Medicare Blog

i just turned 65 and need to sign up for medicare. what do i do?

by Mr. Jordi Hoppe II Published 3 years ago Updated 2 years ago
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  • 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.

Signing up for Medicare
  1. Visiting your local Social Security office.
  2. Calling Social Security at 800-772-1213.
  3. Mailing a signed and dated letter to Social Security that includes your name, Social Security number, and the date you would like to be enrolled in Medicare.
  4. Or, by applying online at www.ssa.gov.

Full Answer

Will I be automatically enrolled in Medicare at 65?

Unless you have already been receiving benefits from Social Security or the Railroad Retirement Board at least four months before you turn 65, you will not be automatically enrolled in Medicare when you turn 65. You will need to sign up for Medicare yourself by applying with Social Security.

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...

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 can you get Medicare before age 65?

You could be eligible for Medicare before you reach age 65 if you have:

  • Social Security disability
  • RRB disability pension
  • specific health conditions
  • family relationship

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Do you have to sign up for Medicare or is it automatic when you turn 65?

It depends. If you're receiving benefits from Social Security or the Railroad Retirement Board (RRB) at least four months before you turn 65, you do NOT need to sign up; you'll automatically get Part A and Part B starting the first day of the month that you turn 65.

What is the first thing to do to sign up for Medicare?

Apply online (at Social Security) – This is 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 Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.

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.

How many months before your 65th birthday should you apply for Medicare?

3 monthsGenerally, we advise people to file for Medicare benefits 3 months before age 65. 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.

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 are the three steps of the Medicare application process?

Step 1: Find out if you need to sign up for Medicare Part A or B. Step 2: Decide if you want Medicare Part B benefits. Step 3: Decide if you want extra coverage with Medicare.

How do I know if I am automatically enrolled in Medicare?

Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

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.

Do you automatically get Medicare with Social Security?

If you are already getting benefits from Social Security or the RRB, you will automatically get Part A and Part B starting on the first day of the month when you turn 65. If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month.

What is the window for applying for Medicare?

Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. (You may be eligible for Medicare earlier, if you get disability benefits from Social Security or the Railroad Retirement Board.)

Does Medicare start the beginning of the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

What is the best time to 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 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 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.

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 ...

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.

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.

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.

Check when to sign up

Answer a few questions to find out when you can sign up for Part A and Part B based on your situation.

When coverage starts

The date your Part A and Part B coverage will start depends on when you sign up.

What happens if you overlook Medicare enrollment rules?

Medicare processes and rules are complex and rife with exceptions; if you overlook something in the enrollment rules, you may pay a high price in terms of both penalties and gaps in coverage. So you should consult with Medicare and with the benefits administrator for your employer coverage — before you enroll or decide to delay enrollment.

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.

How many employees do you have to have to have Medicare Part B?

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 B, which will be your primary insurance. If you have an HSA and want to keep contributing: If you have an HSA ...

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 ...

Does Medicare Part A cover my employer?

Because in some cases, Medicare Part A may cover what your employer plan does not. But as with so many aspects of Medicare, there are caveats, exceptions and potential pitfalls. If the employer has 20 or more employees: If your or your spouse's employer has 20 or more employees and a group health plan, you don't have to sign up for Medicare ...

Is Medicare cheaper than group health insurance?

If your employer (or your spouse’s employer) requires you to pay a large portion of the premium on your group health insurance, you may find Medicare cheaper and the coverage adequate. So compare your current coverage and out-of-pocket expenses — including premiums, deductibles, copays and coinsurance — with your costs and benefits under Medicare, which may also pay some expenses not covered by your group plan.

You are currently on individual insurance

You need to transition onto Medicare at age 65. Medicare has stated that individual coverage does not count as creditable coverage past age 65. That means if you delay enrolling into Medicare, you will incur a late enrollment penalty.

You are a federal employee

You need to transition onto Medicare. Please contact the federal employee benefits center in order to find out how to elect Medicare as your primary coverage. Your federal employee benefits will become your secondary coverage. Please note that there are different rates for non-Postal employees then for Postal employees.

You have VA benefits

Most people with VA benefits are not required to also sign up for Medicare. You can just stick with having VA coverage. The VA website here can help explain how VA coordinates with other insurance. Of course, if you want an outside option to the VA, then you may also enroll into Medicare.

You or your spouse are still working and have employer insurance

If you or your spouse have employee benefits, then you really have the best of both worlds. You can choose to either stay on your employer’s coverage or you can go onto Medicare—whichever is better for you.

What is the Medicare penalty for not enrolling?

If you do not have creditable coverage after the age of 65 there is a lifelong penalty for Medicare Part B and Medicare Part D.

Do I need to notify Medicare if I am staying on group insurance?

No, you do not need to notify Medicare that you are going to stay on your group insurance and will not enroll right now. When you decide to transition to Medicare there are two forms that you will need to complete.

Contact Form

I am already on Medicare and have a question about my current coverage I am already on Medicare and would like to shop the coverage I have I am approaching 65 and am ready to begin Medicare I am approaching 65 and need to compare Medicare to my group insurance I am past the age of 65 and am ready to begin Medicare None of the above apply to me.

Who Should Enroll in Medicare at Age 65?

Many people don’t need to enroll in Medicare because it happens automatically. If you’re already receiving Social Security retirement benefits or Railroad Retirement Board benefits, then you’ll be automatically enrolled in Medicare. Do you have to sign up for Medicare at age 65 if you are still working? You don’t.

How to Enroll in Medicare at Age 65?

You become eligible for Medicare at age 65 and you should enroll as soon as possible so that your coverage begins as soon as you turn 65. Coverage begins the first day of the month you turn 65 and you can enroll as early as three months before your birthday month and up to three months after your birthday month.

Keep Proof of Enrollment

One important tip is to make sure you keep proof of your attempt at enrollment, in order to protect yourself from any late enrollment penalties should your application be lost. Print any confirmation information, note dates, times, and representatives you spoke with, and request any receipts possible in person.

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