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re: Employer provided retirement healthcare coverage

Posted on 6/6/25 at 12:13 pm to
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 12:13 pm to
quote:

Thats because if they went on Medicare their health care coverage would cost more and maynot be as good.

Curious, how much do you think they would pay if they went on Medicare?


Not true. Medicare A & B costs a fraction of the premium for a 74 year old remaining on a companies employer sponsored group health plan and Medicare's coverage is far superior. Most of of my business owner clients simply pay the 185.00 Medicare premium for their employees over the age of 65.
This post was edited on 6/6/25 at 12:17 pm
Posted by Pecos Pedro
Member since Nov 2024
31 posts
Posted on 6/6/25 at 12:36 pm to
quote:

Why would a company provide (or would the OP expect) a company to provide healthcare to a person who doesn't work there


It probably used to be more common 20+ years ago.

I know that federal employees have the option to continue their health coverage after they retire, some even keep it after they become Medicare eligible because the premiums are lower than a Medicare Supplement or they are raising grandkids or whatever.

State employees probably have the same option since many/most can retire after 20-25 years of employment.

I think there are still some mining companies that offer this benefit as well.

Not common anymore but still exists in some sectors.
Posted by Tiger in the Sticks
Back in the Boot
Member since Jan 2007
1633 posts
Posted on 6/6/25 at 12:42 pm to
My company doesn’t offer it to new hires any more, but I’m grandfathered in and will have coverage. It’s expensive, though, so I will likely wait until 65. Will also lose 1/2 of my life insurance, which is currently 2 x annual income,
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30327 posts
Posted on 6/6/25 at 12:44 pm to
I see you don't know very much about Medicare.

What do you get for the 185 dollars a month compared to what you get from an employer plan?
This post was edited on 6/6/25 at 12:47 pm
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 12:48 pm to
quote:

I see you don't know very much about Medicare.


Lol, after 35 years as health insurance broker with a large Medicare practice I think I just might know a thing or two.
Posted by VABuckeye
NOVA
Member since Dec 2007
37691 posts
Posted on 6/6/25 at 12:49 pm to
quote:

Most of of my business owner clients simply pay the 185.00 Medicare premium for their employees over the age of 65.


Plus supplemental which take sthe bill to about $300 a month? At the very least a retiree should have at least the basic supplemental.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30327 posts
Posted on 6/6/25 at 12:54 pm to
quote:

Lol, after 35 years as health insurance broker with a large Medicare practice I think I just might know a thing or two.


You should be ashamed to admit your ignorance.

Again what coverage do you for only having Part A and Part B and how is that better than a plan that is offered by and employer.
This post was edited on 6/6/25 at 12:55 pm
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 12:55 pm to
Medicare supplement premiums vary based on location and gender. 707 & 708 zipcodes are $90-$124 per month at age 65. Keep in mind that with Medicare A&B plus the supplement the max annual out of pocket in 2025 is $257
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30327 posts
Posted on 6/6/25 at 12:57 pm to
What about Part D which can get very pricey if you are taking a lot of medications.
Posted by VABuckeye
NOVA
Member since Dec 2007
37691 posts
Posted on 6/6/25 at 1:04 pm to
There's also a little loophole that allows the premium to be deductible. My wife is on Medicare but has kept her (very) small bookkeeping business open. She is able to deduct her premiums as a business expense as long as she keeps the business producing income.
Posted by dyslexiateechur
Louisiana
Member since Jan 2009
34530 posts
Posted on 6/6/25 at 1:06 pm to
I thought everyone knew companies don’t pay your insurance after you retire. I don’t even think federal or state does?
Posted by VABuckeye
NOVA
Member since Dec 2007
37691 posts
Posted on 6/6/25 at 1:09 pm to
Yep, me too.
Posted by Lsukinesalum2001
Member since Sep 2022
47 posts
Posted on 6/6/25 at 1:13 pm to
quote:

But I would assume that a reduced retirement income would qualify you for a plan on the Obamacare exchanges and a tax credit for coverage depending on how much retirement you are collecting.


Yes that is correct. A strategy many who have planned well in advance to retire early use. Stockpile cash and/or draw from Roth non-taxable accounts so you can claim low income and qualify for cheap health insurance on the exchange until you reach Medicare age.
Posted by Ryan3232
Valet driver for TD staff
Member since Dec 2008
26906 posts
Posted on 6/6/25 at 1:13 pm to
quote:

My employer does not offer. Was talking to other co workers and was amazed about how many did know that this was the case. Is this common? Both questions, employers offering and employees not understanding that they basically have to work till 65/medicare to continue having healthcare.
You can get an ACA plan until 65. It will cost between $10,000-$15,000 for the year however.

Another option is getting a part time job making like 20k and you get a fully subsidized health plan.
This post was edited on 6/6/25 at 1:14 pm
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 1:20 pm to
quote:

What about Part D which can get very pricey if you are taking a lot of medications.


During the previous Part D open enrollement, October 15th to Pear Harbor Day I ran a little over 500 Part D drug plan evaluations across about 22 states. Througout the rest of the year I run another 200-250.
In Louisiana roughly 95% of my client evals showed that the best plan for them had "Zero" premium. Around 4% needed a plan that had a monthly premium of 10.60 and a handfull of clients with really unusual prescription drug utilization needed a plan that is around 30.00 per month.
Also, with almost every client there will be some prescriptions that are far less expensive NOT using the Part D plan but rather buying in bulk using coupons like GoodRx and Singlecare
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 1:30 pm to
quote:

There's also a little loophole that allows the premium to be deductible. My wife is on Medicare but has kept her (very) small bookkeeping business open. She is able to deduct her premiums as a business expense as long as she keeps the business producing income.


Yes, and they are considered a Qualified Medical Expence so the amount may be paid out of a HSA (Health Savings Account) totally tax free.
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 1:41 pm to
quote:

Yes that is correct. A strategy many who have planned well in advance to retire early use. Stockpile cash and/or draw from Roth non-taxable accounts so you can claim low income and qualify for cheap health insurance on the exchange until you reach Medicare age.


Yes....and something most folks don't understand is that with lower incomes you qualify not only for a premium subsidy but also CSR's aka Cost Sharing Reductions which means that in addition to funds to pay your premiums your plans out of pocket costs, Co-pays, Deductibles, Co-insurance are reduced to almost nothing in some cases. The more people in your household the more income you are allowed and still recieve a subsidy and CSR
This post was edited on 6/6/25 at 2:07 pm
Posted by Colonel Angus
Member since Aug 2007
1914 posts
Posted on 6/6/25 at 2:01 pm to
quote:

Thats because if they went on Medicare their health care coverage would cost more and maynot be as good.


False. They are each paying $396/month out of their paychecks to stay on our health plan. Not to mention the deductible of $2,000 they have to meet before the HDHP takes over. No way Medicare is that much.
Posted by Disco Ball
Denham Springs
Member since May 2025
66 posts
Posted on 6/6/25 at 2:15 pm to
quote:

False. They are each paying $396/month out of their paychecks to stay on our health plan. Not to mention the deductible of $2,000 they have to meet before the HDHP takes over. No way Medicare is that much.


You are correct and another consideration is that Medicare A&B is geared more toward the care someone older will need i.e DME (Durable Medical Equipment) Home health care, Home Modifications etc. Sadly most employer sponsored health plans are no longer real health insurance contracts but rather HMO's which offer very limiited amounts of this type of care.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
30327 posts
Posted on 6/6/25 at 2:17 pm to
Part B Premium is $185.00 a month. How much would a Suppliment cost them since they are in there seventies and would they even qualify for a Suppliment Plan? They could get an Avantage Plan for less but are their Doctors in that Network? Will their Doctors stay in the Network? How healthy are they?

They may be much better off on the employer plan.
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