Medicare Blog

rules on when to sign up for medicare

by Tomasa Carroll Published 2 years ago Updated 1 year ago
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Generally, 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.

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.)

Full Answer

What is the last day to sign up for Medicare?

The annual open enrollment period for Medicare coverage ends today, Tuesday, Dec. 7. This means if you have not already signed up, or are already signed up and simply want to make changes, today is your last chance to do so. See: Retirement: Medicare Part B Will Rise 14.5% Next Year — More Than Double the Estimate

How and when you should enroll in Medicare?

Sign up for Parts A and B of Medicare

  • I’m already receiving Social Security retirement benefits. ...
  • I’m signing up during my initial enrollment period , the three months before to the three months after the month you turn 65. ...
  • I’m signing up during a special enrollment period , a time you can enroll in Medicare outside the initial enrollment period when certain conditions are met. ...

More items...

What age do you need to sign up for Medicare?

The standard age for Medicare eligibility has been 65 for the entirety of the health insurance program, which debuted in 1965. These days, fewer people are automatically enrolled in Medicare at age 65 because they draw Social Security benefits after 65. If you do not receive Social Security benefits, you will not auto-enroll in Medicare.

How and when are you supposed to enroll in Medicare?

  • 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

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How many months before I turn 65 should I 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.

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 best time to sign up 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.

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.

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.

What happens if you don't enroll in Medicare Part A at 65?

If you don't have to pay a Part A premium, you generally don't have to pay a Part A late enrollment penalty. The Part A penalty is 10% added to your monthly premium. You generally pay this extra amount for twice the number of years that you were eligible for Part A but not enrolled.

How does Medicare work when you turn 65?

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.

When should I sign up for Medicare Part B if I am still working?

You may be required to get Medicare Part B even when you're still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you're covered by a spouse's employer, and the employer requires covered dependents to enroll in Medicare when they turn 65.

When should I sign up for Social Security at 65?

You can apply up to four months before you want your retirement benefits to start. For example, if you turn 62 on December 2, you can start your benefits as early as December, and apply in August. Even if you are not ready to retire, you still should sign up for Medicare three months before your 65th birthday.

What are the three steps of the Medicare application process?

In this Article 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. Step 4: Decide if you want Medicare Part D, Prescription Drug Coverage.

Are you automatically enrolled in Medicare if you are on Social Security?

Initial Enrollment Period for Part B 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.

Who is not eligible for Medicare?

Did not work in employment covered by Social Security/Medicare. Do not have 40 quarters in Social Security/Medicare-covered employment. Do not qualify through the work history of a current, former, or deceased spouse.

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.

Your first chance to sign up (Initial Enrollment Period)

Generally, when you turn 65. This is called your Initial Enrollment Period. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65.

Between January 1-March 31 each year (General Enrollment Period)

You can sign up between January 1-March 31 each year. This is called the General Enrollment Period. Your coverage starts July 1. You might pay a monthly late enrollment penalty, if you don’t qualify for a Special Enrollment Period.

Special Situations (Special Enrollment Period)

There are certain situations when you can sign up for Part B (and Premium-Part A) during a Special Enrollment Period without paying a late enrollment penalty. A Special Enrollment Period is only available for a limited time.

Joining a plan

A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare. It usually also includes drug coverage (Part D).

When do you sign up for Medicare?

Most people sign up for Medicare around their 65th birthday within a specific enrollment window. However, people may sign up earlier under certain circumstances. If a person does not sign up ...

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

A person can qualify for a Medicare plan before 65 years of age if they meet certain criteria: They have end stage renal disease (ESRD) and need dialysis or are on the kidney transplant list. They have amyotrophic lateral sclerosis (Lou Gehrig’s disease).

How to contact Social Security about Medicare?

If a person is not sure about when to sign up for Medicare, they should contact the Social Security Administration on 1-800-772-1213 (Text Telephone: 1-800-325-0778). Last medically reviewed on March 6, 2020.

How long do you have to enroll in Medicare after a jail sentence?

A person recently finished a jail sentence. These Special Enrollment Periods still only leave about 2 months to enroll in Traditional Medicare or a new Medicare Advantage policy before an enrollee faces penalty fees or gaps in coverage. Find out more about Medicare age criteria.

What is Medicare Advantage Open Enrollment Period?

A Medicare Advantage Open Enrollment Period is also available between the same dates, during which a person can make one change to their Medicare coverage. Such a change might involve switching from one Medicare Advantage plan to a different plan or returning to Traditional Medicare.

How long do you have to switch back to Medicare Advantage?

If a person signs up for a Medicare Advantage plan during that time but wishes to make changes or revert to Traditional Medicare, they have 12 months to switch back if the plan does not meet their needs. A person with Original Medicare can also sign up for Medicare Advantage during the Fall Open Enrollment Period.

What is Medicare Advantage?

Medicare Advantage is an alternative to Traditional Medicare for which a person selects a plan through a private insurance company. The private insurer then administers and pays their benefits. Medicare Advantage plans include parts A and B, as well as additional benefits, such as prescription drug coverage.

How long does it take to enroll in Medicare?

Enrollment deadlines. How to apply. Takeaway. Enrolling in Medicare isn’t always a once-and-done procedure. When you become eligible, there are several points when you can sign up for each of Medicare’s parts. For most people, signing up for Medicare occurs during a 7-month initial enrollment period (IEP). The IEP starts 3 months ...

How long do you have to be on Medicare if you have a disability?

If you have a disability. If you’ve been receiving either Social Security disability benefits or railroad retirement board disability benefits for at least 24 consecutive months , you’re eligible to enroll in Medicare at any time, no matter your age.

What happens if you don't sign up for Medicare Part D?

If you don’t sign up for Medicare Part D within 63 days of your IEP, you may incur a late enrollment penalty. Medicare supplement (Medigap). The initial enrollment period for Medigap is triggered by the start of the month when you turn 65 years old and sign up for Part B. Initial enrollment for Medigap lasts for 6 months from that date.

How to enroll in Medicare Part D?

If you want to enroll in Medicare Part D, you have several ways to do so: By phone. You can call 800-633-4227 (or 877-486-2048 for TTY). Online. Use Medicare.gov’s plan finder tool to compare Part D plans available in your area. Contact a private insurance company.

How long does Medicare coverage last?

The takeaway. Eligibility for Medicare usually occurs starting 3 months prior to the month you turn age 65. This initial enrollment period lasts for 7 months. There are special circumstances and also other enrollment periods provided for you, during which you may get coverage, if you miss initial enrollment.

When is Medicare Part D open enrollment?

If you didn’t sign up for Medicare Part D when you were first eligible, you can sign up during an annual open enrollment period, which takes place from October 15 to December 7 each year.

How to contact SSA by mail?

Call SSA at 800-772-1213 (or 800-325-0718 for TTY), Monday through Friday, 7 a.m. to 7 p.m. In person. Visit your local SSA office; you can find it through the SSA office locator. By mail. You can send a letter to your local SSA office with your name, your Social Security number, and the date you’d like to enroll.

Medicare basics

Start here. Learn the parts of Medicare, how it works, and what it costs.

Sign up

First, you’ll sign up for Parts A and B. Find out when and how to sign up, and when coverage starts.

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