Medicare Blog

i just turned 65. what do i need to know about medicare?

by Clint Kreiger Published 2 years ago Updated 1 year ago
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You're eligible to receive Medicare once you turn 65. (You might be eligible earlier if you have certain disabilities or medical conditions.) Medicare extends full benefits at the age of eligibility, and coverage is not limited by prior earnings nor is it capped if you continue to work.

You can sign up for Part A any time after you turn 65. Your Part A coverage starts 6 months back from when you sign up or when you apply for benefits from Social Security (or the Railroad Retirement Board). Coverage can't start earlier than the month you turned 65. I have a Health Savings Account (HSA).

Full Answer

Does Medicare automatically start at 65?

group health plan coverage (as defined by the IRS.) If it’s not, sign up for Medicare when you turn 65 to avoid a monthly Part B late enrollment penalty . 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. If you have

What to do before you turn 65 Medicare?

Decide whether to enroll in Part A and Part B when you turn 65. Review the “ Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 65 ” fact sheet to help you make these decisions. Find out if you need to contact Social Security to sign up for Medicare (or opt-out of Part B) Review the “

Will I be automatically enrolled in Medicare at 65?

If you are 65 but are not receiving Social Security retirement benefits or Railroad Retirement benefits, you will need to actively enroll in Medicare. Signing up for Medicare Follow the steps below if you need to actively enroll in Medicare.

Is it mandatory to go on Medicare at 65?

Jun 03, 2021 · The general rule for Medicare signup is that unless you meet an exception, you get a seven-month enrollment window that starts three months before your 65th birthday month and ends three months...

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Do I need to notify 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.Sep 15, 2013

Are you automatically signed up for Medicare when you 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.)

What do I need to do turning 65?

This quick checklist covers some of the most important things you should review.Prepare 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.Nov 22, 2021

How does Medicare work at age 65?

Most people age 65 or older are eligible for free Medical hospital insurance (Part A) if they have worked and paid Medicare taxes long enough. You can enroll in Medicare medical insurance (Part B) by paying a monthly premium. Some beneficiaries with higher incomes will pay a higher monthly Part B premium.

Are you automatically enrolled in Part A?

People living in the United States and U.S. Territories (except Puerto Rico) who are already collecting Social Security—either disability or retirement—are automatically enrolled into Part A and Part B when they're first eligible.Dec 1, 2021

Does Social Security automatically send you a Medicare card?

Medicare will automatically mail your new card to the address you have on file with Social Security. As long as your address is up to date, there's nothing you need to do!May 17, 2018

What should I be doing 3 months before 65?

Visit your local Social Security office. Use the Social Security Office locator at https://secure.ssa.gov/ICON/main.jsp or call 1-800-772-1213. Fill out a form online (if applying for Medicare only and not Social Security benefits) at https://secure.ssa.gov/iClaim/rib.

When should I start planning for Medicare?

Generally, you're first eligible starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don't sign up for Part B when you're first eligible, you might have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B.

What happens to your body when you turn 65?

Muscle and cartilage deterioration is a common effect of aging. The older you get, the more difficult it will become to “put on” muscle and the easier it will be to sustain common athletic injuries. You may also have a slower healing time, so be respectful of your body and its limits.Sep 25, 2017

Does Medicare Part A cover 100 percent?

Most medically necessary inpatient care is covered by Medicare Part A. If you have a covered hospital stay, hospice stay, or short-term stay in a skilled nursing facility, Medicare Part A pays 100% of allowable charges for the first 60 days after you meet your Part A deductible.

How do I enroll in Medicare for the first time?

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.

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.Jan 3, 2022

When do you need to enroll in Medicare Supplement?

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.

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 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 does IEP start?

So if your 65th birthday is in November, your IEP runs from August through February. Your IEP is different if you’re not yet 65, but you qualify for Medicare by disability.

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.

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 .

How long does Medicare enrollment last?

The general rule for Medicare signup is that unless you meet an exception, you get a seven-month enrollment window that starts three months before your 65th birthday month and ends three months after it. Having qualifying insurance through your employer is one of those exceptions. Here’s what to know.

How much is the surcharge for Part B?

For Part B, that surcharge is 10% for each 12-month period you could’ve had it but didn’t sign up. For Part D, the penalty is 1% of the base premium ($33.06 in 2021) multiplied by the number of full, uncovered months you didn’t have Part D or creditable coverage.

Can I delay Medicare if I lose my group insurance?

The general rule for workers at companies with at least 20 employees is that you can delay signing up for Medicare until you lose your group insurance (i.e., you retire). Many people with large group health insurance delay Part B but sign up for Part A because it’s free. “It doesn’t hurt you to have it,” Roberts said.

Does Medicare have a premium?

Part A has no premium as long as you have at least a 10-year work history of contributing to the program through payroll (or self-employment) taxes.

Can a 65 year old spouse get Medicare?

Some 65-year-olds with younger spouses also might want to keep their group plan. Unlike your company’s option, spouses must qualify on their own for Medicare — either by reaching age 65 or having a disability if younger than that — regardless of your own eligibility.

Does Part C include prescription drugs?

About 43% of individuals choose to get their Parts A and B benefits delivered through an Advantage Plan (Part C), which typically also includes prescription drugs (Part D) and may or may not have a premium.

Do you have to sign up for Medicare at age 65?

Medicare may not be top of mind if you’re nearing the eligibility age of 65 and already have health insurance through your employer. However, it probably deserves some attention. While not everyone must sign up, many are required to enroll unless they want to face life-lasting late-enrollment 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.

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.

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.

2. Medicare Has Different Open Enrollment Periods

Signing up for Medicare is like signing up for a group health plan through your employer — you can only do it at a specific time.

3. Medicare Doesn't Cover Everything

Medicare's not much different from most health insurance plans. It pays for some services, but you'll pay out-of-pocket costs, such as co-payments and deductibles, for others. Certain services and care needs might not be covered, including:

4. Alternative or Supplemental Insurance Policies Can Fill Coverage Gaps

Because Medicare doesn't cover everything, you might want to find an alternative or a supplement to fill any coverage gaps.

5. Medicare Eligibility Is Separate From Social Security

Just because you're eligible for Social Security doesn't mean you're also eligible for Medicare, and vice versa.

6. You Might Not Need to Sign Up for Medicare at 65

What if you're still working and still have health insurance when you hit 65?

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