Webinar: Medicare 101 (Wed. Sept. 30, 2020, 10:00 am PT)

Medicare 101 webinar


One generation

An educational introduction to (or refresher) about Medicare and Medicare health plan options Do you feel confused or a bit uneasy about this topic? You’re not alone.

Every person we talk to has some level of confusion or anxiety. There’s lots of terminology that’s used in describing Medicare and Medicare health plans that’s confusing.

To sign up, call 818-705-2345 or email emaeda@onegeneration.org.

See the flyer with full details.

Are you on COBRA?  Are you over 65?  Your coverage may be incomplete.  You may be at risk.

senior woman considering COBRA Coverage

Lately, we have seen a lot of people over 65 being terminated, losing group health insurance, and transitioning onto COBRA.

Is your employer offering to pay for several months of COBRA?  Be careful as this may give you a false sense of security.  Even though your employer is paying for COBRA you may find that your claims are being denied by the insurance carrier when your explanation of benefits arrives.  You do not want a large medical bill when you can least afford to pay it.  Most employers and HR departments are not aware of this exclusion of benefits under COBRA and are providing no guidance.  This change should involve an exploration of Medicare and Medicare health plan options.

There is a potential problem if you do not also sign up for Medicare Parts A and B when you are over 65 and enroll in COBRA. This article was precipitated by a call from a woman experiencing this problem.  I have also had a call from an attorney trying to help one of his clients with this same issue.

COBRA stands for Consolidated Omnibus Budget Reconciliation Act of 1983.  It was designed to extend group health benefits for 18 months (sometimes more) for someone losing group health coverage.  In California we also have CAL-COBRA which covers employers with fewer than 20 employees and can extend benefits for up to 36 months.  You can continue the same coverage after termination under COBRA/CAL-COBRA, but you will pay the full amount of the premiums plus a 2% or 10% service charge.

If your employer has a group plan with 20 or more employees, that plan generally is considered the primary payor and Medicare can be the secondary payor (if you have enrolled in that coverage). We usually suggest that people turning 65 should probably enroll in Part A even if they have a company group policy, because Part A has no cost for most workers (consult with your HR dept.).

There is an issue as to whether people on a group plan with 20 or more employees should enroll in Part B, since the cost is at least $144.60/mo.   There is likely no benefit to Part B enrollment if you are employed. We also tell people that are contributing to an H.S.A. account to not enroll in any part of Medicare.

If you are over 65 and you get terminated from your employment everything changes.  You are no longer part of a group plan and Medicare becomes primary and your COBRA plan is secondary.  So, if you have not already enrolled in Medicare Part A and B you can have a potential claims nightmare.

After termination, your medical claims will be submitted to Medicare, as they are the primary payor.  What?  You did not sign up for Medicare?  Well, you will find out that COBRA will deny payment for any claim that Medicare would have paid if you had signed up for Part A and Part B – which generally is everything.  Medicare is not obligated to pay, since you did not sign up for it.  Who ends up paying the bill?  You.

Some clients have been given verbal assurances by the HR Department of their employer that they do not need to enroll in Medicare, since COBRA will continue to pay as before.  This is bad advice.  If you do not get that guaranteed in writing from the COBRA carrier, do not believe it.  That is not going to happen.

One other potential issue for someone over 65 who enrolls in COBRA:  If you delay enrollment in Medicare you could potentially end up with a late enrollment penalty for Part B or D.  You may also have timing issues with implementation.  Enrolling at actual loss of the group plan is generally more advantageous.

If you are 65+ and on a group of less than 20 employees, you should enroll in Parts A and B unless the group contract specifically states that you are fully covered without being on Medicare.

Confused?  We get it.  Medicare causes confusion in almost everyone we talk to.  That is why we only work on helping people that are Medicare eligible to figure this stuff out.  Paul Davis, Paul Davis Insurance Services 818 888 0880 pdinsure.com

CA license OM47932

See PDF of original article by Paul Davis in Valley Vantage.





AAII Retirement and Investing Group Special Sigs

AAII Investment Group

AAII Retirement and Investing Group
Saturday, January 4 and January 11, 2020, from 9:00 am to Noon
Skirball Center

Getting Ready for a Healthy and Happy Retirement

To celebrate the new year – 2020 – The American Association of Individual Investors (AAII) Los Angeles Retirement Group is presenting a two-part workshop on six vital issues to those preparing to retire or newly retired. The workshops will meet the first two Saturdays of the year, January 4 and 11, from 9:00 am to Noon. Note the early start time. We have a lot to cover. As usual we will be meeting at the Skirball Center.

January 4, we will have experts to discuss:

  • Healthy Relationships and Community Engagement Help You Live Longer
  • Healthy Eating, Exercise and Medication Management – Staying Fit to Enjoy Life
  • Estate Planning – Doing It Right and Avoiding Probate

January 11, we will have experts to discuss:

  • Advance Planning – Going Out in Style
  • Social Security and Making Your Money Last as Long as You Do
  • Medicare and Health Insurance – Get the Right Plan to Stay Healthy

Note Early Start Time: 9:00 am

Open to the Public. $10 donation. Free Parking.

More Info:

Evan Press, CFP(r)

The American Association of Individual Investors is an independent, nonprofit corporation formed for the purpose of assisting individuals in becoming effective managers of their own assets through programs of education, information and research.


The opinions of speakers are their own and not necessarily those of AAII. It is not the policy of AAII or its local chapters and groups, officers or directors to promote any specific investments or techniques of analysis. Presentations are provided solely for informational purposes and should not be construed as solicitations. There are no representations or warranties of any kind, expressed or implied, about the completeness, accuracy, reliability, or suitability of meeting information. Investment information presented may not be appropriate for all investors and should be independently verified.