Medicare Blog

does it matter what insurance of if you have insurance when you sign up for medicare at 65

by Torrey Hyatt PhD Published 2 years ago Updated 2 years ago

If you’re about to turn 65 and you have private health insurance coverage, you may be wondering if you need to sign up for Medicare. The short answer is “it depends.” You might be able to delay enrolling in some parts of Medicare; however, not signing up for other parts can cost you.

Generally, Medicare doesn't work with your insurance. Once you sign up, Medicare pays first. Some private insurance has rules that lower what they pay (or don't pay at all) for services you get if you're eligible for other coverage, like Medicare.

Full Answer

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

Aug 27, 2021 · If you’re about to turn 65 and you have private health insurance coverage, you may be wondering if you need to sign up for Medicare. The short answer is “it depends.” You might be able to delay enrolling in some parts of Medicare; however, not …

Do I have to sign up for Medicare if I have health insurance?

May 20, 2021 · If you’re 65 or older, it can make sense to sign up for Medicare now even if you are still working and are covered by employer health insurance.

What happens to my old health insurance when I turn 65?

Aug 02, 2019 · If you are paying for your own insurance, you may think you do not need to sign up for Medicare when you turn 65. However, not signing up for Medicare Part B right away can cost you down the road. You can first sign up for Medicare during your Initial Enrollment Period, which is the seven-month period that includes the three months before the month you become …

Can a 65 year old delay Medicare enrollment?

You’ll typically pay an extra 10% for each year you could have signed up for Part B, but didn’t. We’ll add this penalty to your monthly Part B premium. . If the employer has less than 20 employees: You might need to sign up for Medicare when you turn 65 so you don’t have gaps in your job-based health insurance.

Can I keep my insurance if I have Medicare?

It is possible to have both private insurance and Medicare at the same time. When you have both, a process called “coordination of benefits” determines which insurance provider pays first. This provider is called the primary payer.

Is Medicare separate from insurance?

Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). You can join a separate Medicare drug plan to get Medicare drug coverage (Part D).

How do you determine which insurance is primary?

Primary insurance is a health insurance plan that covers a person as an employee, subscriber, or member. Primary insurance is billed first when you receive health care. For example, health insurance you receive through your employer is typically your primary insurance.Oct 8, 2019

Is Medicare primary or secondary to group insurance?

Medicare pays first and your group health plan (retiree) coverage pays second . If the employer has 100 or more employees, then the large group health plan pays first, and Medicare pays second .

What are the disadvantages of a Medicare Advantage plan?

Cons of Medicare Advantage
  • Restrictive plans can limit covered services and medical providers.
  • May have higher copays, deductibles and other out-of-pocket costs.
  • Beneficiaries required to pay the Part B deductible.
  • Costs of health care are not always apparent up front.
  • Type of plan availability varies by region.
Dec 9, 2021

What is the average cost of supplemental insurance for Medicare?

Medicare Supplemental Insurance (Medigap) Costs. In 2020, the average premium for Medicare supplemental insurance, or Medigap, was approximately $150 per month or $1,800 per year, according to Senior Market Sales, a full-service insurance organization.

Can you have 2 primary insurances?

BY Anna Porretta Updated on January 21, 2022. Yes, you can have two health insurance plans. Having two health insurance plans is perfectly legal, and many people have multiple health insurance policies under certain circumstances.Jan 21, 2022

When two insurance which one is primary?

If you have two plans, your primary insurance is your main insurance. Except for company retirees on Medicare, the health insurance you receive through your employer is typically considered your primary health insurance plan.

What makes an insurance primary or secondary?

Determining which health plan is primary is straightforward: “If you are covered under an employer-based plan, that is primary,” Mordo says. If you also were covered under a spouse's plan, that would be secondary, he adds.Jun 13, 2021

Can you have Medicare and Humana at the same time?

People eligible for Medicare can get coverage through the federal government or through a private health insurance company like Humana. Like Medicaid, every Medicare plan is required by law to give the same basic benefits.Mar 29, 2022

Is Blue Cross Blue Shield Medicare?

BCBS companies have been part of the Medicare program since it began in 1966 and now offers multiple Medicare insurance options. Though quality and costs vary by company and by specific plan within those companies, most BCBS plans offer decent value and benefits across a range of health plan options.

Can you have Medicare and Medicare Advantage at the same time?

If you join a Medicare Advantage Plan, you'll still have Medicare but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. You must use the card from your Medicare Advantage Plan to get your Medicare- covered services.

What happens if you don't enroll in Medicare?

Potential penalties: If you don’t enroll in Medicare Part A at age 65 and neglect to sign up within eight months of stopping work or losing employer coverage (whichever comes first), you may have to pay a penalty. In any case, you should sign up for Part A before your employer coverage ends to avoid a gap in your health coverage.

Is Medicare complicated?

But Medicare is complicated, and there are a lot of caveats and some surprise expenses to be avoided. So for working people 65 or older, here’s help with figuring out when to enroll in Medicare and how to avoid costly late-enrollment penalties and gaps in coverage.

How long do you have to work to get Medicare Part A?

If by the time you reach 65 you’ve worked a total of approximately 10 years over your career, you’re entitled to premium-free Medicare Part A, which pays for in-patient hospital charges and more.

What is Medicare Part A?

If the employer has fewer than 20 employees: If your or your spouse's employer has fewer than 20 employees and the health coverage is not part of a multiemployer group plan, at age 65 you must enroll in Medicare Part A, which will be your primary insurance. “Primary” means that Medicare pays first, and then the employer insurance kicks in ...

How long do you have to keep HSA contributions?

Stop making contributions to your HSA at least six months before you sign up for Part B. And you’ll want to sign up for Medicare at least a month before you stop work ...

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About the author: John Rossheim is an editor and writer specializing in health care and workforce trends. His work has appeared in The Washington Post and on MSN, Monster and dozens of other websites. Read more. On a similar note...

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.

What age do you have to be to get Medicare?

The age of eligibility for Medicare is 65, and some people are enrolled automatically while others need to sign up. If you're already receiving Social Security or Railroad Retirement Board (RRB) retirement benefits, you'll automatically be enrolled in Medicare Parts A and B on the first day of the month you turn 65.

How long does the enrollment period last?

Your initial enrollment period lasts for seven months and includes the month during which you turn 65, as well as the three months before and after. If you choose not to sign up during your initial enrollment period, the general enrollment period runs from January 1 to March 31 each year, but you may have to pay a penalty in the form ...

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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.

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 does Medicare start?

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 that could prove quite costly over the course of retirement.

How does Medicare work with my job-based health insurance when I stop working?

Once you stop working, Medicare will pay first and any retiree coverage or supplemental coverage that works with Medicare will pay second.

When & how do I sign up for Medicare?

You can sign up anytime while you (or your spouse) are still working and you have health insurance through that employer. You also have 8 months after you (or your spouse) stop working to sign up.

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

Prescription drug coverage that provides the same value to Medicare Part D. It could include drug coverage from a current or former employer or union, TRICARE, Indian Health Service, VA, or individual health insurance coverage.

What is Medicare Supplement insurance?

Medicare Supplement insurance – this coverage may help pay your Medicare Part A and Part B costs, like copayments, coinsurance, and deductibles. You need Part A and Part B to qualify. Usually the best time to enroll is during your Medicare Supplement Open Enrollment Period.

Is Medicare Part A premium free?

Enroll in Medicare Part A as soon as they’re eligible. Even if your employer plan has hospital coverage, Part A is premium-free for most people. If your employer plan has hospital coverage, and you have a hospital stay, your plan and Medicare Part A will coordinate benefits to work out payment of your hospital costs.

Is Medicare Part A or B?

You might be automatically enrolled in Medicare Part A and Part B (Original Medicare). But if you want to sign up for other Medicare coverage, right about when you’re first eligible for Medicare might be a good time to enroll. If you’re not already getting Social Security retirement benefits when you turn 65, you generally won’t be automatically ...

What is Medicare Advantage?

Medicare Advantage (Medicare Part C) – this program gives you an alternative way to get your Medicare Part A and Part B benefits (many plans also include prescription drug benefits too). You need Part A and Part B to qualify, and then the plan (instead of the government) manages those benefits for you.

What is a stand alone Medicare plan?

Stand-alone Medicare prescription drug plan (Medicare Part D) – you might want this type of plan if you need prescription drug coverage. You need Part A or Part B to qualify. If you don’t enroll during your Medicare Initial Enrollment Period (IEP), you might have to wait to sign up.

When does IEP start?

So if your 65th birthday is in November, your IEP runs from August through February. Your IEP is different if you’re not yet 65, but you qualify for Medicare by disability.

When do you sign up for Medicare Part A?

Despite the fact that a person has adequate healthcare coverage through their employer or their spouse’s employer when they turn 65 years old , people often sign up for Medicare Part A anyhow.

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

If a person does not sign up for insurance through Medicare, either through the Social Security Office for a Medicare Part A and/or Part B plan or through a private insurance company for a Medicare Advantage, which is also known as a Medicare Part C plan, there may be a penalty imposed for waiting. The question is, if a person has health insurance ...

How long do you have to sign up for Medicare?

The mandatory enrollment period also includes your birthday month and the three months after your birthday month. In total, you have a seven-month window to sign up for a Medicare policy. This period of time to enroll applies to any Medicare program.

When is Medicare Part D enrollment?

The enrollment period for Medicare Part D and Medicare Part C, which is also known as Medicare Advantage, runs from October 15 th to December 7 th of each year. Of course, if you miss the mandatory enrollment period and do not get to sign up for a Medicare policy during the general enrollment period, you will likely be penalized for late enrollment.

How long does Medicare enrollment last?

The Special Enrollment Period will last for eight months starting on the month after the event occurs. Therefore, if a person’s employment ends in March, they will have eight months starting in April to sign up for Medicare without being penalized.

What is the coordination of benefits?

This situation is a called a “coordination of benefits” and requires the primary payer (oftentimes the private insurance policy) to pay a claim first to their policy limits before passing the remaining amount due to the secondary payer (the Medicare plan) to pay the remaining amount.

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