Salesforce Employees: Navigating the Essentials of Medicare Advantage Plans for Your Retirement Health Needs

Healthcare Provider Update: Healthcare Provider for Salesforce: Salesforce employees typically navigate their health benefits through various providers, depending on their specific plan choices. The primary healthcare coverage options often include large national insurers such as UnitedHealthcare, Anthem, and Aetna, which facilitate a range of services for employees. Potential Healthcare Cost Increases in 2026: In 2026, Salesforce employees are likely to face significant healthcare cost increases as a perfect storm of factors converge. Premium rates for ACA marketplace plans are anticipated to surge, with some states experiencing increases of over 60%. This escalation is driven by rising medical costs, particularly for high-priced medications, alongside the potential expiration of enhanced federal premium subsidies. As a result, many employees could see their out-of-pocket expenses skyrocket, forcing them to reassess their healthcare options and budget for the financial impact ahead. Click here to learn more

Medicare Advantage, sometimes known as “Part C,” is something of a catch-all choice for Salesforce employees who are ready to sign up for Medicare. Medicare Advantage plans are offered by private insurers in conjunction with the Medicare program and can provide you with additional health insurance coverage.

What’s in them?
In addition to signing up for Medicare Part A (hospital stays) and Part B (medical coverage), Medicare Advantage plans offer their subscribers extra features. This frequently, but not always, includes the Medicare Part D prescription drug plan. In some cases, Medicare Advantage plans offer coverage for areas not normally offered within regular Medicare plans. This can include dental, hearing, and vision insurance.

What are the rules?
Medicare pays for a fixed amount of your health care to Salesforce offering your Medicare Advantage (MA) plan. Beyond that, each MA plan requires different out-of-pocket fees. Those fees can vary from plan to plan. Depending on your plan, you may have different rules you need to follow when seeking a medical referral to get treatment from a specialist or if you are seeking non-urgent care (even from health care providers within the plan). It’s also important to remember that rules, requirements, and features may change from year to year. It will be important to make sure that those changes line up with any treatment that you need.

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What about my prescriptions?
While most MA plans offer Part D coverage for prescription drugs, some don’t. One example would be Medicare Medical Savings Account plans. In cases where the plan can’t or chooses not to offer prescription drug coverage, you may have the ability to join a separate Medicare Prescription Drug Plan, depending on the type of plan you enroll in. You will likely have a number of questions and concerns as you examine your options for Medicare Advantage plans. Discuss these with a trusted financial professional who can help you make choices that may best fit your lifestyle.

1. Medicare.gov, 2022