Employer Group Health Plan (EGHP)
An employer group health plan (EGHP) is health insurance available to individuals through an employer or union. When a beneficiary or their spouse has EGHP coverage based on current employment, Medicare Secondary Payer rules may make the group plan primary.
Definition
An employer group health plan (EGHP) is health insurance available to individuals through an employer or union. When a beneficiary or their spouse has EGHP coverage based on current employment, Medicare Secondary Payer rules may make the group plan primary.
Why it matters
EGHP status can delay the need to enroll in Part B without penalty and determines payer order, so it directly affects billing and enrollment timing.
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