Medicare Blog

65 in january what do i need to know about medicare

by Rosalind Cassin Published 2 years ago Updated 1 year ago
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If you are already receiving Social Security benefits when you turn 65, the Social Security Administration will automatically enroll you in parts A and B of Medicare. (Part A covers hospitalization.) You can opt out of Part B, for example if you have health insurance through an employer or other source.

What else do I need to know? Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you sign up for Medicare, stop your Marketplace coverage so it ends when your Medicare coverage starts.

Full Answer

How does Medicare work when you turn 65?

  • Your job-based insurance pays first, and Medicare pays second.
  • If you don’t have to pay a premium for Part A, you can choose to sign up when you turn 65 (or anytime later).
  • You can wait until you stop working (or lose your health insurance, if that happens first) to sign up for Part B, and you won’t pay a late enrollment penalty.

Is Medicare mandatory when you turn 65?

Technically, it is not mandatory to sign up for Medicare at 65 or at any age, for that matter. But it’s important to consider the situations in which you might decide not to enroll in Medicare at 65 so that you can make sure not to have any lapse in health insurance coverage or face a Medicate late enrollment penalty.

How to enroll in Medicare if you are turning 65?

  • You have no other health insurance
  • You have health insurance that you bought yourself (not provided by an employer)
  • You have retiree benefits from a former employer (your own or your spouse’s)
  • You have COBRA coverage that extends the insurance you or your spouse received from an employer while working

More items...

Will I be automatically enrolled in Medicare at 65?

Unless you have already been receiving benefits from Social Security or the Railroad Retirement Board at least four months before you turn 65, you will not be automatically enrolled in Medicare when you turn 65. You will need to sign up for Medicare yourself by applying with Social Security.

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Are you automatically signed up for Medicare when you turn 65?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

How many months before your 65th birthday should you apply for Medicare?

3 monthsGenerally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application.

Do I need to contact Social Security when I turn 65?

Is it automatic when I turn 65? To enroll in Medicare, most people need to contact Social Security directly. Do this before your 65th birthday to avoid a lapse in health coverage.

What day of the month does Medicare start when you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

How close to my 65th birthday should I apply for Medicare?

Q: When is the best time to enroll in Medicare? A: The best time to enroll is during the open enrollment window around your 65th birthday – preferably in the three months before the month you turn 65, so that you'll have Medicare coverage by the time you turn 65.

What to apply for when you turn 65?

If you are not receiving your Social Security benefits when you turn 65, you will need to apply for Original Medicare (Part A and Part B) three months before you turn 65.

What do I need to know when I turn 65?

7 Things You Should Do When You Turn 65Weigh the Pros and Cons of Working. ... Get to Know Medicare. ... Learn About Your Social Security Benefits. ... Consider Long-Term Care Insurance. ... Maximize Your Retirement Accounts. ... Talk To Your Family About Your Plans. ... Talk To An Agent About Your Goals.

At what age is Social Security no longer taxed?

At 65 to 67, depending on the year of your birth, you are at full retirement age and can get full Social Security retirement benefits tax-free.

Does Medicare start the first day of your birthday month?

Does Medicare Start on Your Birthday? Original Medicare coverage does not start on your actual birthday. At the earliest, coverage begins on the first day of the month you turn 65. So, if your birthday is July 24, your coverage will begin July 1.

Who is the best person to talk to about Medicare?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

How long does it take for Medicare approval?

between 30-60 daysMedicare applications generally take between 30-60 days to obtain approval.

Initial enrollment period

Pay attention to the dates. The seven-month period starting three months before your 65th birthday and ending three months after your birthday month is called the Initial Enrollment Period. The earlier you enroll the better, because your enrollment date determines when coverage will start, Sarmiento said.

Types of Medicare

When you sign up, you are automatically enrolled in Medicare Part A and B, also known as Original or Traditional Medicare. Original Medicare helps cover hospitalization and doctor visits, but not prescription drugs. During your Initial Enrollment Period, you can buy a Part D plan to cover prescription drugs or enroll in a Medicare Advantage Plan.

Comparing Medicare, Medicare Advantage plans

In South Florida, there are many plans to choose from. In Miami alone, there are 48 Medicare Advantage Plans, Sarmiento said.

Medicare start date

The start date of your Medicare coverage depends on when you enroll. If you enroll before the month you turn 65, coverage starts the first day of your birthday month. Enroll during your birthday month and coverage will begin the following month.

If you miss the Medicare Initial Enrollment Period

If you miss your Initial Enrollment Period, you can enroll during the General Enrollment Period, Jan. 1 – March 31. Your coverage will start in July of that year and you will pay a penalty for late enrollment, depending on how long you waited to sign up.

If you work past 65

If you plan to work past age 65, you may be able to delay enrolling in Medicare. If you have what’s known as “creditable” health coverage from your employer or are covered under a spouse’s employer plan, you may qualify for a Special Enrollment Period and be able to delay enrolling without penalty.

What to do when you stop working

When you leave your job, you are not going to have insurance from your employer anymore and you will want your Medicare benefits to start. Enroll at www.ssa.gov, Sarmiento said.

When does Medicare start?

If you enroll during the first three months of your IEP, your Medicare coverage begins on the first day of the month you turn 65 (or the first day of the previous month if your birthday falls on the first day of a month). If you sign up during the fourth month, coverage begins on the first day of the following month.

How long do you have to pay Medicare if you are in prison?

Similarly, if you’re imprisoned after age 65 and already enrolled in Medicare, you’re expected to continue paying premiums to avoid penalties when you come out. Part D drug coverage has different rules. On your release, you’re entitled to a special enrollment period of up to three months (if you turned 65 in prison) or up to two months ...

When does IEP coverage begin?

If you sign up during the fourth month, coverage begins on the first day of the following month. But if you leave it until the fifth, sixth or seventh month, coverage will be delayed by two or three months. For example, if your birthday is in June and you sign up in September (the last month of your IEP), coverage will not begin until Dec. 1.

When is the enrollment window open for Medicare Part B?

For example, if you turn 65 on July 4, 2021, the enrollment window is open from April 1 to October 30. If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, outpatient fees and other medical expenses. However, some people who are still working at 65 and have group health insurance ...

What happens if you miss the Medicare Part B deadline?

If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, outpatient fees and other medical expenses. However, some people who are still working at 65 and have group health insurance through their employer (or a spouse's employer) may be able to delay enrollment without this penalty.

When does Medicare open for 2021?

For example, if you turn 65 on July 4, 2021, the enrollment window is open from April 1 to October 30. If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, ...

When do you get Medicare if you leave your job?

In that case, you’ll get an eight-month special enrollment period to sign up for Medicare if and when you leave your job or your employer stops offering coverage. It will start the month after you separate from your employer, or the month after your group health coverage ends – whichever happens sooner.

How long does it take to get Medicare?

Learn how to make sure they have health insurance once you’re enrolled. Medicare eligibility starts at age 65. Your initial window to enroll is the seven-month period that begins three months before the month of your 65th birthday and ends three months after it. Seniors are generally advised to sign up on time to avoid penalties ...

What happens if you don't sign up for Medicare?

Specifically, if you fail to sign up for Medicare on time, you’ll risk a 10 percent surcharge on your Medicare Part B premiums for each year-long period you go without coverage upon being eligible.

Do you have to double up on Medicare?

No need to double up on coverage. Many seniors are no longer employed at age 65, and thus rush to sign up for Medicare as soon as they’re able. But if you’re still working at 65, and you have coverage under a group health plan through an employer with 20 employees or more, then you don’t have to enroll in Medicare right now.

Does Medicare pay for Part A?

That said, it often pays to enroll in Medicare Part A on time even if you have health coverage already. It won’t cost you anything, and this way, Medicare can serve as your secondary insurance and potentially pick up the tab for anything your primary insurance (in this case, your work health plan) doesn’t cover.

It's a big milestone -- and one that could come with many changes

Maurie Backman is a personal finance writer who's passionate about educating others. Her goal is to make financial topics interesting (because they often aren't) and she believes that a healthy dose of sarcasm never hurt anyone. In her somewhat limited spare time, she enjoys playing in nature, watching hockey, and curling up with a good book.

1. You're eligible for Medicare

Medicare eligibility begins at age 65, and you can even sign up for coverage beginning three months before the month of your 65th birthday. It pays to enroll in Medicare on time, because if you don't, you could end up subject to costly penalties that make your Part B premiums more expensive.

2. But you don't have to sign up for Medicare

Just because you're turning 65 this year doesn't mean you're giving up your job. And if you plan to keep working, you may continue to have access to a group health insurance policy through your employer.

3. You can claim Social Security -- but you may not want to

The earliest age you can sign up for Social Security is 62, and so if you're turning 65 this year, claiming benefits is definitely an option. But that doesn't mean you should rush to file.

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