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Other Health Insurance

Employer Group Health Insurance Plan (EGHP)

If you receive employer group health insurance, you may not need to enroll in a Medicare Part D plan. Learn more about how your current coverage works with Medicare.

If your retiree employer group health insurance plan (EGHP) coverage includes prescription drug coverage that is as good as or better than Medicare Part D plan, you just need to enroll in Medicare Parts A and B prior to your 65th birthday. If your EGHP does not include prescription drug coverage, you will need to enroll in a Medicare Part D plan.

It’s important to understand how your current coverage works with Medicare before making any decisions.  SHIIP–SMP can help you compare your employer retiree coverage to other options. 

If you or your spouse are still working, review our Getting Ready to Retire factsheet for more information on your options.