Medicare Blog

what are the rules to sign up for medicare

by Prof. Veda Gusikowski V 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.

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

How early should you sign up for Medicare?

If you’re under 65 years old, you might be eligible for Medicare:

  • If you receive disability benefits from Social Security or certain disability benefits from the Railroad Retirement Board (RRB) for at least 24 months in a row
  • If you have amyotrophic lateral sclerosis (ALS, also called Lou Gehrig’s disease)
  • If you have end-stage renal disease (ESRD). ...

Is it mandatory to sign up for Medicare?

While signing up for Medicare isn’t technically required, there are serious financial penalties and consequences for delaying or forfeiting coverage. Most people sign up for Medicare or are automatically enrolled in the program around their 65th birthday.

How to sign up for Medicare the first time?

You are automatically enrolled in Medicare Part A and Part B if:

  • Sign up for a Medicare Part D drug plan.
  • Buy a Medigap supplement insurance policy.
  • Switch to a Medicare Advantage plan.

What is the easiest way to sign up for Medicare?

To Apply Online, Just Follow These Few Simple Steps:

  • Go to Social Security’s Website
  • Click on the “Menu” Tab.
  • In the “Benefits” section, choose “Medicare”.
  • Scroll down and click the “Apply for Medicare Only” button. (you will only be applying for medical coverage — not social security payments)
  • In the “Apply and Complete” section, choose “Start a New Application”.
  • The site will guide you from there.

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What are the 3 requirements for a member to be eligible for a Medicare?

You're 65 or older.You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least five years and.You are receiving Social Security or railroad retirement benefits or have worked long enough to be eligible for those benefits but are not yet collecting them.More items...•

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.

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 are the rules of Medicare?

7 Essential Medicare Rules You Need to KnowEligibility begins at 65. ... There are penalties for signing up late. ... Higher earners pay more for Part B. ... You can have original Medicare or Medicare Advantage -- but not both. ... You can have Medicare plus private insurance. ... Medicare and health savings accounts don't mix.More items...•

What happens if you don't sign up for Medicare at 65?

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. For example, suppose that: You were eligible for Medicare in 2020, but you didn't sign up until 2022.

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.

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 they automatically send you a Medicare card?

You should automatically receive your Medicare card three months before your 65th birthday. You will automatically be enrolled in Medicare after 24 months and should receive your Medicare card in the 25th month.

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

Can I have Medicare and employer coverage 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.

What income is used to determine Medicare premiums?

modified adjusted gross incomeMedicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago. This is the most recent tax return information provided to Social Security by the IRS.

How much does Social Security take out for Medicare each month?

The standard Medicare Part B premium for medical insurance in 2021 is $148.50. Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less.

When should you apply for Medicare?

Generally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65.

Answer a few questions to find out

These questions don’t apply if you have End-Stage Renal Disease (ESRD).

Do you have health insurance now?

Are you or your spouse still working for the employer that provides your health insurance coverage?

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.

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).

How to enroll if you are not receiving Social Security?

If you’re not receiving Social Security, you’ll need to enroll either online, over the phone at 800-772-1213 or through your local Social Security office.

When does Medicare Part B start?

If you happen to miss the seven-month sign-up window for Medicare Part B, you’ll have to wait until the next “general enrollment period” which runs from Jan. 1 to March 31 with benefits beginning the following July 1.

How long does it take to get insurance for my 65th birthday?

You can enroll any time during the “initial enrollment period,” which is a seven-month period that includes the three months before, the month of and the three months after your 65th birthday. It’s best to enroll three months before your birth month to ensure your coverage starts when you turn 65. If you happen to miss the seven-month sign-up ...

How long can you delay Medicare Part B?

This means that you can delay enrolling in Medicare Part B, and are not subject to the 10 percent late-enrollment penalty as long as you sign up for within eight months of losing that coverage .

If you already receive benefits from Social Security

If you already get benefits from Social Security or the Railroad Retirement Board, you are automatically entitled to Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) starting the first day of the month you turn age 65. You will not need to do anything to enroll.

If you are not getting Social Security benefits

If you are not getting Social Security benefits, you can apply for retirement benefits online. If you would like to file for Medicare only, you can apply by calling 1-800-772-1213.

If you are under age 65 and disabled

If you are under age 65 and disabled, and have been entitled to disability benefits under Social Security or the Railroad Retirement Board for 24 months, you will be automatically entitled to Medicare Part A and Part B beginning the 25th month of disability benefit entitlement. You will not need to do anything to enroll in Medicare.

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