KFF December 15, 2023
Employer and union-sponsored retiree health plans play an important role in providing supplemental benefits to about a quarter (26%) of all people with Medicare or 15.2 million Medicare beneficiaries. However, the share of employers offering retiree health benefits has been shrinking. Among large employers that offer health benefits to active workers, the share offering retiree health benefits has dropped from 66% in 1988 to 21% in 2023, according to the latest KFF Employer Health Benefits Survey. In 2023, a smaller share of employers offering to active workers, 14 percent, offer retiree health benefits to Medicare-age retirees. Among the declining share of large firms that offer retiree health benefits to Medicare-age retirees, Medicare Advantage has become more popular.
This analysis examines...