Medicare

Medicare is a federal health insurance program in the United States that provides coverage to people who are 65 years or older, younger people with certain disabilities, and people with End-Stage Renal Disease (ESRD). Here are some key features of Medicare:

• Eligibility: People who are 65 years or older, younger people with certain disabilities, and people with End-Stage Renal Disease (ESRD) are eligible for Medicare.

• Coverage: Medicare has four parts - Part A, Part B, Part C, and Part D. Part A provides coverage for inpatient hospital care, skilled nursing facility care, hospice care, and home health care. Part B provides coverage for doctor's services, outpatient care, preventive services, and medical equipment. Part C, also known as Medicare Advantage, is an alternative to Original Medicare (Part A and Part B) and provides additional benefits. Part D provides prescription drug coverage.

• Costs: Medicare beneficiaries are required to pay certain costs such as premiums, deductibles, and coinsurance.

• Enrollment: People are automatically enrolled in Medicare Part A and Part B if they are receiving Social Security or Railroad Retirement Board benefits. People who are not receiving these benefits need to enroll in Medicare during the Initial Enrollment Period.

• Supplemental coverage: Some people choose to purchase supplemental insurance, also known as Medigap, to cover the costs that Medicare does not pay for.

• Providers: Medicare beneficiaries can choose to receive care from any provider who accepts Medicare.

• Prescription drug coverage: Medicare Part D provides prescription drug coverage, and beneficiaries can enroll in a Part D plan during the Annual Enrollment Period.

Next Up

This month, Catalyst makes prospecting and outreach easier with AI-powered email creation, more powerful search filters, improved industry and Workers' Comp data, broader access to Mployer data through AI assistants, and improvements to Advanced Analytics.
According to Mployer Insights’ 2026 analysis of 76,000+ employer benefit plans, basic group life insurance achieves near-universal participation with an 83% employer offer rate and a 97% employee enrollment rate, driven by the fact that 96% of basic plans are noncontributory (100% employer-paid). While 47% of employers structure life insurance as a variable multiple of earnings—with 1x salary serving as the dominant national standard (62% of multiple-based plans)—flat-dollar benefit options vary widely from $8,500 (10th percentile) to $48,793 (90th percentile). Additionally, 92% of employers offer employee-paid voluntary life insurance to allow workers to bridge the gap toward the recommended 10–12x salary coverage target.
According to Mployer Insights’ 2026 analysis of 76,000+ employer benefit plans, disability insurance remains a major market differentiator, with only 41% of U.S. employers offering short-term disability (STD) and 38% offering long-term disability (LTD). While 60% salary replacement serves as the national standard across both benefit types, standard plan designs disproportionately expose higher earners due to median benefit caps of $1,602/week for STD and $8,273/month for LTD. Furthermore, alignment between STD benefit durations (median 26 weeks) and LTD elimination periods (68% at 90 days) remains a critical area for plan structure optimization.