Medicare Blog

what happen to social security when a spouse goes on medicare

by Amiya Streich I Published 2 years ago Updated 1 year ago

If your health insurance coverage comes through your spouse’s job, you may lose that coverage when he or she retires and goes on Medicare. Not so long ago, this was a scary and expensive prospect, but things have changed.

Full Answer

What happens to my health insurance when my spouse goes on Medicare?

If your health insurance coverage comes through your spouse’s job, you may lose that coverage when he or she retires and goes on Medicare. Not so long ago, this was a scary and expensive prospect, but things have changed.

What happens if my spouse receives my Social Security benefits?

If your spouse receives a spouse’s benefit based on your work record, your retirement benefits are not reduced, you receive the full amount of your benefit.

Will I Lose my Social Security if my spouse goes on Medicaid?

No, you, as the healthy spouse, will not lose your income, including Social Security. In fact, your income, as the Non-Institutionalized Spouse, is not even considered when your spouse applies for Medicaid. And it has no impact on whether your spouse is eligible for this program.

Can my spouse get Medicare benefits if I am age 62?

When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits. Until you’re age 62, your spouse can receive Medicare Part A, but will have to pay the premiums if they don’t meet the 40 quarters of work requirement.

Do Medicare and Social Security go together?

Social Security and Medicare are distinct programs serving older and disabled Americans, but they have an important commonality: Social Security handles enrollment for Medicare Part A (hospital insurance) and Part B (medical insurance).

What does Medicare have to do with Social Security?

Who do I contact - Social Security or Medicare? Social Security offers retirement, disability, and survivors benefits. Medicare provides health insurance. Because these services are often related, you may not know which agency to contact for help.

Does Medicare reduce your Social Security check?

Yes. In fact, Medicare can automatically deduct your Part B premium directly from your Social Security check if you are both enrolled in Part B and collecting Social Security benefits. Most Part B beneficiaries have their premiums deducted directly from their Social Security benefits.

When spouse passes what happens to Social Security?

Widow or widower, full retirement age or older — 100% of the deceased worker's benefit amount. Widow or widower, age 60 — full retirement age — 71½ to 99% of the deceased worker's basic amount. Widow or widower with a disability aged 50 through 59 — 71½%.

How much does Medicare take out of Social Security?

In 2021, based on the average social security benefit of $1,514, a beneficiary paid around 9.8 percent of their income for the Part B premium. Next year, that figure will increase to 10.6 percent.

How much does Medicare deduct in 2020 for Social Security?

The standard monthly premium for Medicare Part B enrollees will be $144.60 for 2020, an increase of $9.10 from $135.50 in 2019. The annual deductible for all Medicare Part B beneficiaries is $198 in 2020, an increase of $13 from the annual deductible of $185 in 2019.

How do you qualify for $144 back from Medicare?

How do I qualify for the giveback?Are enrolled in Part A and Part B.Do not rely on government or other assistance for your Part B premium.Live in the zip code service area of a plan that offers this program.Enroll in an MA plan that provides a giveback benefit.

What is taken out of your Social Security check?

Enforcement of child, spousal or family support obligations, Court-ordered victim restitution, Collection of unpaid Federal taxes, Withholding to satisfy a current year Federal income tax liability, and.

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.

What is the best Social Security strategy for married couples?

3 Social Security Strategies for Married Couples Retiring EarlyHave the higher earner claim Social Security early. ... Have the lower earner claim Social Security early. ... Delay Social Security jointly and live on savings or other income sources.

Can I collect both my Social Security and my deceased spouse's?

Many people ask “can I collect my deceased spouse's social security and my own at the same time?” In fact, you cannot simply add together both a survivor benefit and your own retirement benefit. Instead, Social Security will pay the higher of the two amounts.

What percent of a husband's Social Security does a widow get?

Widow or widower, full retirement age or older—100% of your benefit amount. Widow or widower, age 60 to full retirement age—71½ to 99% of your basic amount.

What happens if your spouse receives more than your spousal benefit?

If the spousal benefit is higher, he or she receives an additional amount to equal the spouse benefit amount. If your spouse does not qualify for an individual benefit, he or she may receive the spouse benefit amount of 50 percent of your benefits, if they are at full retirement age.

When does my spouse get my spousal benefits?

If your spouse is caring for your child who is younger than 16, your spouse may receive the full amount of spousal benefit at any age, and until the child turns 16. If your spouse receives a spouse’s benefit based on your work record, your retirement benefits are not reduced, you receive the full amount of your benefit.

What is the spousal benefit for a person who has not reached retirement age?

If you decide to opt for the spousal benefit but have not yet reached full retirement age yourself, that benefit will be less than 50 percent. This may still be a good option if you have not been working much through the years.

When does a widow receive Social Security?

A widow or widower who has reached full retirement age, and whose spouse did not receive Social Security benefits until 70 years old, receives the full benefit amount of the deceased spouse.

Does Social Security pay your spouse first?

Social Security pays your benefits first, but if the benefits you would receive through your spouse are higher than yours, you can receive a combination of these benefits to reach the amount you would receive as a spouse.

When can a spouse receive Medicare?

Now let’s look at when your spouse is older than you and your spouse didn’t meet the 40 quarters requirement, but you do. When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits.

How long do you have to be married to qualify for Medicare?

You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits.

How to apply for Medicare Part A?

To qualify for Medicare Part A benefits at age 65 based on your spouse’s work history, you must meet one of the following requirements: 1 You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. 2 You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits. 3 You are widowed, but were married for at least 9 months before your spouse died, and they qualified for Social Security benefits. You must now be single.

How long does it take to get Medicare if you don't work?

Medicare is a benefit for individuals who worked and paid Social Security taxes for at least 40 quarters of work, which is roughly about 10 years. If a person’s spouse didn’t work, they may still qualify for Medicare Part A based on their spouse’s work history when they turn age 65.

What is the number to call for Medicare?

If you have further questions about Medicare benefits, you can call the Social Security Administration (SSA) at 800-772-1213 or visit your local SSA office for more information. Read this article in Spanish.

What is Medicare Advantage?

One of these options is Medicare Advantage (Part C), which bundles both Part A and Part B together and offers additional coverage and benefits. If extra coverage, like dental, vision, or hearing care, is important to maintaining your individual health, give some thought to whether original Medicare or Medicare Advantage will work best for you.

Does Medicare affect spouse's health insurance?

Medicare is an individual insurance system, but there are times when one spouse s eligibility may help the other receive certain benefits. Also, the amount of money you and your spouse make combined may affect your Medicare Part B insurance premiums.

Are there income limits for ACA subsidy eligibility?

Normally, subsidy eligibility only extends to households with income up to 400% of the poverty level, with no subsidies available for households with income above that point. But for 2021 and 2022, the American Rescue Plan has eliminated that income threshold.

Will we qualify for a subsidy?

The exchange will look to see what percentage of your total household income is necessary to cover the full-price cost of the benchmark plan for your wife. If it’s more than the percentage of income that people are expected to pay for their coverage, she’ll qualify for a premium subsidy.

How long do you have to pick a new insurance plan after losing your spouse's insurance?

Losing the coverage you had under your spouse's plan will make you eligible for a time-limited special enrollment period in the individual insurance market, on- or off-exchange (note that in this case, you have 60 days before the loss of coverage, and 60 days after the loss of coverage, during which you can pick a new plan).

How long does it take to get Medicare if you don't have Cobra?

If you’re not going to be eligible for Medicare yourself within 18 months (or up to 36 months, depending on the circumstances), you’ll have to come up with another plan for coverage when your COBRA continuation coverage runs out.

Is Medicaid a separate program from Medicare?

It’s easy to confuse Medicaid and Medicare, but they're separate programs with different benefits and different eligibility criteria. In many states, low-income people making up to 138% of federal poverty level are eligible for Medicaid.

Can I get medicaid if my income is low?

If your income is low enough, you may be eligible for government-provided health insurance through Medicaid. In some states, the Medicaid program goes by another name like SoonerCare in Oklahoma or Medi-Cal in California. It’s easy to confuse Medicaid and Medicare, but they're separate programs with different benefits and different eligibility criteria.

What happens to Social Security when a spouse dies?

En español | When a Social Security beneficiary dies, his or her surviving spouse is eligible for survivor benefits. A surviving spouse can collect 100 percent of the late spouse’s benefit if the survivor has reached full retirement age, but the amount will be lower if the deceased spouse claimed benefits before he or she reached full retirement age. (Full retirement age for survivor benefits differs from that for retirement and spousal benefits; it is currently 66 but will gradually increasing to 67 over the next several years.)

How long do you have to be married to receive survivor benefits?

In most cases, a widow or widower qualifies for survivor benefits if he or she is at least 60 and had been married to the deceased for at least nine months at the time of death. But there are a few exceptions to those requirements: 1 If the late beneficiary’s death was accidental or occurred in the line of U.S. military duty, there’s no length-of-marriage requirement. 2 You can apply for survivor benefits as early as age 50 if you are disabled and the disability occurred within seven years of your spouse’s death. 3 If you are caring for children from the marriage who are under 16 or disabled, you can apply at any age.

Can a deceased spouse receive survivor benefits?

If you are the divorced former spouse of a deceased Social Security recipient, you might qualify for survivor benefits on his or her work record. If you are below full retirement age and still working, your survivor benefit could be affected by Social Security's earnings limit.

How much does a healthy spouse make on Medicaid?

You, as the healthy spouse, have a monthly income of $2,800. Thus, your income is $100 / month over the MMMNA, and your spouse cannot supplement your income with his or her own income. However, you can keep all your income and your spouse will have their nursing home care paid for by Medicaid.

How much can a spouse keep in a 401(k)?

In most states, as of 2019, a non-institutional spouse is permitted to keep up to $126,420 in assets, in addition to their home and vehicle.

How much can you retain for nursing home?

Therefore, you can retain $90,000. Your spouse is permitted $2,000 in assets, which means a total of $92,000 in assets is exempt. That said, the remaining $88,000 must be “spent down” before Medicaid will cover the cost of nursing home care.

How much can a non-applicant spouse keep?

In the states that only use one figure, the non-applicant spouse can keep 100% of the couple’s joint assets, up to the figure set by the state. In other states, both a minimum and maximum CSRA is used. As an example, Connecticut sets the minimum CSRA at $25,728 and the maximum CSRA at $128,640.

What is the standard spousal allowance for 2020?

For instance, as of 2020, California and Texas both use a standard spousal income allowance of $3,216.00, and Illinois has a standard figure of $2,739. Generally speaking, if your income is less than between $2,155 and $3,216 per month, then you are entitled to keep some of your spouse’s income. Example 1:

Is spouse's income considered for nursing home?

It is only your spouse’s income that will be considered for eligibility purposes. Although your income is not a factor in your spouse’s eligibility, a few states require the community spouse to contribute a portion of their income towards the cost of the nursing home care, IF their income exceeds a certain amount.

Does a nursing home leave a spouse without a place to live?

In brief, the federal government has written a law to ensure the healthy spouse does not go broke and is not left without a place to live when their spouse enters a nursing home.

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