Can I have COBRA and a Medicare supplement?

Asked by: Shea Paucek  |  Last update: January 10, 2024
Score: 4.9/5 (47 votes)

If you become eligible and enroll in Medicare before COBRA, the good news is that you can have both. Taking COBRA is optional, and depending on your situation, you may or may not want to. If you do decide to take COBRA, do not drop your Medicare plan.

Can you be on Medicare and COBRA at the same time?

If you have COBRA and you're eligible for Medicare, COBRA may only pay a small portion of your medical costs, and you may have to pay most of the costs yourself. Contact your COBRA plan and ask what percent they pay. To avoid unexpected medical bills, you may need to sign up for Medicare right away.

Can you have Medicare Supplement and employer insurance at the same time?

You can keep your employer plan and sign up for Medicare Part A. You can keep your employer plan and sign up for Medicare Part A, and decide if you want to pick up B, D, and/or a Medigap Plan. Most people don't sign up for Parts B and D, because they have a monthly premium.

Who pays first COBRA or Medicare?

I have COBRA continuation coverage (See pages 28–29 )

If you have Medicare because you're 65 or over or because you have a disability other than End-Stage Renal Disease (ESRD), Medicare pays first .

Is COBRA primary or secondary?

Generally, if you are enrolled in both COBRA and Medicare, Medicare will be the primary payer and COBRA coverage will pay second. The secondary payer might not pay all of the uncovered costs.

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Is Medicare always primary over COBRA?

When you're eligible for or entitled to Medicare due to ESRD, COBRA pays first, and Medicare pays second during a coordination period that lasts up to 30 months after you're first eligible for Medicare. After the coordination period ends, Medicare pays first.

Can COBRA be primary over Medicare?

If you get COBRA first and then become eligible for Medicare, when you turn 65, COBRA will cease providing primary insurance coverage to you. Medicare will become primary, and if you can keep COBRA, it will become your secondary insurer.

Is it necessary to have a Medicare supplement?

Medicare supplement plans are optional but could save you big $$$ on doctor bills. Your cost-sharing under Part B is similar. You are responsible for paying your Part B deductible, which is $226 in 2023. Then Part B Medicare only pay 80% of approved services.

How do you determine which insurance is primary and which is secondary?

The insurance that pays first is called the primary payer. The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer. The secondary payer only pays if there are costs the primary insurer didn't cover.

Can I get COBRA if I retire before 65?

Unfortunately, you will have to pay the entire premium yourself, plus an administration fee of up to 2%. COBRA Coverage is limited to 18 months, so if you retire before age 63-1/2, you'll need to eventually find other coverage.

Can you keep Medicare if you have a job?

If you return to work for an employer who offers health insurance, you can take it. You are allowed to have both Medicare and employer coverage, and you can use them together.

Can you go off Medicare and then go back on?

If you are a retiree on Medicare who's rejoining the workforce, be aware that you might have choices when it comes to your health-care coverage. Depending on where you work, you may be able to drop Medicare in favor of an employer health plan and then re-enroll down the road.

Can you have 2 Medicare supplement plans at the same time?

Medicare Advantage (Part C) and Medicare Supplement plans help pay for costs not covered by Original Medicare (Parts A and B). However, they provide 2 different types of coverage, and you can't have both at the same time.

Do I keep my same insurance with COBRA?

Continuity in Coverage

Generally, your coverage under COBRA will be the same coverage you had while you were an employee.

Can you stay on COBRA after getting a new job?

You may stay on COBRA as long as you do not obtain a secondary insurance plan or become covered under your new employer's health insurance. The federal government's COBRA law allows workers to continue on the same plan they had when they working.

Is Medicare going up in 2023?

For 2023, the Part A deductible will be $1,600 per stay, an increase of $44 from 2022. For those people who have not worked long enough to qualify for premium-free Part A, the monthly premium will also rise. The full Part A premium will be $506 a month in 2023, a $7 increase.

Is it better to have Medicare as primary or secondary?

Medicare is most often found to be the secondary insurance provider for beneficiaries who are still in work and receive employer insurance benefits, or in special cases where they have retired but are still covered by their former employer as part of ongoing lifetime benefits.

How does it work when you have 2 insurances?

Secondary insurance: once your primary insurance has paid its share, the remaining bill goes to your “secondary” insurance, if you have more than one health plan. Your secondary insurance may cover part or all of the remaining cost.

Can you use secondary insurance instead of primary?

You don't get to choose which insurer will pay a certain claim. However, if the first insurer doesn't cover a certain treatment, or covers it only partially, you can then submit the remainder of the claim to your secondary insurer for payment, assuming the treatment is covered under the second plan.

Why is it not always a good idea to have supplemental insurance?

For example, it may not cover all the expenses you expected it to, it may impose waiting periods before payments start, or it may contain limits based on how much you paid and for how long. It is important to understand that supplemental insurance is not regulated by the Affordable Care Act.

Can I be turned down for a Medicare Supplement?

If you don't purchase one during your Medigap open enrollment, then insurance companies can choose to reject you for essentially any reason. The exception to this would be if you experience a qualifying event or a special circumstance that is specified under Medigap protections.

Why would someone choose a Medicare Supplement plan A?

Medigap coverage may be right for you if: You are seeking treatment or care when traveling out of state. You want to seek treatment from a Medicare-approved provider of your choice. You want help paying for the healthcare costs Original Medicare doesn't cover, like deductibles, copayments, and coinsurance.

Does COBRA count as creditable coverage for Medicare?

It is important to know that COBRA is not considered creditable coverage for Medicare Part A and Part B. If you lose your employer-sponsored health plan and sign up for COBRA, and are eligible for Medicare but don't sign up, you will face Medicare late enrollment penalties if you want Medicare coverage in the future.

Are you automatically covered by COBRA?

To be eligible for COBRA coverage, you must have been enrolled in your employer's health plan when you worked and the health plan must continue to be in effect for active employees.

What does COBRA status allow you to do?

The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, ...