Self Employed Age-in with Group Insurance

[cbro13]

I am meeting with a woman who is aging in to medicare. Her Husband is a Dentist, she works for the practice and she is covered under his group policy. They have 22 employees and currently have a HSA.
I do not sell group only individual MA and Med Sups. My question is this....Am I wasting my time trying to sell this woman an indiviual policy? Can anyone help me. Is there an upside to her going with a MA or Med Sup as opposed to staying with her group plan? I am selling in New York.

Thanks!

 

[somarco]

Group will be primary, Medicare secondary.

She can probably come out ahead moving off the group plan (assuming she is a dependent) and picking up Medicare + Medigap or MA plan.

Run the numbers & compare.

 

[TheInsuranceChic]

I concur with Somarco, esspecially with an HDHP/HSA.

 

[Josh]

There is an extremely good chance you could save her a ton by putting her on a plan F + PDP, let alone an MA-PD. The rate for her on the group plan is probably at least $500/month if not closer to $1k/month (depending on plan and what part of NY), so that's what you're competing against:
Her current plan @ most likely $500/month+ vs the MA and Supps you carry. It should be a no brainer, especially if they can always add her back during the enrollment period.

 

[ABC]

I don't think you are wasting your time.
The savings in premium will be huge. Also there is really no point for her to stay on the group. The MA coverage will be more 1st dollar benefit than the HSA.

 

[leevena]

I agree with everyone above, but would add one idea to consider. Assuming that the HSA is for her and husband (no kids), the amount that can be contributed will be decreased. Are they using the HSA as a secondary retirment fund?

 

[DS4]

If the husband[Dentist] waivers her off the group, and, you enroll her in a med supp, Medicare will then be primary.
Upon intial enrollment in Medicare, everyone is sent by CMS an Initial Enrollment Questionnaire [IEQ]. If this questionnaire is not completed correctly, Medicare will not pay as primary.
I agree with everyone else, put her on a med supp plan F/ PDP.