Employer Group Waiver Plans

Current Issues, Evolution & Policy Recommendations

Executive Summary

Employer Group Waiver Plans (EGWPs), also known as employer retiree Medicare Advantage health plans are a type of health plan offered by a public or private employer to its retiree population. There are currently 4.1 million retirees in EGWPs out of nearly 20 million Medicare Advantage beneficiaries. They represent a successful public-private partnership that addresses the health care needs of an important segment of today’s retirees. EGWPs provide flexibility, value, and innovation to move providers towards high-value, high-quality care, improving the health care experience for physicians and their patients.

Fact Sheet

Medicare Advantage Employer Retiree Plans February 8, 2021

Key Facts: Over 3.5 million retirees nationwide, 20% of Medicare Advantage beneficiaries, are in EGWPs. Retiree enrollment continues to grow, nearly doubling since 2010. • Medicare Advantage employer plans provide the following benefits to retirees:…

EGWP

Payment

Letter

Better Medicare Alliance Ally Letter to CMS on Employer Group Waiver Plans (EGWPs) March 6, 2018

As organizations representing thousands of employers that provide Medicare Advantage coverage for enrollees through Employer Group Waiver Plans (EGWPs), we urge you to carefully consider the implications of the changes to the EGWP payment methodology…

EGWP

Letter

Letter to HHS on 2017 Priorities December 9, 2016

Dear Representative Tom Price and Seema Verma: We are writing to introduce Better Medicare Alliance (BMA) and highlight the advocacy work we do to support and strengthen Medicare Advantage on behalf our alliance. Medicare Advantage…