Medicare Blog

how do i apply for medicare under my spouse?

by Baron Gottlieb DDS Published 2 years ago Updated 1 year ago
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How to Apply Online for Retirement, Spouses or Medicare Benefits It’s so easy! Just go to www.SocialSecurity.gov/benefits/retirement and select Apply for Retirement Benefits and then accept the terms of service to begin.

Full Answer

What qualifies a spouse for Medicare?

What it means to pay primary/secondary

  • The insurance that pays first (primary payer) pays up to the limits of its coverage.
  • The one that pays second (secondary payer) only pays if there are costs the primary insurer didn't cover.
  • The secondary payer (which may be Medicare) may not pay all the uncovered costs.

More items...

Do I qualify for subsidies if spouse has Medicare?

No, as long as the coverage qualifies as “ affordable ” under the Affordable Care Act. Your spouse and dependents must get individual coverage, but they aren’t eligible for the tax subsidy. According to the Affordable Care Act, coverage is affordable if it costs 9.5 percent or less of your earned wages.

Can you get Medicare for a non-working spouse?

Medicare Coverage for Non-Working Spouses

  • Eligibility Rules. Medicare, the government health insurance program for older adults, covers more than 55 million Americans age 65 and older, as well as those younger that have a qualifying ...
  • Older Spouse. ...
  • Younger Spouse. ...
  • Other Medicare Options. ...

Is spouse covered under Medicare?

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.

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Can I enroll in Medicare under my spouse?

To qualify for Medicare, you need to have paid into the Social Security system. Just like with Social Security benefits, you can qualify for Medicare coverage under your spouse's record.

Can my wife get Medicare at 65?

To qualify for Medicare, your spouse must be age 65 or older. If your spouse is age 62 (or any age under 65), he or she could only qualify for Medicare by disability.

When can my husband get Medicare?

age 62When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits. Until you're age 62, your spouse can receive Medicare Part A, but will have to pay the premiums if they don't meet the 40 quarters of work requirement.

Is my wife eligible for Medicare if she did not work?

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.

How does Medicare work for married couples?

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.

What happens to my wife when I go on Medicare?

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.

How do I file for spousal benefits?

Form SSA-2 | Information You Need to Apply for Spouse's or Divorced Spouse's Benefits. You can apply: Online, if you are within 3 months of age 62 or older, or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

When can a spouse claim spousal benefits?

You must have been married at least 10 years. You must have been divorced from the spouse for at least two consecutive years. You are unmarried. Your ex-spouse must be entitled to Social Security retirement or disability benefits.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

Can I get Medicare if my husband is 65?

No. 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.

Does Medicare cover my wife?

Does Medicare cover people's spouses? Medicare offers federal health insurance coverage for those aged 65 years and over, as well as those with a permanent disability. Medicare does not cover spouses specifically.

Does everyone automatically get Medicare at 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.)

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 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 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 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 Healthline Media offer insurance?

Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Last medically reviewed on December 20, 2019.

How long do you have to be married to get Medicare?

If divorced, you must have been married for at least 10 years. Once you turn 65, you are eligible for free Medicare Part A through your former spouse, as long as they worked at least 10 years and paid Medicare taxes during that time.

How much does Medicare pay in 2021?

Most people pay the standard premium, which is $148 per month in 2021. The more you make each year, the more you'll pay each month for Medicare.

What is Medicare Advantage Plan?

A Medicare Advantage plan is a type of plan offered by a private insurance company to provide you with all your Medicare Part A and Part B services. You may be charged a separate premium by the insurance company in addition to your Part B premium and may be eligible for additional benefits, including prescription drugs.

Do you have to pay deductibles for Medicare Part D?

Even if you and your spouse pick the same plan, you'll each have to meet the deductible before Medicare starts to pay anything toward your health care.

Can you sign up for Medicare separately?

Since you each must enroll in Medicare separately, one of you may be able to sign up before the other one, depending on your age. Your premiums may change because of your total income. There are no family plans or special rates for couples in Medicare. You will each pay the same premium amount that individuals pay.

Does Medicare coverage change if you are married?

The good news about marriage and Medicare is that your coverage won't change. Neither will your spouse's. Whether you're already married, thinking about getting married, or no longer married, here's what you need to know.

Does Medicare Part A have monthly premiums?

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. The other parts of Medicare do have premiums.

Enrolling in Medicare at 65

If you want to enroll when you are turning 65, you can enroll in Medicare Parts A & B, Part D prescription drug coverage or a Medicare Advantage (Part C) plan. You can also look at adding a Medicare supplement insurance plan to Original Medicare (Parts A & B) to help with the out-of-pocket costs of Medicare.

Enrolling in Medicare Part A at 65

Many people who are covered by a spouse’s employer plan choose to either wait to enroll until they lose their spouse’s employer coverage or choose to only enroll in Part A since Part A usually has no premium.

Delaying Medicare Enrollment

Just because you are turning 65, doesn’t necessarily mean you have to get Medicare right now. If you decide that waiting to enroll in Medicare is the best option both financially and in terms of healthcare coverage for you, just follow Medicare’s rules, and you’ll avoid enrollment penalties when you do enroll.

When Would I Enroll If I Delay or Only Take Part A?

If you are able to delay enrolling in either all or part of Medicare, you will have a Special Enrollment Period of eight months that begins when the employer coverage is lost or when your spouse retires. During this time, you’ll be able to enroll in Medicare Parts A & B. You can also enroll in a Part D prescription drug plan.

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How old do you have to be to get Medicare Part A?

You must be at least 62 years old and eligible for Social Security benefits before your spouse can enroll, because his or her qualification is based on your work record.

Why is there no Medicare premium?

There’s no premium for it because your Medicare tax dollars go into the hospital insurance trust fund, which then finances Medicare Part A benefits for eligible individuals.

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

What happens if you have both health insurance and one turns 65?

If you both are covered by your employer health insurance, and one of you turns 65, you’ll have decisions to make about Medicare. In this case, it will depend on the employer and their rules around covered dependents of Medicare age.

Can my spouse get cobra insurance?

Your employer may offer COBRA coverage for your spouse if you retire. Your spouse may choose to buy individual health insurance until he or she turns 65.

Can a spouse and spouse have 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. But, what’s interesting is that there are some things to think about in regards to your non-working spouse and Medicare.

Documents you may need to provide

We may ask you to provide documents to show that you are eligible, such as:

What we will ask you

You should also have your checkbook or other papers that show your account number at a bank, credit union or other financial institution so you can sign up for Direct Deposit, and avoid worries about lost or stolen checks and mail delays.

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