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Getting Started

Group Medicare

Flexible Coverage Options for Retirees and Employees

Group Medicare

What Is Group Medicare Insurance?

Group Medicare Insurance refers to health coverage offered through an employer, union, or association that works alongside or replaces Original Medicare. It can be provided to:

  • Current employees who are Medicare-eligible

  • Retirees through a former employer or union

  • Association members through professional or trade organizations

This type of coverage can come in a few forms, including retiree plans, group Medicare Advantage, and supplemental (Medigap) options.

Eligibility

Who Is Eligible?

You may be eligible for a group Medicare plan if you are:

  • 65 or older and covered by your or your spouse’s employer

  • A retiree receiving benefits from a former employer or union

  • A Medicare-eligible member of a qualifying association or organization

Employers and groups must offer these plans directly—you can’t enroll in them through the individual marketplace.

Plans

Types of Group Medicare Plans

Employer or Retiree Group Plans

  • Offered by a company or union to current or retired employees
  • May act as secondary coverage to Medicare
  • Often include prescription drugs, dental, or vision benefits
  • May reduce overall healthcare costs
 
Employer Group Waiver Plans (EGWPs)
  • A type of Medicare Advantage (Part C) plan for retirees
  • Customized and negotiated by the employer or union
  • Typically includes drug coverage and additional benefits

Association-Based Group Plans

  • Offered through trade associations, chambers of commerce, or professional groups.
  • Often tailored to specific industries or member needs
 

Why it Matters

Why Group Medicare Plans Matter

  • May offer lower premiums and better benefits than individual plans
  • Provides continued support for retirees who want to stay with familiar coverage
  • Simplifies plan choices with coordinated coverage under one umbrella
  • Employers can support their retirees without the administrative burden of traditional benefits

Plans

Employers & HR Professionals: Partner With Us

At Senior Benefits , we work with employers, unions, and organizations to develop cost-effective, easy-to-manage Medicare group solutions.

We provide:

  • Plan education and enrollment support

  • Customized benefit designs

  • Ongoing service for members and HR teams

  • Compliance with CMS and Medicare regulations

Let us help your team plan with confidence.

Medicare FAQ's

Got questions? We've got answers

You are eligible to apply for Medicare during your initial enrollment period which is a 7 month window. 3 months before turning 65, the month you turn 65 and 3 months after turning 65. 

The easiest way to sign up for Medicare is online through SSA.gov or by Calling Social Security at 1-800-772-1213. You can also visit your local Social Security Office.

If you are already receiving Social Security Benefits you will be automatically enrolled into Original Medicare, otherwise you will be eligible to enroll during your initial enrollment period that starts 3 months before your 65th birthday.

If you miss your Initial Enrollment Period you can sign up during the General Enrollment period that occurs every year January 1st through March 31st. Coverage becomes effective the month following your enrollment date.

Yes, there are penalties for not signing up for Part B of Medicare and will be added to your premium.

If you need a new Medicare card you can order a replacement card by phone at 1-800-772-1213, or online at the Social Security Administration web site. Make sure you have your Medicare number ready when you call.