Medicare Blog

what to do if your spouse is too young for medicare

by Prof. Kraig Johns Published 2 years ago Updated 1 year ago
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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

Your spouse can switch to health insurance from his or her employer until reaching Medicare age or beyond. Your spouse can qualify for a special enrollment period to switch to this coverage within 30 days of losing coverage under your plan or can enroll during the company's annual open enrollment period.

Full Answer

How can I help my spouse get Medicare?

The best option for your spouse, frankly, is for you to work longer—if this is at all possible—so that you both can continue to have coverage under your employer health insurance until you are both eligible for Medicare at age 65.

Does Medicare automatically cover a younger spouse?

Medicare does not automatically cover a younger spouse. There is no family coverage under Medicare. Nobody can obtain Medicare benefits before age 65, unless eligible at a younger age because of disability. Some younger spouses in this situation are able to switch to health insurance...

What happens if my spouse is not 65 when I get Medicare?

If you and your spouse are different ages, you will likely become eligible at different times. Primary Medicare recipients and their non-insured spouses are entitled to the same benefits under Medicare if both have reached the age of 65. So, what happens if your spouse is not 65 years old when you become eligible?

How can I get health insurance for my younger spouse?

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. Talk to the Human Resources department at the company to see if there is anything they could do.

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Can a younger spouse get Medicare?

Traditional Medicare includes Part A (hospital insurance) and Part B (medical insurance). 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.

Will my non-working spouse who turns 65 before me get Medicare at age 65?

Medicare can be available to anyone – including a non-working spouse – who is at least 65 years old and a U.S. citizen or legal resident of at least five years. You may even qualify for Medicare before 65 if you have a qualifying disability or health condition.

What happens to my younger wife when I go on Medicare?

Some are under the impression that Medicare will automatically cover a younger spouse when they themselves qualify, but it doesn't. There is no family coverage under Medicare. Indeed, nobody can obtain Medicare benefits before age 65, unless they are disabled or have end-state kidney disease.

Can one spouse be on Medicare and the other not?

But when a person asks “Can my non-working spouse get Medicare?” they really are asking “Can my spouse be on my Medicare plan?” The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together.

When I go on Medicare is my spouse covered?

Does Medicare cover people's spouses? Medicare offers federal health insurance coverage for those aged 65 years and over, as well as those with a permanent disability. Medicare does not cover spouses specifically.

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.

Can you get Medicare at 62?

What Are the Age Requirements for Medicare? Medicare is health insurance coverage for people age 65 and older. Most people will not qualify for Medicare at age 62. At age 62, you may meet the requirements for early retirement but have not met the requirements for Medicare coverage.

How do I apply for spousal Medicare benefits?

Form SSA-2 | Information You Need to Apply for Spouse's or Divorced Spouse's Benefits. You can apply: Online, if you are within 3 months of age 62 or older, or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

Can I get AARP health insurance at 62?

Full AARP membership is available to anyone age 50 and over.

How does Medicare work for married couples?

Medicare has no family plans, meaning that you and your spouse must enroll for Medicare benefits separately. This also means husbands, wives, spouses and partners pay separate Medicare premiums.

Can you be denied Medicare?

In all but four states, insurance companies can deny private Medigap insurance policies to seniors after their initial enrollment in Medicare because of a pre-existing medical condition, such as diabetes or heart disease, except under limited, qualifying circumstances, a Kaiser Family Foundation analysis finds.

Does my spouse have to pay for Medicare?

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. For Part C (Medicare Advantage), you and your spouse will have your own premium, deductible, and copays. This is true even if you have the same plan.

Does Medicare Cover Younger Spouses?

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 main...

Does Medigap Cover Younger Spouses?

Not only does Medigap not cover younger spouses, Medigap can be difficult and rather expensive to enroll in before 65 with a disability. If you dec...

Does Medicare Advantage Cover Younger Spouses?

Medicare Advantage does not cover younger spouses that are not eligible for Medicare. However, younger spouses who have a disability can enroll in...

How old do you have to be to get Medicare?

In a case such as this, you must be at least 62 years old.

How long do you have to work to qualify for Medicare?

In the United States, as soon as you turn 65 you are eligible for Medicare benefits if you are citizen or have been a legal resident for five years or more and have worked for at least 40 quarters (10 years) paying federal taxes.

Can you get Medicare at different ages?

If you and your spouse are different ages, you will likely become eligible at different times. Primary Medicare recipients and their non-insured spouses are entitled to the same benefits under Medicare if both have reached the age of 65.

Do you have to enroll in Medicare Part B or D?

If you wish to sign up for Medicare Part B (Medical Insurance), and/or Part D (prescription drug insurance), you must enroll separately during your initial enrollment period, Open Enrollment or during Special Enrollment Period to avoid paying late enrollment penalties.

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.

How long does a spouse have to be on Cobra?

If a company has more than 20 employees, it is required to offer COBRA benefits. COBRA allows coverage for 18 months, sometimes longer, so if the working spouse can wait to retire until 18 months before the younger spouses 65th birthday, this would work out nicely.

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 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.

Alternatives to Medicare for those not yet 65

As you age, health care becomes increasingly important, which translates into higher premium prices every year of your life.

Talk to HR before you leave

Employers with fewer than 20 employees aren’t legally required to provide you with coverage after you’ve retired, but some may offer partial or temporary coverage or even a full extension of your benefits in retirement.

Visit the Obamacare marketplace

Earlier this year, the Biden administration introduced generous new subsidies on Obamacare health plans as part of the $1.9 trillion COVID relief bill.

When is Medicare open enrollment?

Continue Learning about Medicare. What to Consider When Shopping for Medicare Coverage. Between October 15 and December 7, Medicare’s annual open enrollment period, millions of Medicare beneficiaries have a chance to make changes to their.

Can a spouse switch to health insurance?

Some younger spouses in this situation are able to switch to health insurance provided by their own employers. Some may continue coverage under retiree health benefits provided by their older spouse's former employer. Show More.

Does Medicare cover a spouse?

If that day is far off, consider working at least for a few more years. Medicare does not automatically cover a younger spouse. There is no family coverage under Medicare. Nobody can obtain Medicare benefits before age 65, unless eligible at a younger age because of disability.

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.

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