To determine that for a recent referral, we sat down and review the benefits and cost of benefits under the spouse’s employer insurance vs. going fully onto a Medicare Supplement and stand-alone drug plan or onto a Medicare Advantage HMO plan. What would be a constant in either case would be enrolling onto Part A as well as Part B, which has a premium. If an individual is not working and is turning age 65, the individual cannot defer Part B. If s/he does, then they will be assessed at 10% penalty onto their Part B premium in perpetuity when they are allowed to enroll.
In this couple’s case, based on the benefits provided as well as their cost under the employer plan, it made sense to remain on the employer plan and delay making the “leap” onto one of the Medicare insurance options.