A: Yes to both. Since the policy holder is no longer eligible and HSAs are individually owned accounts, it will mean the spouse needs to enroll in her own HSA. The IRS will look at the combined contributions of their 2 accounts for the year, which cannot exceed the family limit.
Can my spouse receive Medicare benefits if I am not retired?
If your spouse is older than you and not working when they turn 65, they may be eligible to receive Medicare benefits based on your work record even if you are not retired or receiving Medicare coverage yourself. In a case such as this, you must be at least 62 years old.
Can a non-working spouse get Medicare Part A?
Your non-working spouse is eligible for premium-free Medicare Part A coverage at the age of 65 based on your work record and if you meet the necessary requirements for Medicare coverage mentioned above. Medicare automatically enrolls you (and a dependent, non-working spouse) in Original Medicare.
When can my spouse enroll in Medicare Part B?
You and your spouse can enroll in Original Medicare Part B when you reach the age of 65 without being penalized for late enrollment if your employer health insurance coverage is comparable to what Medicare recipients receive.
Can I enroll in Medicare and drop my group health plan?
If your family members also participate in your employer’s group health plan, then your decision to enroll in Medicare and drop the group plan will impact them. In the technical jargon of employee benefits, a “covered employee becoming entitled to Medicare is a COBRA qualifying event.”
What happens to my spouse when I go on Medicare?
The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan.
Can you have Medicare and employer insurance at the same time?
Can I have Medicare and employer coverage at the same time? Yes, you can have both Medicare and employer-provided health insurance. In most cases, you will become eligible for Medicare coverage when you turn 65, even if you are still working and enrolled in your employer's health plan.
What happens to my dependents when I go on Medicare?
Medicare is individual insurance, not family insurance, and coverage usually does not include spouses and children. Unlike other types of insurance, Medicare is not offered to your family or dependents once you enroll. To get Medicare, each person must qualify on their own.
How does Medicare work for married couples?
There are no family plans or special rates for couples in Medicare. You will each pay the same premium amount that individuals pay. Here's what to know about costs: Medicare Part A, hospital coverage, has no monthly cost for most people who worked or have a spouse who worked and is eligible for Social Security.
Is Medicare always the primary insurance?
If you don't have any other insurance, Medicare will always be your primary insurance. In most cases, when you have multiple forms of insurance, Medicare will still be your primary insurance.
What are Medicare Secondary Payer rules?
Generally the Medicare Secondary Payer rules prohibit employers with 20 or more employees from in any way incentivizing an active employee age 65 or older to elect Medicare instead of the group health plan, which includes offering a financial incentive.
Does Medicare cover spouses?
Medicare does not cover spouses specifically. However, some spouses qualify based on the work record of their spouse or a former spouse. Some spouses may qualify by reaching 65 years of age and having their own eligible work and tax record. Others, however, may not have worked for the required number of quarters.
Is my spouse eligible for Medicare when I turn 65?
Although your husband now qualifies for Medicare, you will not qualify for Medicare until you turn age 65. If you do not have health insurance now, you can consider signing up for health insurance coverage through a Marketplace plan.
Can I stay on my parents Medicare card?
You can also choose to stay on your parent's card and have a copy made to keep with you. You don't need identification to do this. This is called the 'duplicate' Medicare card'. You only need to ask your parents or carers to call or visit Medicare to get you your 'duplicate' Medicare card'.
Should my husband and I be on the same Medicare card?
Each family member has their name on their card , it is therefore an individual card eg I cannot use a card that has my husband's or any of my sons' names on it. I went to the Medicare office and they say that having same card or different card does not matter.
Does Medicare cover a non working spouse?
A non-working spouse can receive premium-free Medicare part A as long as the other partner is at least 62 years old and has satisfied Medicare's work requirements. For example, John is 65 years old and has never worked or paid Medicare taxes.
Do married couples pay separate Medicare premiums?
Medicare has no family plans, meaning that you and your spouse must enroll for Medicare benefits separately. This also means husbands, wives, spouses and partners pay separate Medicare premiums. You may need to enroll at different times, depending on your age and health.
How long can a spouse be covered by self plus one?
The five-year rule doesn’t apply to a covered spouse.
Does the 5 year rule apply to a spouse?
The five-year rule doesn’t apply to a covered spouse. The same is true of a covered child under the age of 26. Continued coverage isn’t an issue if you were still employed when you died, since your widow (er) would automatically be entitled to a full survivor annuity.
Can a widow continue FEHB?
However, if you choose that latter course, your widow (er) would not be able to continue coverage in an FEHB plan, unless he or she had the right to do so by virtue of being a current federal employee or retiree.
What age can I get my spouse's health insurance?
So, if your spouse is much younger, and your group health plan uses age bands to set the monthly premium, your spouse’s coverage may be significantly less expensive than the premium for you as an employee at age 64 or 65.
How much will my dependent pay if I drop out of Cobra?
They will have the same benefits as they had before you dropped out of the plan. If your employer has 20 or more employees and is subject to Federal COBRA laws, your dependents will pay 102 percent of the total cost of their coverage If your employer is subject to California laws and has between 2 to 19 employees your dependents will be able ...
How old do you have to be to get Medicare?
In a case such as this, you must be at least 62 years old.
How long do you have to work to qualify for Medicare?
In the United States, as soon as you turn 65 you are eligible for Medicare benefits if you are citizen or have been a legal resident for five years or more and have worked for at least 40 quarters (10 years) paying federal taxes.
Can you get Medicare at different ages?
If you and your spouse are different ages, you will likely become eligible at different times. Primary Medicare recipients and their non-insured spouses are entitled to the same benefits under Medicare if both have reached the age of 65.
Do you have to enroll in Medicare Part B or D?
If you wish to sign up for Medicare Part B (Medical Insurance), and/or Part D (prescription drug insurance), you must enroll separately during your initial enrollment period, Open Enrollment or during Special Enrollment Period to avoid paying late enrollment penalties.
When can a spouse receive Medicare?
Now let’s look at when your spouse is older than you and your spouse didn’t meet the 40 quarters requirement, but you do. When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits.
How long do you have to be married to qualify for Medicare?
You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits.
How to apply for Medicare Part A?
To qualify for Medicare Part A benefits at age 65 based on your spouse’s work history, you must meet one of the following requirements: 1 You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. 2 You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits. 3 You are widowed, but were married for at least 9 months before your spouse died, and they qualified for Social Security benefits. You must now be single.
How long does it take to get Medicare if you don't work?
Medicare is a benefit for individuals who worked and paid Social Security taxes for at least 40 quarters of work, which is roughly about 10 years. If a person’s spouse didn’t work, they may still qualify for Medicare Part A based on their spouse’s work history when they turn age 65.
What is the number to call for Medicare?
If you have further questions about Medicare benefits, you can call the Social Security Administration (SSA) at 800-772-1213 or visit your local SSA office for more information. Read this article in Spanish.
What is Medicare Advantage?
One of these options is Medicare Advantage (Part C), which bundles both Part A and Part B together and offers additional coverage and benefits. If extra coverage, like dental, vision, or hearing care, is important to maintaining your individual health, give some thought to whether original Medicare or Medicare Advantage will work best for you.
Does Medicare affect spouse's health insurance?
Medicare is an individual insurance system, but there are times when one spouse ’s eligibility may help the other receive certain benefits. Also, the amount of money you and your spouse make combined may affect your Medicare Part B insurance premiums.
What happens to spouse's pension when he dies?
A defined-benefit pension with survivor's benefits lets you continue to receive monthly benefits for the rest of your life from your spouse’s pension if your spouse dies before you.
How much is joint and survivor annuity if husband dies?
This income would stop when he dies. Under a joint and survivor annuity, the benefit might be $1,300 a month while your husband is alive. However, when he dies, your benefit would be $650 a month for as long as you live.
What are the different types of pension benefits?
2 Types of Pension Benefits. This article focuses on two types of benefits: Single Life Benefit: Monthly payments based only on your expected lifetime, which means the benefits stop when you die. Joint and Survivor Benefit: Monthly payments based on your lifetime and your spouse’s lifetime.
What does it mean to choose a survivor's benefit?
If you choose the survivor’s benefit, it means that you will receive lower monthly benefits than the monthly benefits based on your lifetime alone. But it guarantees a steady stream of income for two lifetimes — yours and your spouses. Advertisement.
What Are Social Security Spousal Benefits?
Social Security spousal benefits are retirement benefits paid by the Social Security Administration to the spouse of a primary beneficiary. When Social Security started, many women did not work outside the home.
Who Qualifies For Social Security Spousal Benefits?
There are a few eligibility criteria that must be met to qualify for spousal benefits. Here are the basics, and then we will dive into a few exceptions to the basic rules. First, your spouse must already have filed for his or her own benefits. You cannot apply for spousal benefits until your spouse has already applied for their own benefits.
When Can A Spouse Claim Social Security Spousal Benefits?
A spouse can claim Social Security spousal benefits as early as age 62, as long as the other spouse has already applied for benefits. You cannot claim benefits until your spouse has claimed benefits using their own record. This rule applies to both a current spouse and a divorced spouse.
How Social Security Spousal Benefits Are Calculated
The calculation for spousal benefits is fairly straightforward. If you wait until full retirement age, then your benefit will be 50% of the spouse’s benefit amount. However, starting your benefits early will reduce your monthly payment.
Social Security Spousal Benefits For Divorced & Widowed Spouses
When it comes to retirement planning, many divorced and widowed spouses wonder whether they can still receive spousal benefits. The answer depends on a few different facts. Here are the rules you need to know when it comes to divorced or widowed spouses receiving spousal benefits.
Maximizing Spousal Benefits For Divorced & Widowed Spouses
Now that most of the spousal benefit loopholes have been closed, there are not as many strategies for maximizing your spousal benefits. One of the biggest tips for maximizing your benefits now is to wait as long as possible to start your benefits.
The Bottom Line
A spouse can claim spousal benefits at age 62 as long as the primary spouse has already applied for benefits. The age requirement can be waived if the spouse is caring for a child under 16 or a disabled child. An ex-spouse can claim spousal benefits at age 62 as well, as long as the marriage lasted for ten years.
How long do you have to work to qualify for Medicare?
First, it is important to know how eligibility for Medicare works. Most Medicare beneficiaries have worked and paid Medicare payroll taxes for at least 10 years to qualify for premium-free Medicare Part A as well as Part B coverage. If you have not worked for 10 years but your spouse has, you are allowed to claim benefits on their record. Medicare benefits cannot start earlier than when you turn 65, unless you are disabled, have ALS, or have end-stage renal disease. Medicare will only cover you, not your spouse or children if they are not eligible on their own.
How long does a spouse have to be on Cobra?
If a company has more than 20 employees, it is required to offer COBRA benefits. COBRA allows coverage for 18 months, sometimes longer, so if the working spouse can wait to retire until 18 months before the younger spouses 65th birthday, this would work out nicely.
Can a non-working spouse get Social Security?
If the non-working spouse is older than the working spouse, the non-working spouse can qualify on on the working spouses work record if they are at least 62, since that is when qualification for Social Security begins. In this case, if the working spouse is still working, the non-working spouse should stay on the work health insurance ...
Can a spouse get health insurance after 65?
The other option would be for the younger spouse to find a job that offers health insurance until they turn 65. While this is a long-shot, some companies will provide coverage for the younger spouse even after the working spouse retires.
Can a non-working spouse claim Medicare?
If the working spouse is no longer employed, the non-working spouse should go ahead and apply for coverage fully from Medicare. If the working spouse is younger than 62, the non-working spouse will not be able to claim on the record.
Does Medicare cover spouse?
Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.
Can a spouse with a low income get medicaid?
Medicaid is a joint Federal and State program designed to help people with low incomes cover healthcare costs. If, by retiring, your income falls under a certain level, the younger spouse may be eligible for Medicaid coverage. Be aware, as a family, you have to have a very low income and very little assets, so many people will not qualify.
Employer Group vs. Medicare
- Both of the clients I recently met with were referred to me – referrals are the best compliments! Both were on their spouse’s employer group insurance, and they weren’t sure if they should keep it or switch to Original Medicarewith a supplement and a drug plan. I recommend pulling a Ben Franklin and doing a full pros and cons chart. Put your spouse...
Weighing The Pros and Cons
- Both of these clients were husbands, and their wives were still working. The hardest part of this entire decision is realizing that the employer group insurance benefit can cost you more than it's worth. So many people don’t want to leave the employer group plan, because they see it as a benefit – a perk of the job. But you have to ignore that part of it, because giving up that benefit a…
Happy Clients
- Both clients are happy they’re saving money, but they’re also getting better coveragebecause their out-of-pocket maximum is less. They’re both on a Plan G now, so their out-of-pocket maximum is effectively $198 in 2020.
Conclusion
- If you find yourself in a similar situation, at least check to see what a traditional Med Supp would cost you! List out the pros and cons and compare them: 1. What are you paying in premium? 2. Is the drug coverage credible? 3. What’s your out-of-pocket maximum? 4. What would a Medicare Supplement + a Part D drug plan cost you in premium? I can run the numbers on the Medicare S…
About Janet Johnson
- Janet Johnsonhas been helping seniors choose their health insurance for over 30 years with Sams/Hockaday & Associates.