Medicare Blog

what if i am married to a younger man but i don't quality for medicare

by Nolan Bartoletti Published 2 years ago Updated 1 year ago

Medicare does not cover younger spouses, unless they have a disability, until they turn 65. There are a few options for your younger spouse to maintain health insurance, especially if they do not have their own job-based insurance: You can continue working until your younger spouse meets Medicare requirements, and delay your Part B enrollment

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Does Medicare cover younger spouses?

 · 2. The Assumption We Are Having Sex 24/7: While it's true younger men have more (ahem) stamina, our sex life is as boring and predictable as any other married couple. For example, when I ask my husband if he is in the mood for a "BJ", he knows I am asking if he would like to snarf down a pint of Ben and Jerry's with me.

Do I qualify for Medicare if I’m not married?

 · If your spouse is younger than 62 when you turn 65, you won’t qualify for premium-free Part A until your spouse turns 62 (if your spouse has worked and paid Medicare taxes for at least 10 years). If neither you nor your spouse worked at least 10 years in Medicare-covered employment, each of you may qualify for Medicare upon turning 65, but you may both have to …

Does my age affect my spouse’s Medicare Part A qualification?

At age 70, you can collect your retirement benefit, which will begin at its highest possible level. When your ex-husband dies, you will receive not half, but 100 percent of his retirement benefit ...

How can I get Medicare if my husband is 65?

 · If you are younger than 62, your spouse may choose to pay the premium for Medicare Part A, if needed, until the premium-free benefit kicks in. Medicare may be individual …

Do married couples qualify for Medicare?

The good news about marriage and Medicare is that your coverage won't change. Neither will your spouse's.

Can one spouse be on Medicare and the other not?

The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan.

Do both spouses have to be 65 for Medicare?

To 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.

Who is not automatically eligible for Medicare?

People who must pay a premium for Part A do not automatically get Medicare when they turn 65. They must: File an application to enroll by contacting the Social Security Administration; Enroll during a valid enrollment period; and.

Is my spouse eligible for Medicare if she never worked?

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. For example, John is 65 years old and has never worked or paid Medicare taxes.

How much does a non-working spouse get in Social Security?

The maximum Social Security benefit of a nonworking spouse is up to 50 percent of the working spouse's benefit at FRA. So if, for example, your FRA benefit is $2,000/month, your spouse would be able to collect up to $1,000 at his FRA.

Can I get Medicare at age 62?

The typical age requirement for Medicare is 65, unless you qualify because you have a disability. 2. If you retire before 65, you may be eligible for Social Security benefits starting at age 62, but you are not 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.

Can I get Medicare if I never worked?

You can still get Medicare if you never worked, but it will likely be more expensive. Unless you worked and paid Medicare taxes for 10 years — also measured as 40 quarters — you will have to pay a monthly premium for Part A. This may differ depending on your spouse or if you spent some time in the workforce.

What is the maximum income to qualify for Medicare?

To qualify, your monthly income cannot be higher than $1,010 for an individual or $1,355 for a married couple. Your resource limits are $7,280 for one person and $10,930 for a married couple. A Qualifying Individual (QI) policy helps pay your Medicare Part B premium.

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What happens to my Social Security if my ex husband dies?

When your ex-husband dies, you will receive not half, but 100 percent of his retirement benefit as a divorced widows benefit. But if you are taking your own retirement benefit at the time, Social Security will give you the larger of the two.

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

Larry Kotlikoff: You just need to be married 12 months to permit your wife to receive a spousal benefit based on your earnings record. To enable ​your wife to collect widows benefits, you just need to be married nine months.

What happens if you file and suspend your widows?

In other words, if you file and suspend at full retirement age, you’ll eliminate your ability to take a full widows benefit through full retirement age while letting your retirement benefit grow.

What to do if your ex dies before you can retire?

So if your ex dies before you are 70 and you haven’t yet filed for your retirement benefit, the best course of action is to file just for your divorced widows benefit and then file for your own retirement benefit at 70.

How long does it take for Social Security to retroactively pay back excess spousal benefits?

If you do, Social Security will make retroactive payments of your excess spousal benefits, but going back only six months at most, as I understand it.

Can you recoup widows benefits?

But if you flip, say at age 70, from your widows benefit, which was hit by the earnings test, to your own retirement benefit, you won’t fully recoup , from an actuarial basis, the benefits lost due to the earnings test. I recommend you check out highly accurate software to consider what’s best. The software needs to incorporate the recomputation of benefits, delayed retirement credits, the earnings test, the adjustment of the earnings test reduction factor, and retirement and widows benefits. It also needs to properly value your lifetime benefits so you can see which strategy — taking your widow’s benefit before your retirement benefit or vice versa — is best, as well as when it’s best to implement said strategy.

Can Social Security wipe out widows?

Depending on ​the size of your widows benefit, the earnings test may wipe out your widows benefit. Social Security will, however, reimburse you for benefits lost due to the earnings test once you reach full retirement age.

How old do you have to be to get Medicare?

You must be at least 62 years old and eligible for Social Security benefits before your spouse can enroll, because his or her qualification is based on your work record. You don’t have to actually start getting your Social Security benefits; you just need to be old enough to file for them if you wanted to. If you are younger than 62, your spouse may choose to pay the premium for Medicare Part A, if needed, until the premium-free benefit kicks in.

What happens if you have both health insurance and one turns 65?

If you both are covered by your employer health insurance, and one of you turns 65, you’ll have decisions to make about Medicare. In this case, it will depend on the employer and their rules around covered dependents of Medicare age.

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

Why is there no Medicare premium?

There’s no premium for it because your Medicare tax dollars go into the hospital insurance trust fund, which then finances Medicare Part A benefits for eligible individuals.

When do you have to make decisions about Medicare?

You’ll need to make some decisions about Medicare when you become eligible, whether or not you continue working past age 65.

Can my spouse continue to work and keep my employer's coverage?

Your spouse may continue coverage through your employer plan if you keep working and keep the employer coverage .

Can a spouse get medicare?

Medicare isn’t just for people who retire after many years of working. Anyone who meets Medicare eligibility requirements can get Medicare, including spouses . But when a person asks “Can my non-working spouse get Medicare?” they really are asking “Can my spouse be on my Medicare plan?”

What is the gap in Medicare?

If you decide to enroll in Medicare when you’re first eligible at 65, Medigap can fill in the gaps of Original Medicare. Some of these gaps are Medicare’s deductibles, copays, coinsurance, and an additional 365 hospitalization days.

What is Medicare for 2021?

Last Updated: Apr 27, 2021 2:19 pm. Original Medicare is federal health coverage for those 65 and older and for those younger than 65 with a disability, but what happens with a younger spouse’s health coverage when you enroll in Medicare? Many Medicare-eligible citizens wonder whether their younger spouse (especially non-working younger spouse) ...

What is the phone number for Medicare?

If you have an urgent matter or need enrollment assistance, call us at 800-930-7956. By submitting your question here, you agree that a licensed sales representative may respond to you about Medicare Advantage, Prescription Drug, and Medicare Supplement Insurance plans.

Does Medicare cover a spouse who is 65?

Medicare does not cover younger spouses, unless they have a disability, until they turn 65. There are a few options for your younger spouse to maintain health insurance, especially if they do not have their own job-based insurance:

Does Senior65 sell your information?

Senior65 believes in your privacy. We will not sell your personal information. This is a solicitation for insurance.

Can a disabled spouse get Medicare?

However, younger spouses who have a disability can enroll in a Medicare Advantage plan. This might be a good choice for a younger spouse to limit their out of pocket costs and have extras offered like drug, hearing, vision, and dental coverage.

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

If divorced, you must have been married for at least 10 years. Once you turn 65, you are eligible for free Medicare Part A through your former spouse, as long as they worked at least 10 years and paid Medicare taxes during that time.

How much does Medicare pay in 2021?

Most people pay the standard premium, which is $148 per month in 2021. The more you make each year, the more you'll pay each month for Medicare.

What is Medicare Advantage Plan?

A Medicare Advantage plan is a type of plan offered by a private insurance company to provide you with all your Medicare Part A and Part B services. You may be charged a separate premium by the insurance company in addition to your Part B premium and may be eligible for additional benefits, including prescription drugs.

Why do Medicare premiums change?

Your premiums may change because of your total income. There are no family plans or special rates for couples in Medicare. You will each pay the same premium amount that individuals pay. Here's what to know about costs:

Does Medicare change with marriage?

The good news about marriage and Medicare is that your coverage won't change. Neither will your spouse's.

Do you have to pay deductibles for Medicare Part D?

Even if you and your spouse pick the same plan, you'll each have to meet the deductible before Medicare starts to pay anything toward your health care.

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.

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.

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 have the same birthday?

While it would be convenient for spouses to have the exact same birthday, this is not usually the case. For many couples, their age gap becomes a problem when it comes time to sign up for Medicare. When one spouse goes on Medicare and the other spouse is not yet eligible, what options do they have?

Does marriage affect Social Security?

Marriage has no impact on your Social Security retirement benefit, which is based on your work record and earnings history. You and your spouse, assuming he or she also qualifies for retirement benefits, each collect your own separate benefits, and the amounts do not limit or otherwise affect each other. However, remarriage can affect your benefits ...

Can you collect spousal benefits if you are divorced?

However, if you are divorced and receiving spousal benefits on the record of a living ex-spouse, those payments end if you remarry, at any age. You can only collect those payments if you are, or again become, single.

Can a widow get survivor benefits if she remarries?

There is no penalty for remarriage past 60 (50 if disabled).

Can you get survivor benefits if you are divorced?

And if the pre-60 remarriage ends, you regain eligibility for the survivor benefit. The same goes if you are divorced and collecting survivor benefits on the record of a deceased former wife or husband. However, if you are divorced and receiving spousal benefits on the record ...

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.

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).

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 you charge more for medical insurance?

Whether you buy a plan privately or on your state’s health insurance exchange, insurance companies are no longer allowed to charge you more for major medical health insurance because you have a preexisting condition or health problem (note that if you're buying coverage that isn't ACA-compliant, such as short-term insurance, your medical history will still be used to determine eligibility for coverage).

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 do married couples need to know about medicaid?

What Couples Need to Know About Medicaid. The rules for Medicaid (the federal/state program which helps low-income people pay long-term medical and custodial care costs) benefits can be tricky for married couples, especially when only one spouse needs the benefits. Medicaid assumes that both spouses of a married couple are financially responsible ...

How much can a spouse keep on Medicaid?

As a general rule, the husband or wife who isn’t applying for Medicaid benefits may keep up to half of both spouses’ joint liquid assets. But there is a limit to the amount of “countable” assets that the non-applicant spouse can keep.

How long have John and Suzan been married?

In this hypothetical, John and Suzan are married and Suzan wants to receive Medicaid benefits: John and Suzan have been married for 45 years and John is worried that Suzan may need 24-hour care in a skilled nursing facility.

What is the spouse's responsibility for Medicaid?

Medicaid assumes that both spouses of a married couple are financially responsible for one another. As a result, when Medicaid determines a spouse’s eligibility for benefits, the assets of the husband or wife who isn’t applying — known as “the community spouse” — are expected to contribute to the care of the other.

Do Suzan and John have to spend down their assets?

So John and Suzan would have to spend down their assets until they reach the maximum CSRA; only then would Suzan be eligible for Medicaid benefits to help pay her nursing home costs. John and Suzan can decide how to allocate the spend-down funds and which accounts they’ll tap; the remaining money will belong to John.

Can a spouse who is not on medicaid keep assets?

As a general rule, the husband or wife who isn’t applying for Medicaid benefits may keep up to half of both spouses’ joint liquid assets.

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