Medicare Blog

i am 64 what do i need to know about medicare

by Verlie Bradtke Published 2 years ago Updated 1 year ago
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A: If you take Social Security at age 65, you automatically get put into Medicare. Unfortunately the retirement age is now 66 and if you wait until then to take Social Security, you’ll likely need to prepare for Medicare at age 64 on your own, and a lot of people don’t realize that. You enroll in Medicare through the Social Security Office.

Full Answer

Is Medicare eligibility age at 65 too close to 64?

And chances are, if you’re 64 and quickly approaching the Medicare eligibility age at 65, you’re asking yourself the same thing. When you start getting close to 65, you might not need to worry about who will need or feed you, but you do need to know what to do about Medicare.

What does Medicare Part C mean when you turn 65?

For most people, turning 65 means you’re eligible for Original Medicare, Part A and Part B. This federal program provides hospital insurance and some medical insurance to older Americans and those under 65 with certain disabilities. At this time, you may also choose to enroll in Medicare Part C, also called Medicare Advantage.

How do I sign up for Medicare at 65?

To start taking advantage of Medicare at 65, you need to sign up during the three months before the birthday month you turn 65. Those are the first three months of your seven-month Initial Enrollment Period.

Who is eligible for Medicare?

Medicare is health insurance for people 65 or older. You’re first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease).

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Can age 64 get Medicare?

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. However, because you must pay a premium for Part B coverage, you have the option of turning it down.

Do I automatically get Medicare when I 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 close to my 65th birthday should I apply for 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.

Do you automatically get Medicare with Social Security?

You automatically get Medicare because you're getting benefits from Social Security (or the Railroad Retirement Board). Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What do I need to do before I turn 65?

Turning 65 Soon? Here's a Quick Retirement ChecklistPrepare for Medicare. ... Consider Additional Health Insurance. ... Review Your Social Security Benefits Plan. ... Plan Ahead for Long-Term Care Costs. ... Review Your Retirement Accounts and Investments. ... Update Your Estate Planning Documents.

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...

When should I start my application for Medicare?

In most cases, you should apply for Medicare as soon as you're eligible. The initial enrollment period starts three months before the month you turn 65, includes your birth month, and extends three months past the month you turn 65, giving you a seven-month window to apply.

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

When should I apply for Social Security when I turn 65?

You can apply up to four months before you want your retirement benefits to start. For example, if you turn 62 on December 2, you can start your benefits as early as December, and apply in August. Even if you are not ready to retire, you still should sign up for Medicare three months before your 65th birthday.

How much does Social Security take out for Medicare each month?

The standard Medicare Part B premium for medical insurance in 2021 is $148.50. Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less.

Is Medicare deducted from your Social Security check?

Yes. In fact, if you are signed up for both Social Security and Medicare Part B — the portion of Medicare that provides standard health insurance — the Social Security Administration will automatically deduct the premium from your monthly benefit.

What income is used to determine Medicare premiums?

modified adjusted gross incomeMedicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago. This is the most recent tax return information provided to Social Security by the IRS.

What age do you have to be to get Medicare?

Unfortunately the retirement age is now 66 and if you wait until then to take Social Security, you’ll likely need to prepare for Medicare at age 64 on your own, and a lot of people don’t realize that. You enroll in Medicare through the Social Security Office.

When does Medicare start?

If you enroll in the three-month period before January, your Medicare coverage will begin on January 1. After your birthday month, you have 3 more months to enroll. If you wait, say until January, your coverage will begin on February 1. It always starts the next month, unless you enroll before your birthday month.

How long does it take to enroll in Medicare?

You enroll in Medicare through the Social Security Office. You can either enroll online, on the Social Security website – it takes about 10 minutes – or you can go to a Social Security office. They recommend calling first to make an appointment, so you won’t be waiting there all day.

Do you have to enroll in Medicare if you are 65?

You’ll usually see a notice from your HR department, if you’re still 65 and working, that tells you whether or not you’re on a Medicare-qualified plan. If you are, you don’t yet have to enroll in Medicare because you have creditable coverage.

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

If you don’t sign up for Medicare when first eligible and don’t have qualifying coverage elsewhere, you’ll pay life-long penalties for enrolling late. Some people are automatically enrolled and others need to take action on their own. Medicare doesn’t cover everything, which means preparing for those gaps in coverage.

How much is Medicare Part A deductible?

However, it has a deductible of $1,364 per benefit period, along with some caps on benefits.

What is the deductible for Medicare 2019?

The deductible for 2019 is $415. If you fail to sign up for Medicare when you first qualify for coverage and you change your mind later, you could face life-lasting penalties, which would make your monthly premiums higher. Some people with low incomes qualify for programs that reduce their Medicare-related costs.

How long can you delay Medicare enrollment?

If your company has 20 or more employees, you can delay signing up for Medicare without facing late-enrollment penalties. Generally speaking, the employer will alert the program that you have qualifying coverage. Once you stop working, you get up to eight months to sign up.

How long does it take to sign up for Medicare if you stop working?

Once you stop working, you get up to eight months to sign up. Or, you can go ahead and enroll in Parts A and/or B. Be aware, though, that in this case your employer health care would be your primary coverage and Medicare would only pick up the tab if the primary policy doesn’t cover a service but Medicare does.

How long does it take to get Social Security?

If you haven’t yet tapped Social Security, the burden is on you to sign up. In that case, you get a seven-month enrollment period that starts three months before your birthday month and ends three months after that.

Does Medicare cover prescriptions for 2019?

So for 2019 it’s based on your 2017 tax return. Those parts of Medicare don’t cover prescriptions. That’s where a Part D drug plan comes in. You can get a standalone plan to use alongside original Medicare. Or, you can sign up for an Advantage Plan (Part C), which typically includes prescription drug coverage.

Medicare basics

Start here. Learn the parts of Medicare, how it works, and what it costs.

Sign up

First, you’ll sign up for Parts A and B. Find out when and how to sign up, and when coverage starts.

When do you need to sign up for Medicare?

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. Check with the employer.

What is a Medicare leave period?

A period of time when you can join or leave a Medicare-approved plan.

What happens if you don't sign up for Part A and Part B?

If you don’t sign up for Part A and Part B, your job-based insurance might not cover the costs for services you get.

Does Medicare work if you are still working?

If you (or your spouse) are still working, Medicare works a little differently. Here are some things to know if you’re still working when you turn 65.

Do you have to tell Medicare if you have non-Medicare coverage?

Each year, your plan must tell you if your non-Medicare drug coverage is creditable coverage. Keep this information — you may need it when you’re ready to join a Medicare drug plan.

Why do people not get Medicare at 65?

These days, fewer people are automatically enrolled in Medicare at age 65 because they draw Social Security benefits after 65. If you do not receive Social Security benefits, you will not auto-enroll in Medicare.

When do you get Medicare?

Some people automatically get Medicare at age 65, but those numbers have declined as the Medicare and Social Security ages have continued to drift apart.

What is the age limit for Medicare?

Most older adults are familiar with Medicare and its eligibility age of 65. Medicare Part A and Medicare Part B are available based on age or, in some cases, health conditions, including:

How long do you have to be on Social Security to get Medicare?

Individuals under 65 and already receiving Social Security or Railroad Retirement Board benefits for 24 months are eligible for Medicare. Still, most beneficiaries enroll at 65 when they become eligible for Medicare.

When did Medicare become law?

In the summer of ‘65, President Lyndon Johnson signed Medicare into law, establishing the age of eligibility at 65. The eligibility age for Medicare remains the same to this day.

How old do you have to be to get medicare?

While some specific circumstances can impact at what age you are eligible for Medicare, most people must wait until 65 as things currently stand.

When will Social Security be 67?

In 2000, the Social Security Amendments of 1983 began pushing back the standard age for full Social Security benefits. The progressive changes are nearing their conclusion: Beginning in 2022, the standard age for full benefits will be 67 for anyone born after 1960.

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.

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 do you have to sign up for a Part B plan?

Sign up during those eight months, and you won’t have to worry about premium surcharges for being late. And the eight-month special enrollment period is also available if you’re delaying Part B enrollment because you’re covered under your spouse’s employer-sponsored plan, assuming their employer has at least 20 employees.

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.

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 if you are still working at 65?

What if you’re still working when you hit 65? If you qualify for Medicare, but you’re not getting Social Security benefits yet, you usually don’t get enrolled automatically in Medicare.

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 is the best time to enroll in Medicare Supplement?

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. That 6-month period starts the month you’re both 65 or older, and enrolled in Part B.

Do you have to take action if you are automatically enrolled in Medicare?

But even if you’re automatically enrolled in traditional Medicare, you do have to take action if you want other Medicare coverage.

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 it a good idea to sign up for Medicare?

Then, it’s usually a good idea to sign up for any other type of Medicare coverage you want, promptly. Here’s a quick rundown on the main Medicare coverage options you have besides Original Medicare – and when to sign up.

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