Medicare Blog

do veterans have to sign up for medicare when you turn 65

by Laurel Dickens Published 2 years ago Updated 1 year ago
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Nobody is required to enroll in Medicare, but if you do so outside of your Initial Enrollment Period without creditable coverage from an employer, you could face late enrollment penalties.Jun 30, 2022

Do I have to sign up for Medicare at 65?

If you wish to continue getting health coverage through your employer and participating in your HSA, you do not have to sign up for Medicare at 65. You’ll get a special enrollment period that will allow you to sign up later without facing Part B penalties.

Do retired military have to sign up for Medicare?

Retired military are required to sign up for and pay for Medicare in order to continue to receive continued medical coverage as a retired person after they turn 65. At one time retired people lost their medical coverage at the age of 65.

Why do veterans have to sign up for Medicare?

The majority of veterans eligible for VA Medical care do not have medical care for 100% of their needs. Many have VA coverage only for very limited needs. Therefore, in order to receive coverage for all of their potential medical care, they will need to sign up for Medicare.

Should you enroll in Medicare Part A if you have VA benefits?

Should You Enroll in Medicare Part A If You Have VA Benefits? Yes. It is strongly recommended that all veteran seniors enroll in Medicare Part A (Hospital Coverage).

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Do veterans need Medicare Part B?

Therefore, it is beneficial to enroll in the hospital insurance you earned through Medicare. However, like other beneficiaries, veterans with VA benefits will need to pay a standard Medicare Part B premium for Medicare's outpatient coverage. You will want to enroll in Medicare Part B as soon as you are eligible.

Can you have veterans benefits and Medicare?

You can have both Medicare and Veterans Affairs (VA) benefits, but Medicare and VA benefits do not work together. Medicare does not pay for any care that you receive at a VA facility. In order for your VA coverage to cover your care, you must generally receive health care services at a VA facility.

Do you lose your VA benefits when you turn 65?

Even after veterans reach full retirement age, VA's disability payments continue at the same level. By contrast, the income that people receive after they retire (from Social Security or private pensions) usually is less than their earnings from wages and salary before retirement.

Are VA benefits better than Medicare?

You may be subject to penalties in the future. VA coverage for prescriptions is typically less expensive than Medicare Part D drug plans, and you won't be hit with late penalties if you lose VA coverage in the future, provided that you sign up with a Part D plan within two months of that coverage ending.

Do veterans get free healthcare for life?

You can get free VA health care for any illness or injury that we determine is related to your military service (called “service connected”). We also provide certain other services for free.

Do I need Medicare if I have VA benefits?

If you have VA benefits, you do not have to enroll in Medicare in order to keep your VA benefits. That being said, the Veterans Administration actually recommends veterans enroll in Medicare when they become eligible.

What is the VA 10 year rule?

The VA disability 10-year rule states that the U.S. Department of Veterans Affairs (VA) cannot eliminate a disability rating that has been in place for at least 10 years unless there is evidence of fraud. This 10-year period is calculated from the effective date of VA's original grant for service connection.

How much extra Social Security Do veterans get?

For those who served between 1957 and 1977, credits equal $300 for each quarter of active-duty pay. Those serving between 1978 and 2001 receive credits equal to an additional $100 in earnings for each $300 they receive in active-duty pay (total credits may not exceed $1,200 a year).

Do military retirees have to pay for Medicare?

All military retirees have been required to enroll in Medicare since Medicare was established in 1965.

How can you lose your VA benefits?

VA disability compensation payments are reduced if a Veteran is convicted of a felony and imprisoned for more than 60 days. Veterans rated 20 percent or more are limited to the 10 percent disability rate. For a Veteran whose disability rating is 10 percent, the payment is reduced by one-half.

What is the difference between military healthcare and the VA?

The VA is not the same as the Military Health System or TRICARE. The VA's system is separate from the health-care system that the military uses for active-duty personnel, retirees, dependents, and military families. The military, instead, operates the Military Health System.

Will the VA pay for outside prescriptions?

Will the VA pay for a prescription filled at a non-VA pharmacy? No. VA is not responsible for payment of outside physician's fees or medication. You or your private insurance company is responsible for these costs.

Why do veterans want to sign up for Medicare?

Why Veterans May Want to Sign Up for Medicare. Funding for VA Health Care is not guaranteed. The Department of Veterans Affairs submits a budget to the federal government every year, but there is no guarantee that the requested dollar amount will be appropriated. A lower budget could mean reduced coverage or loss of coverage altogether ...

How many veterans are in Medicare?

Why Sign Up for Medicare. Of the more than 19.5 million veterans alive today, 9.1 million are currently enrolled in VA Health Care. 1 The majority of those enrollees are also eligible for Medicare.

What are the benefits of VA?

Hearing and vision coverage is offered to veterans with the following: 2 1 Compensable service-related disability 2 Functional or cognitive impairment that decreases the ability to perform activities of daily living 3 Permanent homebound status 4 Prisoner of War 5 Purple Heart 6 Service-related hearing disability with a loss of communication ability 7 Title 38 United States Code (U.S.C.) 1151 benefits 8 Vision and/or hearing impairment related to a condition managed at the VA (e.g., cataracts, diabetes, stroke) 9 Vision and/or hearing impairment that interferes with the veteran’s medical treatment

Is Medicare Part D good?

Medicare Part D. VA prescription drug coverage is seen as creditable, i.e., as good as Medicare. For this reason, you would not face late penalties if you signed up for a Medicare Part D plan at a later time. Still, there could be benefits to enrolling in a Part D plan.

Does Medicare cover out of network VA?

Since the VA does not pay for care received out of network (unless it is part of the Veterans Community Care Program), Medicare could be a good option to cover you in an emergency or if you wanted to see certain non-VA physicians.

Does Medicare Advantage cover hearing and vision?

Some Medicare Advantage plans could offer coverage for these services as a supplemental benefit, but that could require higher monthly premiums. VA Health Care, however, does offer these services, but not to everyone. Hearing and vision coverage is offered to veterans with the following: 2.

Does Medicare cover dental care?

Coverage: Medicare vs. VA Health Care. Medicare does not cover everything. What especially stands out is that they do not pay for routine dental care or dentures, routine hearing exams or hearing aids, or routine vision exams or corrective lenses.

Do You Have to Sign up For Medicare if You Are Still Working?

The most common reason for people not signing up for Medicare when they turn 65 is because they are still working. Because they’re still working, they’re likely covered under their employer’s health insurance plan and are also unlikely to be collecting Social Security retirement benefits.

Can I Get Social Security and Not Sign up for Medicare?

Yes and no. Medicare Part B is optional. If you’re automatically enrolled in Medicare Part A, you will be automatically enrolled in Part B and then given the option of opting out. You may still continue to receive your Social Security benefits without having Part B.

You are currently on individual insurance

You need to transition onto Medicare at age 65. Medicare has stated that individual coverage does not count as creditable coverage past age 65. That means if you delay enrolling into Medicare, you will incur a late enrollment penalty.

You are a federal employee

You need to transition onto Medicare. Please contact the federal employee benefits center in order to find out how to elect Medicare as your primary coverage. Your federal employee benefits will become your secondary coverage. Please note that there are different rates for non-Postal employees then for Postal employees.

You have VA benefits

Most people with VA benefits are not required to also sign up for Medicare. You can just stick with having VA coverage. The VA website here can help explain how VA coordinates with other insurance. Of course, if you want an outside option to the VA, then you may also enroll into Medicare.

You or your spouse are still working and have employer insurance

If you or your spouse have employee benefits, then you really have the best of both worlds. You can choose to either stay on your employer’s coverage or you can go onto Medicare—whichever is better for you.

What is the Medicare penalty for not enrolling?

If you do not have creditable coverage after the age of 65 there is a lifelong penalty for Medicare Part B and Medicare Part D.

Do I need to notify Medicare if I am staying on group insurance?

No, you do not need to notify Medicare that you are going to stay on your group insurance and will not enroll right now. When you decide to transition to Medicare there are two forms that you will need to complete.

Contact Form

I am already on Medicare and have a question about my current coverage I am already on Medicare and would like to shop the coverage I have I am approaching 65 and am ready to begin Medicare I am approaching 65 and need to compare Medicare to my group insurance I am past the age of 65 and am ready to begin Medicare None of the above apply to me.

Do I need to sign up for Medicare when I turn 65?

It depends on how you get your health insurance now and the number of employees that are in the company where you (or your spouse) work.

How does Medicare work with my job-based health insurance?

Most people qualify to get Part A without paying a monthly premium. If you qualify, you can sign up for Part A coverage starting 3 months before you turn 65 and any time after you turn 65 — Part A coverage starts up to 6 months back from when you sign up or apply to get benefits from Social Security (or the Railroad Retirement Board).

Do I need to get Medicare drug coverage (Part D)?

You can get Medicare drug coverage once you sign up for either Part A or Part B. You can join a Medicare drug plan or Medicare Advantage Plan with drug coverage anytime while you have job-based health insurance, and up to 2 months after you lose that insurance.

Do veterans need Medicare?

The majority of veterans eligible for VA Medical care do not have medical care for 100% of their needs. Many have VA coverage only for very limited needs. Therefore, in order to receive coverage for all of their potential medical care, they will need to sign up for Medicare. Quora User.

Does Michigan have 100% disabled veterans?

Then every five years you’ll be sent a new tag. There are many states that offer the same. At 100% the vet doesn’t have to pay property taxes.

Does Tricare cover veterans?

Tricare which had been developed for civilian dependents, took us in, and began to cover veterans with substantial limits, co-pays, and deductibles …but it was “Something.”. Now at age 65, in order to keep our Tri-care benefit, we are required to purchase Medicare for ourselves and our wives.

Does Tricare for Life cover Medicare?

In the present situation a retired person, over the age of 65, has both Medicare and Tricare-for Life which provides additional coverage beyond Medicare, but does not cover anything that Medicare would cover. The majority of veterans eligible for VA Medical care do not have medical care for 100% of their needs.

Do retired military have to pay for Medicare?

Retired military are required to sign up for and pay for Medicare in order to continue to receive continued medical coverage as a retired person after they turn 65 . At one time retired people lost their medical coverage at the age of 65.

Is tricare for life good?

Tricare for life has been a good plan for military retirees over the age of 65 on medicare. But the government did not fully keep it’s promise to those veterans who entered the military prior to December of 1956 and eventually retired.

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.

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 ...

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.

Why is Medicare important for VA?

Therefore, Medicare coverage may be particularly important if, say, you don’t live near a VA facility or your local facility has long wait times.

How to contact Medicare.org?

For further information about finding a Medicare plan that works with your VA health benefits and individual needs, call (888) 815-3313 – TTY 711 to talk with an experienced Medicare.org licensed sales agent.

What happens if you wait to enroll in Medicare Part B?

If you wait to enroll in Part B when you are first eligible, you will likely experience gaps in coverage and incur a penalty for each 12-month period you were without Medicare Part B coverage. Learn more about Medicare Part B.

What is Medicare Advantage?

Medicare Part C (Medicare Advantage) and VA Benefits. If you need additional services or coverage not offered to you through your VA benefits, you may consider a Medicare Advantage plan. Most Medicare Advantage plans offer additional coverage, like vision, hearing, dental, prescription drug coverage, and/or health and wellness programs. ...

Do you have to pay a penalty for Medicare?

The VA encourages you to consider enrolling in Medicare as soon as you’re eligible because Medicare and VA benefits don’t work together – and you may have to pay a penalty if you end up enrolling in Medicare later.

Do veterans need Medicare?

Department of Veterans Affairs (VA) who is eligible, or nearing eligibility for Medicare coverage? If you already have medical coverage through the VA health program, you may be wondering if you also need to enroll in Medicare. The answer is that you could probably benefit from having both VA ...

Does VA cover prescription drugs?

With VA health benefits, you typically get premium-free drug coverage. However, if the VA-approved pharmacy locations or the Consolidated Mail Outpatient Pharmacy Program (CMOP), doesn’ t work for you, then you may consider a Part D or a Part C plan with prescription drug coverage.

What is Medicare Advantage for veterans?

Many veterans are going to find Medicare Advantage a practical solution to coverage. Most plans boast a $0 premium and extra benefits beyond Medicare. Some plans may include prescription drug coverage. Depending on the service area, an Advantage plan could include telehealth, dental, vision, and a gym membership.

Who pays first, Medicare or Veterans Administration?

Who Pays First, Medicare, or the Veterans Administration? The simple answer to the question of who pays first is both. When you go to the Veterans facilities, the only coverage you have is Veterans Administration coverage. Then, when you go to civilian facilities, you only have Medicare coverage.

Does Medicare cover veterans?

As you know, Veteran benefits only apply to Veterans’ facilities and doctors. So, if you want to see a civilian doctor, Medicare can help with some of the costs. Having both Medicare and Veterans benefits gives you the opportunity to see a wide range of doctors and specialists. The Veterans Association recommends you enroll in Part A ...

Do disabled veterans have to have Medicare?

While it’s not mandatory, the Veterans Administration suggests all veterans, disabled or not, have Medicare. It’s especially beneficial to have Medicare when the need for civilian coverage arises. You might be thinking you’re fine without it, but delaying Part B will result in penalty charges when you do enroll.

Can you get a prescription for Part D?

Part D for Veterans. Even though you can get prescriptions through the Veterans Administration, sometimes it’s more convenient to have Part D. For example if a civilian doctor prescribes a medication, the Veterans Administration doctor needs to approve the medication for the Veterans Administration to cover. But, if you have Part D, you can go fill ...

Is Medicare creditable for veterans?

This is because the Veterans’ benefits are not considered creditable coverage under Medicare. Medicare will provide coverage outside a Veterans facility, this can come in handy in the case your Veteran benefits are dropped or if your local Veteran facility does not cover all your health services, you could pay up to 100% ...

What is the phone number for Medicare?

If you have an urgent matter or need enrollment assistance, call us at 800-930-7956. By submitting your question here, you agree that a licensed sales representative may respond to you about Medicare Advantage, Prescription Drug, and Medicare Supplement Insurance plans.

What happens if you lose your VA benefits?

If your VA Benefits are dropped at some point OR if your local VA facility does not cover all health services, you could pay 100% of the out-of-pocket expenses for a serious illness. The VA highly recommends that you enroll in Part B as well. Don’t miss the Part B deadline or you will have to pay a penalty.

What is a medicare supplement plan?

A Medicare Supplement Plan (AKA Medigap) will fill in the unpaid gaps in coverage such as deductibles, copays, and coinsurance. Medicare also includes benefits when travelling outside of the U.S. and its territories. Make sure to speak with your VA, Tricare or CHAMPVA representative before enrolling in any supplemental plan to ensure ...

How much does Medicare Part D cost?

Medicare Part D covers prescription drugs at the pharmacy and these plans cost on average around $35 a month. Most Vets do not select a Medicare Prescription Drug Plan as they have RX coverage from the VA.

Is there an additional cost for Medicare Part A?

Usually there is no additional cost for Medicare Part A. This will allow you to receive hospital coverage should you go to a non-VA facility. According to the VA’s website “ [We] encourage you to keep your private [Medicare] health insurance.”.

Does Medicare Advantage cover out of pocket costs?

Probably. Medicare Advantage (MA) plans can help reduce your out-of-pocket risk should you go to a non -VA facility. Many MA plans have no little or no additional cost. If you go down this path we recommend that you look for a zero premium policy.

Is VA coverage separate from Medicare?

It is important to note that Veteran’s Affair (VA) plans and Medicare are completely separate. VA plans only cover care at VA facilities and Medicare only covers care at Medicare assigned facilities. VA and Medicare coverage do not overlap.

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