If you’re turning 65 and already have group health insurance, you might wonder whether switching to Medicare Advantage is worth it. In 2025, Medicare Advantage plans are more popular than ever, offering benefits like dental, vision, and hearing coverage that many employer plans don’t provide.
At Skyline Benefit, we’re here to help you understand how Medicare Advantage and group health insurance work together. Whether you’re deciding to enroll, delay, or transition entirely to Medicare Advantage Plan, our experts are ready to guide you every step of the way.
What Is Medicare Advantage, and How Does It Work with Group Health Insurance?
Medicare Advantage (Part C) plans are private alternatives to Original Medicare. They offer Part A (hospital) and Part B (medical) coverage. They often include Part D (prescription drug coverage) and extras like dental, vision, and hearing benefits.
If you have group health insurance, you may not need to enroll in Medicare Advantage right away. However, Medicare Advantage could provide better cost savings and more comprehensive benefits than your current plan. At Skyline Benefit, we can help you compare your options to find the best fit for your needs.
Should You Choose Medicare Advantage If You Work for a Large Employer?
If your employer has 20 or more employees, their health insurance is considered primary. This means:
- You can delay enrolling in Medicare Part B or Medicare Advantage without penalties.
- You can choose Medicare Advantage later when you leave the job or lose coverage.
Is Medicare Advantage a Good Choice for Small Employers?
For companies with fewer than 20 employees, Medicare becomes the primary payer once you turn 65. In this case:
- You should enroll in Medicare Part A and Part B to avoid penalties.
- Consider Medicare Advantage to replace or complement your employer plan, as it provides capped out-of-pocket costs and additional benefits.
How Does COBRA Coverage Affect Medicare Advantage?
If you’re using COBRA after leaving a job, be aware:
- COBRA is not considered creditable coverage for Medicare.
- Enroll in Medicare Advantage to avoid late enrollment penalties and ensure continuous coverage.
Key Benefits of Medicare Advantage in 2025
- Low Premiums: Many plans have $0 premiums, with the average cost being $17/month in 2025.
- Extra Benefits: Coverage for dental, vision, hearing, and wellness programs.
- Out-of-Pocket Caps: Unlike Original Medicare, Advantage plans limit your out-of-pocket expenses.
How to Switch to Medicare Advantage from Group Health Insurance
- Check Your Coverage: Determine whether your employer’s health plan qualifies as creditable coverage.
- Compare Plans: Look for Medicare Advantage plans that offer better benefits or lower costs than your employer plan.
- Enroll Online: Apply for Original Medicare at Social Security, then select a Medicare Advantage plan during the enrollment period.
Need help? Skyline Benefit offers personalized support to make the process simple and stress-free.
Why Choose Skyline Benefit for Medicare Advantage and Employer Health Insurance Advice?
At Skyline Benefit, we specialize in helping individuals smoothly transition from group health insurance to Medicare Advantage plans. Our team will guide you through enrollment, compare plan options, and ensure you get the coverage you need.
Need help switching from group health insurance to Medicare Advantage Plan?
Skyline Benefit is an independent Medicare insurance broker that offers affordable and flexible Medicare Advantage options.
Make the switch from employer health insurance to Medicare Advantage with confidence.
Schedule a consultation today. Call us at: (714) 888-5112.