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Retiring or Leaving Employer Coverage?

Moving from employer coverage to Medicare involves more than simply picking a plan. Timing matters. Understanding when your current coverage ends, when Medicare should begin, and what choices come next can help you avoid unnecessary coverage gaps or late-enrollment issues.

Medicare Compass

Understand Your Timing

Start with the dates. When will your employer coverage end? Are you already enrolled in Medicare Part A? Will you need Part B? Your Medicare enrollment timing can depend on your circumstances and the type of employer coverage you have.

​Know What Changes

​Leaving employer coverage may change how you receive medical and prescription drug coverage. Provider networks, premiums, deductibles, copays, prescription coverage and dependent or spouse coverage may all need to be considered.

Choose Your Next Direction

​Once you understand your timing and what is changing, learn about the Medicare coverage paths available to you—including Original Medicare, Medicare Advantage, Medicare Supplement insurance and prescription drug coverage. The goal isn't to start with a plan. It's to understand your choices first.

Things Worth Knowing

  • COBRA and retiree coverage are not necessarily treated the same as active employer coverage for Medicare enrollment purposes.

  • Employer size and the type of coverage you have can affect how Medicare coordinates with employer coverage.

  • Losing employer coverage may provide a Special Enrollment Period, depending on your circumstances.

  • Prescription drug coverage should be reviewed to determine whether it is considered creditable coverage.

  • If a spouse or dependent is covered through your employer plan, understand what happens to their coverage when you retire.

  • Medicare enrollment rules and timing vary by circumstance; verify important dates with official Medicare and Social Security information.

Still Have Questions?

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