Medicare Blog

what do i need to apply medicare

by Dawn Leffler II Published 2 years ago Updated 1 year ago
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What do you need to bring when applying for Medicare?

  • Birth certificate. You typically need to be at least 65 years old to receive Medicare benefits, unless you have a...
  • Proof of U.S. citizenship or legal residency. You must be a U.S. citizen or a legal resident of the U.S. for at least...
  • Your Social Security card (if already receiving SSA benefits). If you are already...

What documents do I need to enroll in Medicare?
  1. your Social Security number.
  2. your date and place of birth.
  3. your citizenship status.
  4. the name and Social Security number of your current spouse and any former spouses.
  5. the date and place of any marriages or divorces you've had.

Full Answer

What documents are needed for Medicare application?

What do you need to bring when applying for Medicare?

  • Birth certificate. ...
  • Proof of U.S. ...
  • Your Social Security card (if already receiving SSA benefits) If you are already receiving benefits from Social Security or the Railroad Retirement Board, you may be required to supply your ...
  • Health insurance information. ...
  • Tax information. ...
  • Military documents. ...
  • Part B enrollment application. ...

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.

When should I sign up for Medicare?

Medicare eligibilitystarts at age 65. Your initial window to enrollis 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 that could prove quite costly over the course of retirement.

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...

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What is the easiest way to apply 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.

When should I start applying 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. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application.

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 I automatically get Medicare when I turn 65?

You automatically get Medicare when you turn 65 Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

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.

How to apply for medicare over the phone?

By phone. Call 1-800-772-1213 between 7am and 7pm Monday through Friday to apply over the phone. If you are hard of hearing, you may dial 1-800-325-0778. In person. Visit your local Social Security office to apply for Medicare in person. If you're eligible for or enrolled in Medicare and you want to compare your Medicare plan options, ...

How long do you have to be a US citizen to qualify for Medicare?

You must be a U.S. citizen or a legal resident of the U.S. for at least five continuous years to be eligible for Medicare.

How long does it take to sign up for Medicare?

You may apply for Medicare online through the Social Security Administration (SSA) website. The application process typically takes no more than 10 minutes to complete. By phone.

Who can help you compare Medicare plans?

If you're eligible for or enrolled in Medicare and you want to compare your Medicare plan options, a licensed insurance agent may be able to help.

When do you start enrolling in Medicare?

However, you may begin the enrollment process three months before turning 65, which is when your Medicare Initial Enrollment Period (IEP) typically begins. Learn more about the Medicare Initial Enrollment Period.

Do you have to provide military records for Medicare?

There are some specific rules concerning Medicare and veteran’s health insurance benefits, and you may have to provide records of your military service if you are receiving any such military or veteran’s benefits.

Do you need a W-2 to sign up for Medicare?

You may have to show some of your tax record information, such as a W-2, when you sign up for Medicare.

How long does it take to sign up for Medicare?

Initial enrollment period. This is a 7-month window around your 65th birthday when you can sign up for Medicare. It begins 3 months before your birth month, includes the month of your birthday, and extends 3 months after your birth month. During this time, you can enroll in all parts of Medicare without a penalty.

When is Medicare open enrollment?

Medicare Advantage open enrollment (January 1–March 31). During this period, you can switch from one Medicare Advantage plan to another or go back to original Medicare. You can’t enroll in a Medicare Advantage plan at this time if you currently have original Medicare.

What is Medicare Part A and Part B?

You’ll need to provide the documents listed above when you enroll in Medicare Part A (hospital insurance) and Medicare Part B (medical insurance ). Together, parts A and B are known as original Medicare.

How long do you have to sign up for Medicare if you have delayed enrollment?

If you delayed Medicare enrollment for an approved reason, you can later enroll during a special enrollment period. You have 8 months from the end of your coverage or the end of your employment to sign up without penalty. Medicare Advantage open enrollment (January 1–March 31).

How to get a copy of my naturalization certificate?

You can fill out Form N-565, Application for Replacement Naturalization/Citizenship, either online or by mail, to have a copy of these documents sent to you.

What to do if you don't have birth certificate?

if you don’t have a record of your birth, other documents to prove your age, such as your immunization records, school records, state census records, insurance records, or medical records.

How to replace a permanent resident card?

Citizenship and Immigration Services. You can fill out Form I-90, Application to Replace Permanent Resident Card , either online or by mail.

When can I get Medicare if I collect Social Security?

If you’re collecting Social Security benefits before you turn 65, you’ll automatically be enrolled in Medicare. You won’t need to dig up any documents to apply. The same goes for being eligible due to collecting SSDI after 24 months.

How to access my yearly earnings?

To provide proof of earnings, you can access your yearly earnings totals for free by completing the Request for Social Security Earnings Information (Form SSA-7050). However, if you need more itemized or detailed earnings information that is not related to Social Security programs, keep in mind that there will typically be a fee attached.

How to get a copy of my naturalization certificate?

To request a copy of your Naturalization Certificate, Certificate of Citizenship, or any other special certificate of naturalization, use USCIS’s Form N-565, Application for Replacement Naturalization/Citizenship Document, which can be submitted online or by mail. The filing fee is currently $555, and if you decide to file by mail, you must pay the nonrefundable filing fee via money order, personal check, cashier’s check, or credit card using Form G-1450.

How to get military records?

You can also mail or fax a Request Pertaining to Military Records to the National Personnel Records Center (NPR C). Alternatively, you can obtain Form SF 180, write a letter to the NPRC, or contact your county’s veterans’ agency.

How to replace a lost US citizen card?

If you’ve lost your Permanent Resident Card, fill out Form I-90, the Application to Replace Permanent Resident Card, through U.S. Citizenship and Immigration Services (USCIS). You will need to provide the required documentation and pay a filing fee. If your application is approved, you’ll receive a receipt that shows proof of your permanent resident status for 12 months from the expiration date.

Is it mandatory to get medicare at age 65?

No, it’s not mandatory to go on Medicare when you turn 65. However, declining the federal benefit can end up being complicated in certain scenarios due to penalties for late enrollment.

What is the Medicare eligibility tool?

The Medicare.gov Web site also has a tool to help you determine if you are eligibile for Medicare and when you can enroll. It is called the Medicare Eligibility Tool.

When do you get Medicare if you have 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.

How long do you have to enroll in Medicare?

However, the law only allows for enrollment in Medicare Part B (Medical Insurance), and premium-Part A (Hospital Insurance), at limited times: 1 Initial Enrollment Period – a 7-month period when someone is first eligible for Medicare. For those eligible due to age, this period begins 3 months before they turn 65, includes the month they turn 65, and ends 3 months after they turn 65. For those eligible due to disability, this period begins three months before their 25th month of disability payments, includes the 25th month, and ends 3 months after. By law, coverage start dates vary depending on which month the person enrolls and can be delayed up to 3 months. 2 General Enrollment Period – January 1 through March 31 each year with coverage starting July 1 3 Special Enrollment Period (SEP) – an opportunity to enroll in Medicare outside the Initial Enrollment Period or General Enrollment Period for people who didn’t enroll in Medicare when first eligible because they or their spouse are still working and have employer-sponsored Group Health Plan coverage based on that employment. Coverage usually starts the month after the person enrolls, but can be delayed up to 3 months in limited circumstances.#N#People who are eligible for Medicare based on disability may be eligible for a Special Enrollment Period based on their or their spouse’s current employment. They may be eligible based on a spouse or family member’s current employment if the employer has 100 or more employees.

How long is the initial enrollment period for Medicare?

Initial Enrollment Period – a 7-month period when someone is first eligible for Medicare. For those eligible due to age, this period begins 3 months before they turn 65, includes the month they turn 65, and ends 3 months after they turn 65. For those eligible due to disability, this period begins three months before their 25th month ...

What is a SEP in Medicare?

Special Enrollment Period (SEP) – an opportunity to enroll in Medicare outside the Initial Enrollment Period or General Enrollment Period for people who didn’t enroll in Medicare when first eligible because they or their spouse are still working and have employer-sponsored Group Health Plan coverage based on that employment.

How long do you have to wait to get Medicare if you have ALS?

People under 65 are eligible if they have received Social Security Disability Insurance (SSDI) or certain Railroad Retirement Board (RRB) disability benefits for at least 24 months. If they have amyotrophic lateral sclerosis (ALS), there’s no waiting period for Medicare.

What is the first important factor to consider when making a decision about Part B enrollment?

4. Determining whether a person qualifies for a Special Enrollment Period is the first important factor to consider when making a decision about Part B enrollment.

Do retirees have to enroll in Medicare?

Note that most retiree and small employer plans (employers with fewer than 20 employees) require enrollment in Part A and Part B. If the retiree plan you offer requires Medicare enrollment, please advise your employees planning to retire well in advance. If someone doesn’t sign up for Part B when first eligible, they may have to pay late enrollment penalties, in addition to the standard Part B premium amount, for as long as the person has Part B and they may face periods with little or no health coverage.

What are the parts of Medicare?

There are four parts to Medicare: A, B, C , and D. Part A is automatic and includes payments for treatment in a medical facility. Part B is automatic if you do not have other healthcare coverage, such as through an employer or spouse. Part C, called Medicare Advantage, is a private-sector alternative to traditional Medicare.

What are the different types of Medicare?

There are four types of Medicare: A, B, C, and D. Part A covers payments for treatment in a medical facility. Part B covers medical services including doctor's visits, medical equipment, outpatient care, outpatient procedures, purchase of blood, mammograms, cardiac rehabilitation, and cancer treatments. Part C, also known as Medicare Advantage, seeks to cover any coverage gaps. Part D covers prescription drug benefits.

How much does Medicare Part A cost?

Medicare Part A covers the costs of hospitalization. When you enroll in Medicare, you receive Part A automatically. For most people, there is no monthly cost, but there is a $1,484 deductible in 2021 ($1,408 in 2020). 1 

What is the coverage gap for Medicare?

For example, in 2022 the donut hole occurs once you and your insurer combined have spent $4,430 on prescriptions. 24

What is Medicare for seniors?

Medicare is the national health insurance program available to people age 65 or older, younger people with disabilities, and people with end-stage renal disease.

Is Medigap standardized?

Medigap coverage is standardized by Medicare but offered by private insurance companies. 28 According to, Patrick Traverse, founder of MoneyCoach, Mt. Pleasant, S.C.,

Does Medigap pay for surgery?

One important thing to know about Medigap: It only supplements Medicare and is not a stand-alone policy. 26 If your doctor doesn't take Medicare, Medigap insurance will not pay for the procedure.

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