Healthcare Provider Update: Healthcare Provider for Caterpillar: Caterpillar Inc. primarily offers its employees healthcare benefits through various providers, including Blue Cross Blue Shield, Cigna, and UnitedHealthcare. These providers typically offer a range of healthcare plans catering to the diverse needs of Caterpillar's workforce. Potential Healthcare Cost Increases in 2026: As healthcare costs rise, Caterpillar may face significant increases in its healthcare expenditures in 2026. The anticipated uptick in Affordable Care Act (ACA) premiums could lead to an inflationary impact on company-sponsored health plans, with reports suggesting that companies like Caterpillar might see costs soar due to a perfect storm of increasing medical expenses and the potential expiration of enhanced federal premium subsidies. Consequently, the company could experience upwards of 8.5% in healthcare cost increases in 2026, reflecting broader industry trends and putting additional pressure on corporate healthcare budgets. Click here to learn more
'Caterpillar employees should recognize that thoughtful Medicare decisions during annual enrollment can help align health care needs with long-term retirement goals, and taking the time to reassess options is essential,' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'Caterpillar employees who take the time to review their Medicare options during annual enrollment can better align their health care choices with their personal retirement goals,' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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Key Medicare decisions that Caterpillar employees and retirees face during annual enrollment.
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Common reasons to review and change Medicare plans.
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How The Retirement Group can assist with Medicare and retirement planning.
Navigate Medicare Annual Enrollment with Confidence
From October 15 to December 7, Medicare’s Annual Enrollment Period (AEP) allows Caterpillar employees to enroll in, change, or discontinue Medicare Advantage (Part C) or Medicare Part D prescription drug plans. Any updates you make will take effect on January 1 of the following year.
Because Medicare plans may adjust provider networks, prescription drug lists, costs, and coverage every year, Caterpillar retirees should review their benefits during AEP.
Why Reviewing Your Medicare Plan Matters
You may hear recommendations from friends or see Medicare advertisements. What matters most is whether your plan:
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- Includes your preferred doctors, hospitals, and prescriptions
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- Fits your current health and financial needs
If your health situation has changed or costs have risen, it may be time to reassess your plan. AEP gives Caterpillar retirees the opportunity to make adjustments if you are no longer satisfied with your plan.
Common Reasons to Update Medicare Coverage
Caterpillar employees may consider changes if:
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- Your current plan has become too expensive
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- The plan does not support updated medical needs
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- Prescription drug costs have increased
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- Network doctors or specialists are hard to access
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- You want simpler coverage through a Medicare Advantage plan that may combine Parts A, B, and D
Review Annual Notices from Your Plan Provider
Each September, insurers send an Annual Notice of Change (ANOC) outlining updates for the coming year, including changes to costs, provider networks, or prescription coverage. If your plan becomes more restrictive or expensive, consider exploring alternatives during AEP.
Medicare Plan Options
Helpful Medicare Reminders
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- Medicare Part B covers many preventive services, including screenings, vaccines, and yearly wellness visits.
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- Part A covers medically necessary hospital stays, although deductibles and coinsurance may apply.
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- Provider-ordered lab tests are covered by Part B with no cost sharing; Medicare Advantage plans may have plan-specific rules.
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- Medigap changes may require medical underwriting unless you qualify for guaranteed issue rights.
- Medicare provides individual coverage—there are no joint or family plans.
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- A lifetime Part D late enrollment penalty may apply if you go 63+ days without creditable prescription coverage.
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- If no action is taken during AEP, your current plan typically renews for the following year if it remains available.
Need Help Reviewing Your Options?
Making Medicare decisions each year is an important part of retirement planning for Caterpillar employees. Reviewing your plan can help determine if it still supports your health care needs and financial situation.
The Retirement Group can help you review your Medicare and retirement options. Call us at (800) 900-5867 for assistance.
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- Medicare Open Enrollment for Corporate Employees: Cost Changes in 2024!
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- How Are Workers Impacted by Inflation & Rising Interest Rates?
- Lump-Sum vs Annuity and Rising Interest Rates
- Internal Revenue Code Section 409A (Governing Nonqualified Deferred Compensation Plans)
- Corporate Employees: Do NOT Believe These 6 Retirement Myths!
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Sources:
1. Medicare & You 2026. U.S. Department of Health & Human Services, 2025, pp. 62, 70–71, 79–81, 83–85. PDF file.
2. Pugh, Tony, et al. “Medicare Open Enrollment: Compare Plans and Changes.” AARP , updated 2025, www.aarp.org/medicare/open-enrollment-action-plan/ .
3. Fidelity Viewpoints. “Medicare Enrollment: Time to Change Plans?” Fidelity Investments , 1 Oct. 2025, www.fidelity.com/learning-center/personal-finance/retirement/medicare-enrollment-plans .
4. National Council on Aging (NCOA). “ Understanding Medicare's Late Enrollment Penalties .” National Council on Aging , 10 Apr. 2025.
5. Centers for Disease Control and Prevention (CDC). “Adult Vaccination Insurance and Payment Resources.” CDC , 9 Aug. 2024, www.cdc.gov/vaccines-adults/hcp/adult-payment-insurance-resources/index.html .
How does the transition from the Solar Plan to the Caterpillar Inc. Retirement Income Plan impact current or former employees of Caterpillar Inc. in terms of retirement benefits and service credits? Considering both plans' differences, what aspects should employees of Caterpillar Inc. understand to ensure they are maximizing their retirement benefits under this merged structure?
Transition from Solar Plan to Caterpillar Inc. Retirement Income Plan: The transition from the Solar Plan to the Caterpillar Inc. Retirement Income Plan maintained the benefits of those previously covered under the Solar Plan without impact. Both plans allowed the continuation of prior service credits and the incorporation of benefits payable under previous retirement plans. For current or former employees, understanding the nuances of how prior service credits and benefits are integrated can maximize their retirement benefits under the merged structure.
What specific criteria must Caterpillar Inc. employees meet to qualify for early retirement and what implications does this have on their pension benefits? For employees planning early retirement, what calculations or benefit reductions should they be prepared for according to Caterpillar Inc.’s policies?
Criteria for Early Retirement at Caterpillar Inc.: Employees wishing to take early retirement must meet specific age and service requirements detailed in the plan documents. For early retirement, benefits calculations and potential reductions are significant. Employees need to prepare for possible reductions in their pension benefits depending on their age and years of credited service at retirement.
In the context of the Pension Equity Plan (PEP) and the Traditional Pension Plan, how do the benefit calculations differ for employees at Caterpillar Inc., particularly for those who switched from the Traditional Plan to the PEP? What considerations should current Caterpillar Inc. employees take into account when evaluating which plan may offer them more secure benefits?
Differences Between PEP and Traditional Pension Plan: The benefit calculations for the Pension Equity Plan (PEP) and the Traditional Pension Plan differ significantly. PEP calculates a lump sum based on salary and years of service, while the Traditional Plan calculates benefits based on final earnings or credited service formulas. Employees need to consider which plan offers more secure benefits based on their individual career trajectory and earnings history.
What steps must Caterpillar Inc. employees take to ensure that their Credited Service is accurately calculated and maintained throughout their employment, especially in light of the company's policies regarding breaks in service? How might phases of employment, such as parental leave or temporary positions, affect this calculation?
Credited Service Calculation and Maintenance: To ensure accurate credited service calculation, employees must maintain thorough records and communicate any changes in employment status, such as breaks in service or changes in personal information, to the plan administrator. Understanding the rules for service credits during different phases of employment, such as parental leave or temporary positions, is crucial.
How can employees at Caterpillar Inc. file a claim for benefits under the retirement plans, and what are the essential details they need to provide to ensure their claims are processed smoothly? If they encounter issues or denials, what recourse do they have within the Caterpillar Inc. system to appeal these decisions?
Filing a Claim for Benefits: Employees should provide detailed and accurate information when filing a claim for benefits under the retirement plans. If issues or denials occur, they have the right to appeal these decisions. Familiarity with the claims procedure and required documentation can streamline this process.
For employees approaching retirement, what resources are available through Caterpillar Inc. to help them navigate the complexities of their retirement benefits? What steps should an employee take if they wish to understand their benefits better or need assistance with retirement planning?
Resources for Navigating Retirement Benefits: Caterpillar Inc. offers resources to assist employees in navigating the complexities of their retirement benefits. Employees approaching retirement should utilize these resources and may need to engage with the company's human resources or benefits departments for personalized assistance.
What are the implications of the changes to the cash-out limit for de minimis benefits at Caterpillar Inc., which will take effect after December 31, 2023? How does this change affect employees who may have a vested interest in understanding their financial benefit options upon termination or retirement?
Implications of Cash-Out Limit Changes: The increase in the cash-out limit for de minimis benefits affects how small vested benefits are processed upon termination or retirement. Employees with small benefit amounts should understand how these changes may impact their options and tax implications.
How does Caterpillar Inc. ensure that its pension benefits are protected from creditors, and what specific provisions exist to safeguard these benefits? Moreover, how do legal instruments like Qualified Domestic Relations Orders (QDROs) interact with Caterpillar Inc.'s benefits system for employees undergoing divorce?
Protection of Pension Benefits from Creditors: Caterpillar Inc.'s retirement plans are designed with protections to safeguard benefits from creditors, including adherence to Qualified Domestic Relations Orders (QDROs) during instances like divorce. Employees should understand how these legal instruments can affect their retirement savings.
In what ways does the Caterpillar Inc. Retirement Income Plan provide coverage for disability retirement, and how is this benefit calculated for employees? What factors influence eligibility and how do employees initiate claims if they find themselves in need of these benefits?
Disability Retirement Coverage: The plan provides specific provisions for disability retirement, including how benefits are calculated and eligibility criteria. Employees should be aware of how disability affects their benefits and the process for initiating claims if needed.
How can Caterpillar Inc. employees contact the company to learn more about their retirement benefits, and what information should they have ready when making inquiries? Additionally, what specific departments at Caterpillar Inc. should employees reach out to for the most efficient assistance regarding their retirement plan questions?
Contacting the Company for Retirement Benefit Information: Employees can contact the Caterpillar Benefits Center for inquiries about their retirement benefits. Knowing the specific departments to contact for efficient assistance is crucial for addressing concerns and making informed decisions about retirement planning.



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