February 23, 2018

   

 

 


In This Issue
Fast Facts
Trump Administration Releases Guidance on Short-Term Limited Duration Insurance
Capitol Conference 2018 — Shaping Healthcare's Future through Advocacy
Compliance Cornered: Medicare and COBRA Can Cause Confusion
Washington Update Podcast: Capitol Conference Know Before You Go
Register Now for Next Month’s Compliance Corner Webinar: Managing Leave of Absence, Disability Accommodation and Benefits Continuation
HUPAC Roundup
What We're Reading
Tools
E-mail the Editor
Visit the NAHU Website
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Compliance Cornered: Medicare and COBRA Can Cause Confusion

Head over to the Compliance Cornered blog to check out our latest post: Medicare and COBRA Can Cause Confusion. Employees – and their employers – are often confused when the employee who is Medicare-eligible retires. Some employees want to continue their coverage under COBRA because they’ve met their deductible for the year or simply because they’re familiar with the employer plan in which they were enrolled while working.

 

But making the decision to take COBRA can have unforeseen consequences. COBRA is not creditable coverage for Medicare Part B. An employee who goes on COBRA rather than enrolling in Medicare is not eligible for a Special Enrollment Period for Medicare Part B when COBRA ends. COBRA is not considered “coverage based on current employment.” Someone in this situation will face the Part B late-enrollment penalty of 10% per year for life.

 

Employees may not realize that the rules for COBRA are different when it comes to Medicare Part DAs such, if an employee researches how COBRA interacts with Medicare Part D, they’ll find that COBRA may be creditable coverage for Medicare Part D, prescription drug coverage. In the case of Medicare Part D, a person will have a Special Enrollment Period to join a Medicare drug plan without paying a penalty when COBRA coverage ends.

 

So COBRA is not creditable coverage for Medicare Part B, but it is creditable coverage for Medicare Part D. No wonder there’s confusion.

 

NAHU has been working with congressional leaders on a legislative fix to the Medicare Part B problem. Legislation that would make COBRA coverage creditable for Medicare Part B is expected to be introduced in the next weeks.

 

A knowledgeable insurance broker can help navigate these tricky transitions from work to retirement. Also, the website and book Medicare & You from the Centers for Medicare & Medicaid Services is an excellent resource. The book is updated annually and covers a wide variety of Medicare-related information including enrollment, benefits and the like. 

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