How long is the period for which Medicare will pay secondary to an Employer Group Health Plan (EGHP)?

Medicare pays secondary to an Employer Group Health Plan (EGHP) for 30 months when the individual is considered to have end-stage renal disease (ESRD) and is covered under a group health plan. This coordination of benefits is particularly designed to allow those with ESRD to receive coverage from their employer's plan for a substantial period before Medicare coverage begins. After the 30-month period, Medicare becomes the primary payer.

In contrast, the other durations mentioned do not relate to the correct coordination of benefits under Medicare for individuals with EGHP. The 18, 24, and 36 month options do not accurately reflect the specific provisions concerning Medicare and EGHP relationships, particularly in the context of individuals with renal issues. Thus, the 30-month time frame is tailored to meet the needs of these patients while aligning with federal guidelines on healthcare coverage.