Medicare Blog

what is medicare and when do you get it

by Sylvester Sipes Published 2 years ago Updated 1 year ago
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Medicare is health insurance for people 65 or older. You're first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig's disease).

Full Answer

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.

Who is eligible for Medicare at 62?

You qualify for full Medicare benefits under age 65 if:

  • You have been entitled to Social Security disability benefits for at least 24 months (that need not be consecutive); or
  • You receive a disability pension from the Railroad Retirement Board and meet certain conditions; or
  • You have Lou Gehrig’s disease, also known as amyotrophic lateral sclerosis (ALS), which qualifies you immediately; or

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How much does Medicare cost at age 62?

• You or your spouse were covered by Medicare through employment. You are eligible for Medicare and premium-free Part A, if you or your spouse paid federal taxes for 40 quarters. If you do not have 40 quarters, you may be eligible to purchase Part A coverage. This costs $458.00 per month if you have less than 30 quarters.

What is the retirement age for Medicare?

It can be hard to know which medical insurance to use during the age of retirement when someone continues working. This is especially true when someone still has health insurance through a longtime employer. Medicare is managed by the Centers for Medicare ...

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Do I automatically get Medicare when I turn 65?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

Do you automatically receive Medicare?

You automatically get Medicare because you're getting benefits from Social Security (or the Railroad Retirement Board). Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What does it mean when you get Medicare?

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Do you get Medicare at 62 or 65?

1. 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.

Does everyone get Medicare?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

Can I get Medicare at age 62?

En español | No, you can't qualify for Medicare before age 65 unless you have a disabling medical condition.

Do I have to pay for Medicare?

Most people don't have to pay a monthly premium for their Medicare Part A coverage. If you've worked for a total of 40 quarters or more during your lifetime, you've already paid for your Medicare Part A coverage through those income taxes.

What age do you start Medicare?

65 or olderMedicare is health insurance for people 65 or older. You're first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig's disease).

Who are eligible for Medicare?

Medicare is our country's federal health insurance program for people age 65 or older. People younger than age 65 with certain disabilities, permanent kidney failure, or amyotrophic lateral sclerosis (Lou Gehrig's disease), can also qualify for Medicare.

Does Medicare come out of your Social Security check?

Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.

Is it better to take Social Security at 62 or 67?

The short answer is yes. Retirees who begin collecting Social Security at 62 instead of at the full retirement age (67 for those born in 1960 or later) can expect their monthly benefits to be 30% lower. So, delaying claiming until 67 will result in a larger monthly check.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

How long does it take to get Medicare Supplemental Insurance?

If you want Medicare Supplemental Insurance (Medigap), you would sign up during the six-month Medigap enrollment period, which starts the month you turn 65 and are enrolled in Medicare Part B. The private insurers who provide Medigap plans are required to take you if you sign up during that period. Otherwise, there is no guarantee they will sell you a Medigap plan.

What is Medicare Advantage?

Medicare Advantage, also known as Medicare Part C, is a type of health plan offered by private insurance companies that provides the benefits of Parts A and Part B and often Part D (prescription drug coverage) as well. These bundled plans may have additional coverage, such as vision, hearing and dental care.

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

If you don’t sign up for Medicare Part B at 65 and later decide you need it, you’ll likely pay a penalty of 10% of the premium for each 12-month period that you delayed. You will pay this penalty for life, basically, since few people drop Medicare Part B once they have it.

What is not covered by Medicare?

The biggest potential expense that’s not covered is long-term care, also known as custodial care. Medicaid, the federal health program for the poor, pays custodial costs but typically only for low-income people with little savings. Other common expenses that Medicare doesn’t cover include:

What happens if you delay Part A coverage?

If you delay getting Part A or Part B coverage when you’re first eligible, there may be late enrollment penalties in some circumstances. For more information, visit

How long do you have to sign up for Social Security if you are not receiving Social Security?

You typically should do so in the seven-month window around your 65th birthday (which includes the three months before the month you turn 65, your birthday month, and the three months after your birthday month) to avoid permanent penalties.

What are the most common medical expenses that are not covered by Medicaid?

The biggest potential expense that’s not covered is long-term care, also known as custodial care . Medicaid, the federal health program for the poor, pays custodial costs but typically only for low-income people with little savings. Hearing aids and exams for fitting them. Eye exams and eyeglasses.

When does Part A coverage start?

If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65. (If your birthday is on the first of the month, coverage starts the month before you turn 65.)

When does insurance start?

Generally, coverage starts the month after you sign up.

How long do you have to sign up for a health insurance plan?

You also have 8 months to sign up after you or your spouse (or your family member if you’re disabled) stop working or you lose group health plan coverage (whichever happens first).

What is a health plan?

In general, a health plan offered by an employer or employee organization that provides health coverage to employees and their families.

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.

When do you get Medicare if you have Social Security?

If you get payments from Social Security or the federal Railroad Retirement Board (RRB) for at least 4 months before you turn 65 , you don’t need to enroll. You automatically get Part A, plus Part B medical insurance, starting the first day of your birthday month. (For example, it would start on Dec. 1 if your birthday is Dec. 30). Once your Medicare card arrives in the mail, you’re all set.

How to get help with Medicare?

To get individual help understanding your Medicare benefits, contact your local State Health Insurance Assistance Program (SHIP). Trained SHIP counselors will give you free, unbiased, and one-on-one advice and answer your Medicare questions.

How much is the Medicare premium for 2021?

You pay for this coverage. The standard premium in 2021 is $148.50 a month. If your "modified adjusted gross income" (MAGI) from your most recent U.S. tax return is more than $88,000 for you (or $176,000 for you and your spouse if you file jointly), your premium may be more.

What are the benefits of Medicare Advantage?

Medicare Advantage plans usually also offer other benefits, like vision and dental coverage . But these plans require you to use doctors who are in your plan's network and follow your plan’s rules.

How many people are covered by Medicare?

The program was signed into law in 1965. Today, it covers about 63.1 million Americans.

When does Medicare enrollment end?

The 7-month initial enrollment period starts 3 months before your 65 th birthday month and ends 3 months after.

What is Part A of the AARP?

Part A covers rehabilitation , but not personal care, at skilled nursing facilities and by home health care workers, says Lina Walker, PhD, vice president of health security for the AARP’s Public Policy Institute.

Why buy Medicare Supplement Insurance?

Buy a Medicare Supplement Insurance (Medigap) policy to help lower your share of costs for services you get.

What is Medicare Advantage?

Medicare Advantage bundles your Part A, Part B, and usually Part D coverage into one plan. Plans may offer some extra benefits that Original Medicare doesn’t cover — like vision, hearing, and dental services.

Is Medicare a private insurance?

Medicare is different from private insurance — it doesn’t offer plans for couples or families. You don’t have to make the same choice as your spouse.

Do you have to have original Medicare if you have Medicare Advantage?

You’ll have Original Medicare unless you join a Medicare Advantage Plan.

Does Medicare cover urgent care?

Plans must cover all emergency and urgent care, and almost all medically necessary services Original Medicare covers. Some plans tailor their benefit packages to offer additional benefits to treat specific conditions.

When did Medicare start providing prescription drugs?

Since January 1, 2006, everyone with Medicare, regardless of income, health status, or prescription drug usage has had access to prescription drug coverage. For more information, you may wish to visit the Prescription Drug Coverage site.

How long do you have to be on disability to receive Social Security?

You have been entitled to Social Security or Railroad Retirement Board disability benefits for 24 months. ( Note: If you have Lou Gehrig's disease, your Medicare benefits begin the first month you get disability benefits.)

How much do you pay for Medicare after you pay your deductible?

You’ll usually pay 20% of the cost for each Medicare-covered service or item after you’ve paid your deductible.

How much will Medicare premiums be in 2021?

If you don’t qualify for a premium-free Part A, you might be able to buy it. In 2021, the premium is either $259 or $471 each month, depending on how long you or your spouse worked and paid Medicare taxes.

How often do you pay premiums on a health insurance plan?

Monthly premiums vary based on which plan you join. The amount can change each year. You may also have to pay an extra amount each month based on your income.

How often do premiums change on a 401(k)?

Monthly premiums vary based on which plan you join. The amount can change each year.

Do you have to pay Part B premiums?

You must keep paying your Part B premium to keep your supplement insurance.

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