Medicare Blog

i am already enrolled in medicare. how do i apply spouse

by Emory Bauch DVM Published 2 years ago Updated 1 year ago

You can apply online (at Social Security) - select “Already Enrolled in Medicare” from the menu. Or, fax or mail your forms to your local Social Security office

Social Security Administration

The United States Social Security Administration is an independent agency of the U.S. federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for most of these benefits, most workers pay Social …

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Full Answer

How do I enroll in Medicare on my spouse’s work record?

There are 2 ways to enroll in Medicare on your spouse’s work record: Option 1: Enroll In-Person at a Social Security Office (preferred method) If you’re able, schedule an appointment at your local Social Security office. If you walk-in, you might have to wait awhile. If you have an appointment, you can guarantee that you’ll be seen that day.

When does my spouse become eligible to receive Medicare?

If your spouse is younger than 65 and receives disability benefits from Social Security for a period of 24 months, they automatically become eligible for Medicare on the 25th month. What Happens if Your Spouse is Older Than You?

Do I have to get Medicare if I'm covered by my spouse's plan?

Do I Have to Get Medicare If I’m Covered by My Spouse’s Employer Plan? Most people are first eligible to sign up for Medicare when they turn 65, and many choose to enroll during this time. For individuals who are covered by a spouse’s employer health care plan, it may not be necessary, or ideal, to enroll in Medicare immediately upon turning 65.

Do I need to enroll in Medicare if I have health insurance?

If I Have Health Insurance Coverage Through My Spouse, Do I Need to Enroll In Medicare? If you’ve recently become eligible for Medicare, but you’re already covered through your spouse’s health insurance, do you need to sign up? Medicare Part A is free for most people, and it doesn’t hurt to enroll even with other coverage.

Can I add my spouse to my Medicare plan?

But when a person asks “Can my non-working spouse get Medicare?” they really are asking “Can my spouse be on my Medicare plan?” The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together.

Does Medicare Cover husband and 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. However, some spouses qualify based on the work record of their spouse or a former spouse.

What happens to my spouse when I go on Medicare?

Your spouse can switch to health insurance from his or her employer until reaching Medicare age or beyond. Your spouse can qualify for a special enrollment period to switch to this coverage within 30 days of losing coverage under your plan or can enroll during the company's annual open enrollment period.

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 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 add my wife to my Medicare Advantage plan?

Medicare Advantage: what about my spouse? Medicare Advantage plans don't cover both you and your spouse together under one policy. Just as Medicare Part A and Part B cover each Medicare beneficiary separately, you can't share a Medicare Advantage plan with your spouse.

When can my spouse start Medicare?

age 65When 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.

How much does Medicare cost for a couple?

Medicare Part B Medicare considers you and your spouse's combined income (if you're married and file your income taxes jointly) when calculating Part B premiums. In most cases, you'll each pay the standard monthly Part B premium, which is $170.10 per month in 2022.

Do I need Medicare if my spouse is still working?

Generally, if you have job-based health insurance through your (or your spouse's) current job, you don't have to sign up for Medicare while you (or your spouse) are still working. You can wait to sign up until you (or your spouse) stop working or you lose your health insurance (whichever comes first).

Should husband and wife have 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.

Can my wife get Medicare at 62?

Traditional Medicare includes Part A (hospital insurance) and Part B (medical insurance). 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.

Why does my wife pay more for Medicare than I do?

If you file your taxes as “married, filing jointly” and your MAGI is greater than $170,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $85,000, you'll pay higher premiums.

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 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.

How old do you have to be to qualify for Medicare Part A?

If you are eligible on your own, you won’t have to worry about researching your eligibility through your spouse. You are eligible for premium-free Part A if you are 65 and: You worked at least 40 quarters in the United States in which you ...

How old do you have to be to get Medicare?

Here are several scenarios in which you would be eligible for Medicare at age 65 through your spouse, who must be at least age 62: Married: If you have been married for at least 1 year and your spouse is eligible for Social Security. Divorced: If you were married for at least 10 years, your former spouse is eligible for Social Security, ...

How much is Medicare Part B in 2021?

Your Part B premium will depend upon your income though for most people it is $148.50 in 2021. Social Security will deduct your Part B premium from your Social Security check monthly.

How many quarters do you have to work to qualify for a part A?

You are eligible for premium-free Part A if you are 65 and: You worked at least 40 quarters in the United States in which you paid Social Security taxes. OR You are eligible for Railroad Retirement benefits.

Can a spouse who is under 65 get Medicare?

Fortunately, this situation qualifies for a Special Election Period under the Affordable Care Act. When one spouse goes on Medicare, the non-working spouse who is under 65 and not eligible for Medicare yet can visit www.healthcare.gov to sign up for an individual plan through the healthcare exchange.

Who is the Primary Insurer, Your Group Plan or Medicare?

When health insurance claims are filed, there is typically a primary insurer (who pays first) and a secondary insurer (who pays second). Whether or not you should enroll in Part B depends on who is the primary insurer, Medicare or your group plan. How do you know? The number of people employed at your company is the deciding factor.

Sometimes Group Insurance Changes When You Become Eligible for Medicare

Even if you know that your employer will be the primary insurer, take a look at your benefits. Sometimes they change when you become eligible for Medicare. Read over your group coverage benefits to see how they work once you or your spouse turn 65. Then decide if it’s better for you to enroll in Part B now or delay enrollment.

What About Penalties, Will You Qualify for a Special Enrollment Period to Enroll in Medicare Later?

With group coverage, you qualify for a Special Enrollment Period. That means you can enroll in Part B after the Medicare Initial Enrollment Period. You have 8 months after group coverage ends to enroll in Medicare without paying a penalty.

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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