Employer-sponsored retiree plans may be available to retirees who have met the retirement criteria of their former employer and live in the Kaiser Permanente Washington Medicare Advantage service area. These plans may be subsidized by the former employer and typically offer significantly richer benefits than individual marketplace Medicare Advantage plans.
Two examples of large groups offering Kaiser Permanente Medicare Advantage coverage include the Federal Employees Health Benefits (FEHB) Program and the Public Employee Benefits Board (PEBB) Program. Both programs offer Kaiser Permanente Medicare Advantage group retiree plans with low out-of-pocket maximums and cost shares that are usually lower than most individual Medicare Advantage plans. Please note that these plans may also have specific rules about leaving employer-sponsored coverage to enroll in individual Medicare Advantage plans.
If you have clients currently enrolled in an employer-sponsored retiree plan but interested in an individual Medicare Advantage plan: Urge them to reach out to their employer’s benefits administrator. Clients should ask how enrollment might impact their current coverage before submitting their enrollment request for an individual Medicare Advantage plan.