Medicare Blog

medicare for person whose spouse has not retired

by Cornell Rath IV Published 2 years ago Updated 1 year ago
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If your spouse is older than you and not working when they turn 65, they may be eligible to receive Medicare benefits based on your work record even if you are not retired or receiving Medicare coverage yourself. In a case such as this, you must be at least 62 years old.

Anyone who is eligible for Medicare but isn't receiving Social Security retirement benefits at least four months before they turn 65 may need to sign up for Medicare manually by visiting their local Social Security office or by calling the Social Security Administration at 800-325-0778 to confirm their eligibility.Jan 20, 2022

Full Answer

Can my spouse receive Medicare benefits if I am not retired?

If your spouse is older than you and not working when they turn 65, they may be eligible to receive Medicare benefits based on your work record even if you are not retired or receiving Medicare coverage yourself. In a case such as this, you must be at least 62 years old.

Can a non-working spouse receive Medicare?

A non-working spouse’s eligibility to receive Medicare depends largely on the age of both that person and their partner. All of the following scenarios assume the non-working spouse has not paid Medicare taxes for 40 quarters (ten years) in their lifetime.

Should my older spouse enroll in Medicare Part A or Part B?

If your older spouse is covered by your employer health insurance, they may want to enroll only in premium-free Medicare Part A until you retire or your employer coverage ends. Part B—along with its premium—can be added later without penalty during a Special Enrollment Period as long as your employer provides creditable coverage.

What happens to my health insurance if my spouse retires?

Your spouse may continue coverage through your employer plan if you keep working and keep the employer coverage. Your employer may offer COBRA coverage for your spouse if you retire. Your spouse may choose to buy individual health insurance until he or she turns 65.

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Can my wife be covered under my Medicare?

Medicare does not cover spouses specifically. However, some spouses qualify based on the work record of their spouse or a former spouse. Some spouses may qualify by reaching 65 years of age and having their own eligible work and tax record. Others, however, may not have worked for the required number of quarters.

When can my wife get Medicare?

age 65 or olderTo 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.

Can I enroll in Medicare under my spouse?

To qualify for Medicare, you need to have paid into the Social Security system. Just like with Social Security benefits, you can qualify for Medicare coverage under your spouse's record.

Can you get Medicare without being retired?

Even if you don't qualify for Social Security, you can sign up for Medicare at 65 as long you are a U.S. citizen or lawful permanent resident.

What happens when one spouse goes on Medicare and the other isn't eligible?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.

How does Medicare work for married couples?

Medicare has no family plans, meaning that you and your spouse must enroll for Medicare benefits separately. This also means husbands, wives, spouses and partners pay separate Medicare premiums.

Can a widow get Medicare at 62?

No. Medicare benefits do not begin until a person is age 65. If you retire at age 62, you may be able to continue to have medical insurance coverage through your employer or, if not, you can purchase coverage from a private insurance company until you turn age 65 and become eligible for Medicare.

How do you pay for Medicare Part B if you are not collecting Social Security?

If you have Medicare Part B but you are not receiving Social Security or Railroad Retirement Board benefits yet, you will get a bill called a “Notice of Medicare Premium Payment Due” (CMS-500). You will need to make arrangements to pay this bill every month.

How do I file for spousal benefits?

Form SSA-2 | Information You Need to Apply for Spouse's or Divorced Spouse's Benefits. You can apply: Online, if you are within 3 months of age 62 or older, 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.

Do I have to be on Social Security to get Medicare?

Collecting Social Security is by no means a prerequisite to getting Medicare. In fact, it's often advisable to sign up for Medicare as soon as you're eligible (assuming you don't have other health coverage) but wait on Social Security to avoid a reduction in benefits, or boost them as much as possible.

Who is eligible for Medicare Part B?

You automatically qualify for Medicare Part B once you turn 65 years old. Although you'll need to wait to use your benefits until your 65th birthday, you can enroll: 3 months before your 65th birthday.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

How long does a non-working spouse have to pay Medicare?

All of the following scenarios assume the non-working spouse has not paid Medicare taxes for 40 quarters (ten years) in their lifetime.

How long do you have to be married to get Medicare?

*You must be married for at least one year before an older spouse can be eligible for Medicare based on your work record.

What are the benefits of Medicare Advantage?

Some Medicare Advantage plans may also offer additional benefits such as prescription drug coverage and coverage for dental, vision and hearing care. To learn more about Medicare Advantage plans for you and your spouse, call to speak with a licensed insurance agent today.

Can a non-working spouse be covered by Medicare?

It isn’ t uncommon for a non-working person to be covered under their spouse’s health insurance plan. And Medicare coverage is no different in that regard. While there are of course some exceptions and special circumstances that apply, Medicare can and does provide coverage for the spouse of a beneficiary, even if that person does not qualify ...

What happens if you don't get Social Security at 65?

If you’re still working at age 65 and you’re not claiming Social Security benefits, the government will not automatically enroll you in Medicare Part A, which covers hospital stays. 1 

Who is eHealth Medicare?

If you qualify for Medicare and are ready to look at plans, eHealth Medicare, an independent insurance broker and partner of Investopedia, has licensed insurance agents at <833-970-1257 TTY 711>; who can help connect you with Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Part D plans.

Does a Non-Working Spouse Qualify for Medicare?

Regardless of your work status or that of your spouse, you may qualify for Medicare if you are a U.S. citizen or legal resident for at least five years and are 65 years old (or are younger but have a qualifying disability ).

Can You Get Medicare If You Have Never Worked?

As outlined above, you may still get Medicare even if you have never worked a day in your life. You may even potentially qualify for premium-free Part A, provided that your spouse has paid Medicare taxes for at least 40 quarters and meets all other Medicare eligibility requirements. Those 40 quarters do not need to be consecutive.

How Does a Spouse Sign Up for Medicare?

Anyone who is eligible for Medicare but isn’t receiving Social Security retirement benefits at least four months before they turn 65 may need to sign up for Medicare manually by visiting their local Social Security office or by calling the Social Security Administration at 800-325-0778 to confirm their eligibility.

What If the Working Spouse Is Not Yet 65 Years Old?

A non-working spouse can receive premium-free Medicare part A as long as the other partner is at least 62 years old and has satisfied Medicare’s work requirements.

Where Can I Get More Information About My Medicare eligibility?

If you have lingering questions about the Medicare eligibility of yourself or your spouse, call 1-800-MEDICARE (1-800-633-4227) to speak to a Medicare representative.

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 long do you have to work to qualify for Medicare?

First, it is important to know how eligibility for Medicare works. Most Medicare beneficiaries have worked and paid Medicare payroll taxes for at least 10 years to qualify for premium-free Medicare Part A as well as Part B coverage. If you have not worked for 10 years but your spouse has, you are allowed to claim benefits on their record. Medicare benefits cannot start earlier than when you turn 65, unless you are disabled, have ALS, or have end-stage renal disease. Medicare will only cover you, not your spouse or children if they are not eligible on their own.

How long does a spouse have to be on Cobra?

If a company has more than 20 employees, it is required to offer COBRA benefits. COBRA allows coverage for 18 months, sometimes longer, so if the working spouse can wait to retire until 18 months before the younger spouses 65th birthday, this would work out nicely.

Can a non-working spouse get Social Security?

If the non-working spouse is older than the working spouse, the non-working spouse can qualify on on the working spouses work record if they are at least 62, since that is when qualification for Social Security begins. In this case, if the working spouse is still working, the non-working spouse should stay on the work health insurance ...

Can a spouse get health insurance after 65?

The other option would be for the younger spouse to find a job that offers health insurance until they turn 65. While this is a long-shot, some companies will provide coverage for the younger spouse even after the working spouse retires.

Can a non-working spouse claim Medicare?

If the working spouse is no longer employed, the non-working spouse should go ahead and apply for coverage fully from Medicare. If the working spouse is younger than 62, the non-working spouse will not be able to claim on the record.

Does Medicare cover spouse?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.

Can a spouse with a low income get medicaid?

Medicaid is a joint Federal and State program designed to help people with low incomes cover healthcare costs. If, by retiring, your income falls under a certain level, the younger spouse may be eligible for Medicaid coverage. Be aware, as a family, you have to have a very low income and very little assets, so many people will not qualify.

How does Medicare work with my job-based health insurance when I stop working?

Once you stop working, Medicare will pay first and any retiree coverage or supplemental coverage that works with Medicare will pay second.

When & how do I sign up for Medicare?

You can sign up anytime while you (or your spouse) are still working and you have health insurance through that employer. You also have 8 months after you (or your spouse) stop working to sign up.

Do I need to get Medicare drug coverage (Part D)?

Prescription drug coverage that provides the same value to Medicare Part D. It could include drug coverage from a current or former employer or union, TRICARE, Indian Health Service, VA, or individual health insurance coverage.

When do spouses have to enroll in Medicare?

Check whether your spouse’s employer plan requires you, as a covered dependent, to enroll in Medicare when you turn 65. Some plans — notably the military’s TriCare-for-Life coverage and health benefits provided by an employer with fewer than 20 employees — automatically become secondary to Medicare when an enrollee becomes entitled to Medicare.

What happens if you don't have Medicare?

In this case, if you’re not enrolled in Medicare, you would receive almost no coverage from the employer plan. If you are not married but living in a domestic partnership and you are covered by your partner's health insurance at work, you should enroll in Part A and Part B during your initial enrollment period at age 65 to avoid late penalties. ...

How to disenroll in Social Security?

You'll need to fill out a CMS-1763 form (pdf) and submit it to SSA. A personal interview with a Social Security representative is also required to disenroll; call 800-772-1213 or contact your local SSA office to arrange one.

How long after Medicare Part B enrollment can I buy a Medigap policy?

In addition, during the six months following Part B enrollment, you have a guaranteed right to buy a Medigap policy, also known as Medicare Supplement Insurance. After six months , Medigap providers can deny to sell you a plan, or can alter your premiums, based on preexisting conditions.

How long does a spouse have to sign up for a new employer?

This period lasts for up to eight months after employer coverage comes to an end.

When can I enroll in Medicare Part A?

You can enroll in Part A (hospital insurance) during your seven-month initial enrollment period around your 65th birthday. It won’t cost you anything — there are no premiums for Part A if you’re entitled to Medicare — but it provides an opportunity to tell the Social Security Administration (SSA), which handles Medicare enrollment, ...

Do I have to sign up for Medicare if I'm 65?

No, as long as you follow Medicare’s rules. Almost anybody who is retired but has group health coverage from the employer of a spouse who is still working does not need to sign up for Medicare Part B on reaching 65.

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