Medicare Blog

i am turning 65 what do i do about medicare

by Prof. Elna DuBuque DDS Published 2 years ago Updated 1 year ago
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EVERYONE WHO IS TURNING 65 should complete these tasks: Get familiar with Medicare and its “parts” To learn about Medicare, see the “Introduction to Medicare” fact sheet. You can also visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227); TTY users should call 1-877-486-2048.

Full Answer

What do you do when you turn 65?

  • Your job-based insurance pays first, and Medicare pays second.
  • If you don’t have to pay a premium for Part A, you can choose to sign up when you turn 65 (or anytime later).
  • You can wait until you stop working (or lose your health insurance, if that happens first) to sign up for Part B, and you won’t pay a late enrollment penalty.

What to do when you turn 65?

You probably know the answer to this long before your 65th birthday. Still, if you’re still working when you turn 65, you need to go over all your financial information and assets and figure out where you stand.

Can you keep Medicaid after turning 65?

While some of these individuals may meet criteria to remain in Medicaid upon turning 65, nearly all of them would be expected to transition their primary insurance from Medicaid to Medicare within the next decade, assuming all states eventually participate in the Medicaid expansion.

How to enroll in Medicare if you are turning 65?

  • You have no other health insurance
  • You have health insurance that you bought yourself (not provided by an employer)
  • You have retiree benefits from a former employer (your own or your spouse’s)
  • You have COBRA coverage that extends the insurance you or your spouse received from an employer while working

More items...

When do you get Medicare?

How to enroll in Medicare if you are a railroad retiree?

Where does Social Security retirement come from?

About this website

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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 I need to contact Social Security when I turn 65?

Is it automatic when I turn 65? To enroll in Medicare, most people need to contact Social Security directly. Do this before your 65th birthday to avoid a lapse in health coverage.

How do I apply for Medicare as one approaches 65 years old?

Ways to sign up:Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.Contact your local Social Security office.If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.

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...

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.

At what age is Social Security no longer taxed?

At 65 to 67, depending on the year of your birth, you are at full retirement age and can get full Social Security retirement benefits tax-free.

Can you have Medicare and employer insurance at the same time?

Yes, you can have both Medicare and employer-provided health insurance. In most cases, you will become eligible for Medicare coverage when you turn 65, even if you are still working and enrolled in your employer's health plan.

How do you apply for Social Security after 65?

You can apply:Online; 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. ... If you do not live in the U.S. or one of its territories, you can also contact your nearest U.S. Social Security office, U.S. Embassy or consulate.

Is Medicare Part A free?

Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $499 each month in 2022. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $499.

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.

What is included in Medicare Part A?

In general, Part A covers:Inpatient care in a hospital.Skilled nursing facility care.Nursing home care (inpatient care in a skilled nursing facility that's not custodial or long-term care)Hospice care.Home health care.

Turning 65 next year, when should I enroll for Medicare?

En español | If you already receive Social Security benefits, Social Security will automatically sign you up for Medicare Part A and Part B — though you can decline Part B enrollment if you want to. Otherwise, you need to apply for Medicare. The best time to do that depends entirely on your own situation. Broadly, there are two options:

Will I Be Automatically Enrolled In Medicare At 65?

The Social Security Administration will automatically sign you up at age 65 for the basic Medicare services: parts A and B. Read to learn more.

Fact Sheet: Medicare Decisions for Someone Nearing Age 65

FACT SHEET: Centers for Medicare & Medicaid Services Page 1 Decisions for someone who is nearing age 65 As you near age 65, you need to learn about Medicare coverage choices and make several

How do I sign up for Medicare? | Medicare

Ways to sign up: Online (at Social Security) – It’s the easiest and fastest way to sign up and get any financial help you may need. (You’ll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.); Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.

When do you get Medicare?

Most people become eligible for Medicare when they turn 65. Your Medicare enrollment steps will differ depending on whether or not you are collecting retirement benefits when you enter your Initial Enrollment Period (IEP) .

How to enroll in Medicare if you are a railroad retiree?

If you are eligible for Railroad Retirement benefits, enroll in Medicare by calling the Railroad Retirement Board (RRB) or contacting your local RRB field office. Keep proof of when you tried to enroll in Medicare, to protect yourself from incurring a Part B premium penalty if your application is lost.

Where does Social Security retirement come from?

If you get Social Security retirement benefits, your package and card will come from the Social Security Administration (SSA). If you get Railroad Retirement benefits, your package and card will come from the Railroad Retirement Board .

Case 1 – Healthy couple, traveling more, part-time commitments

This could be my wife Martha and me – but we are hardly unique. We both turned 65 in the same year, our 7 month Initial Election Periods (IEP – 3 months before and after our 65th birthday, birthday month and 3 months after) overlapped, so I could drop my work coverage, retire, and both go on Medicare in the same month.

Case 2 – Healthy couple, wants to spend over 60 consecutive days a year at their condo in Mexico

Mexico is great for active retirees, particularly to escape the cold winters of New England. We have friends who spend time from Mexico to Argentina – but if you are out of the US for over 60 days the only solution is an Advantage Plan including worldwide coverage and Medicare Part D.

Case 3 – Healthy people traveling a long way from home

The third case is for everyone who travels outside the US – plan for a way to get Home in an emergency! Medical emergencies happen when you travel – and normal airlines may not be a medically feasible way to get home.

Wes Chapman

Wes Chapman was educated in Mexico and Spain, then had a 20-year career in investment banking in Latin America, finishing with 10 years as region director for Oppenheimer in Latin America. He spent the last 20 years in healthcare, focused on patient-centric, value-based care.

What happens if you miss the Medicare Part B deadline?

If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, outpatient fees and other medical expenses. However, some people who are still working at 65 and have group health insurance through their employer (or a spouse's employer) may be able to delay enrollment without this penalty.

When is the enrollment window open for Medicare Part B?

For example, if you turn 65 on July 4, 2021, the enrollment window is open from April 1 to October 30. If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, outpatient fees and other medical expenses. However, some people who are still working at 65 and have group health insurance ...

When does Medicare open for 2021?

For example, if you turn 65 on July 4, 2021, the enrollment window is open from April 1 to October 30. If you miss this deadline, you may have to pay higher premiums for Medicare Part B, which covers doctor bills, ...

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.

It's a big milestone -- and one that could come with many changes

Maurie Backman is a personal finance writer who's passionate about educating others. Her goal is to make financial topics interesting (because they often aren't) and she believes that a healthy dose of sarcasm never hurt anyone. In her somewhat limited spare time, she enjoys playing in nature, watching hockey, and curling up with a good book.

1. You're eligible for Medicare

Medicare eligibility begins at age 65, and you can even sign up for coverage beginning three months before the month of your 65th birthday. It pays to enroll in Medicare on time, because if you don't, you could end up subject to costly penalties that make your Part B premiums more expensive.

2. But you don't have to sign up for Medicare

Just because you're turning 65 this year doesn't mean you're giving up your job. And if you plan to keep working, you may continue to have access to a group health insurance policy through your employer.

3. You can claim Social Security -- but you may not want to

The earliest age you can sign up for Social Security is 62, and so if you're turning 65 this year, claiming benefits is definitely an option. But that doesn't mean you should rush to file.

Key takeaways

What costs should you expect if you’re moving from expanded Medicaid to Medicare?

Millions under expanded Medicaid will transition to Medicare

There are currently almost 20 million people covered under expanded Medicaid, accounting for almost a quarter of all Medicaid enrollees nationwide. Under ACA rules, there are no asset limitations for Medicaid eligibility for pregnant women, children, or adults eligible due to Medicaid expansion.

Moving from expanded Medicaid to Medicare Advantage

Depending on your circumstances, you might choose to enroll in a Medicare Advantage plan that provides prescription, dental, and vision coverage – and caps enrollees’ annual out-of-pocket costs for Parts A and B, which traditional Medicare does not do.

Transitioning from expanded Medicaid to Medigap

The more expensive way to cover the gaps in traditional Medicare is to buy a Medigap policy, which generally costs anywhere from a minimum of $25/month to more than $200/month to cover out-of-pocket costs for Parts A and B. That’s on top of premiums for Medicare Parts B and D (prescription drugs).

Medicare can pull you out of the coverage gap

Although the transition from expanded Medicaid to Medicare can be financially challenging, eligibility for Medicare will likely come as a welcome relief if you’ve been in the coverage gap in one of the 11 states that have refused to expand Medicaid.

What steps do I need to take to move from expanded Medicaid to Medicare?

If you’re enrolled in expanded Medicaid and you’ll soon be 65, you’ll want to familiarize yourself with the health coverage and assistance programs that might be available to you.

Legislation aims to make Medicare more affordable for lower-income Americans

The Improving Medicare Coverage Act, introduced in the U.S. House in September by Washington Representative Pramila Jayapal, would do away with cost-sharing and premiums for Medicare beneficiaries with income up to 200% of the poverty level (it would also lower the Medicare eligibility age to 60).

When do you get Medicare?

Most people become eligible for Medicare when they turn 65. Your Medicare enrollment steps will differ depending on whether or not you are collecting retirement benefits when you enter your Initial Enrollment Period (IEP) .

How to enroll in Medicare if you are a railroad retiree?

If you are eligible for Railroad Retirement benefits, enroll in Medicare by calling the Railroad Retirement Board (RRB) or contacting your local RRB field office. Keep proof of when you tried to enroll in Medicare, to protect yourself from incurring a Part B premium penalty if your application is lost.

Where does Social Security retirement come from?

If you get Social Security retirement benefits, your package and card will come from the Social Security Administration (SSA). If you get Railroad Retirement benefits, your package and card will come from the Railroad Retirement Board .

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