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Medicare Advantage Employer Group Waiver Plans: What You Need to Know


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Published on Mar 27, 2017

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Medicare Advantage

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Medicare Advantage employer group waiver plans (EGWPs, pronounced EGG-whips) are customized Medicare Advantage plans developed exclusively for employer and union groups.

The Centers for Medicare & Medicaid Services (CMS) has waived or modified certain Medicare Advantage requirements for EGWPs. That is because CMS has determined that those requirements hinder the design of, the offering of, or the enrollment in employer/ union-sponsored plans. Employers generally use EGWPs to provide supplemental coverage for retirees beyond the standard benefits typically offered by Medicare Advantage plans.