for each 12 month cycle.
Can I Get COBRA on My Spouse's Health Plan After Their Death?
your spouse has passed away, and you are listed as a beneficiary of his or her healthcare plan, then under the law you have a right to continue receiving healthcare with your spouse’s health plan. The Consolidate Omnibus Budget Reconciliation Act of 1985 gives individuals the right to continue their group health insurance if coverage is lost due to a specific qualifying event.
Can I Get COBRA on My Spouse's Health Plan After a Divorce
According to the CDC, nearly 4 marriages out of every 1000 end in divorce. If you have unfortunately found yourself in that category, and are covered under your former spouse’s group insurance plan, the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 gives you the right to continue your healthcare coverage.
I Just Went On Disability - What Are My Health Coverage Options?
Becoming disabled can be a life changing event. You have many health coverage questions, with some answers better than others. If you become disabled while on COBRA coverage, or are already disabled when you become qualified for COBRA coverage, you should be aware of your options.