KFF December 1, 2022

Few employers offer retiree health benefits, and those that do increasingly are turning to Medicare Advantage plans to provide that coverage – a shift that has implications both for retirees and for federal spending, finds a new KFF analysis.

Among the relatively small share of large firms (200 or more workers) that offer retiree health benefits to Medicare-age retirees, half (50%) provide these benefits through a Medicare Advantage plan in 2022, according to the analysis of data from the 2022 KFF Employer Health Benefits Survey. That’s up from 26 percent in 2017.

Under this approach, employers contract with a Medicare Advantage private insurer that provides all Medicare-covered benefits in addition to supplemental benefits, rather than other approaches, such as providing...

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