- Your job-based insurance pays first, and Medicare pays second.
- If you don’t have to pay a premium for Part A, you can choose to sign up when you turn 65 (or anytime later).
- You can wait until you stop working (or lose your health insurance, if that happens first) to sign up for Part B, and you won’t pay a late enrollment penalty.
Full Answer
Will I be automatically enrolled in Medicare at 65?
Unless you have already been receiving benefits from Social Security or the Railroad Retirement Board at least four months before you turn 65, you will not be automatically enrolled in Medicare when you turn 65. You will need to sign up for Medicare yourself by applying with Social Security.
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
How does Medicare work when you turn 65?
- Your job-based insurance pays first, and Medicare pays second.
- If you don’t have to pay a premium for Part A, you can choose to sign up when you turn 65 (or anytime later).
- You can wait until you stop working (or lose your health insurance, if that happens first) to sign up for Part B, and you won’t pay a late enrollment penalty.
Is Medicare mandatory when you turn 65?
Technically, it is not mandatory to sign up for Medicare at 65 or at any age, for that matter. But it’s important to consider the situations in which you might decide not to enroll in Medicare at 65 so that you can make sure not to have any lapse in health insurance coverage or face a Medicate late enrollment penalty.
How many months before your 65th birthday should you apply for Medicare?
3 monthsGenerally, 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.
How close to my 65th birthday should I apply for Medicare?
A: The best time to enroll is during the open enrollment window around your 65th birthday – preferably in the three months before the month you turn 65, so that you'll have Medicare coverage by the time you turn 65.
What day of the month does Medicare start when you turn 65?
You will have a Medicare initial enrollment period. If you sign up for Medicare Part A and Part B during the first three months of your initial enrollment period, your coverage will start on the first day of the month you turn 65. For example, say your birthday is August 31.
When you turn 65 are you automatically enrolled in Medicare?
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.
What should I be doing 3 months before 65?
You can first apply for Medicare during the three months before your 65th birthday. By applying early, you ensure your coverage will start the day you turn 65. You can also apply the month you turn 65 or within the following three months without penalty, though your coverage will then start after your birthday.
What do I need to do before I turn 65?
11 steps to take if you're turning 65 this yearMake a Social Security plan. ... Get ready for Medicare. ... Medigap or Medicare Advantage? ... Pick the right Medicare Part D plan. ... Consider long-term care insurance. ... Start unlocking new travel deals. ... Get a property tax break. ... Visit the doctor.More items...•
Do I need to contact Social Security when I turn 65?
Is it automatic when I turn 65? To enroll in Medicare, most people need to contact Social Security directly. Do this before your 65th birthday to avoid a lapse in health coverage.
Does Medicare start the first day of your birthday month?
Does Medicare Start on Your Birthday? Original Medicare coverage does not start on your actual birthday. At the earliest, coverage begins on the first day of the month you turn 65. So, if your birthday is July 24, your coverage will begin July 1.
What documents do I need to apply for Medicare?
What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...
Will Medicare automatically send me a Medicare card?
Once you're signed up for Medicare, we'll mail you your Medicare card in your welcome packet. You can also log into (or create) your secure Medicare account to print your official Medicare card. I didn't get my Medicare card in the mail. View the Medicare card if you get benefits from the Railroad Retirement Board.
Do they automatically send you a Medicare card?
You should automatically receive your Medicare card three months before your 65th birthday. You will automatically be enrolled in Medicare after 24 months and should receive your Medicare card in the 25th month.
Does Social Security automatically send you a Medicare card?
Medicare will automatically mail your new card to the address you have on file with Social Security. As long as your address is up to date, there's nothing you need to do!
Answer a few questions to find out
These questions don’t apply if you have End-Stage Renal Disease (ESRD).
Do you have health insurance now?
Are you or your spouse still working for the employer that provides your health insurance coverage?
Your first chance to sign up (Initial Enrollment Period)
Generally, when you turn 65. This is called your Initial Enrollment Period. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65.
Between January 1-March 31 each year (General Enrollment Period)
You can sign up between January 1-March 31 each year. This is called the General Enrollment Period. Your coverage starts July 1. You might pay a monthly late enrollment penalty, if you don’t qualify for a Special Enrollment Period.
Special Situations (Special Enrollment Period)
There are certain situations when you can sign up for Part B (and Premium-Part A) during a Special Enrollment Period without paying a late enrollment penalty. A Special Enrollment Period is only available for a limited time.
Joining a plan
A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare. It usually also includes drug coverage (Part D).
Do I need to sign up for Medicare when I turn 65?
It depends on how you get your health insurance now and the number of employees that are in the company where you (or your spouse) work.
How does Medicare work with my job-based health insurance?
Most people qualify to get Part A without paying a monthly premium. If you qualify, you can sign up for Part A coverage starting 3 months before you turn 65 and any time after you turn 65 — Part A coverage starts up to 6 months back from when you sign up or apply to get benefits from Social Security (or the Railroad Retirement Board).
Do I need to get Medicare drug coverage (Part D)?
You can get Medicare drug coverage once you sign up for either Part A or Part B. You can join a Medicare drug plan or Medicare Advantage Plan with drug coverage anytime while you have job-based health insurance, and up to 2 months after you lose that insurance.
When do you get Medicare?
Most people become eligible for Medicare when they turn 65. Your Medicare enrollment steps will differ depending on whether or not you are collecting retirement benefits when you enter your Initial Enrollment Period (IEP) .
How to enroll in Medicare if you are a railroad retiree?
If you are eligible for Railroad Retirement benefits, enroll in Medicare by calling the Railroad Retirement Board (RRB) or contacting your local RRB field office. Keep proof of when you tried to enroll in Medicare, to protect yourself from incurring a Part B premium penalty if your application is lost.
Where does Social Security retirement come from?
If you get Social Security retirement benefits, your package and card will come from the Social Security Administration (SSA). If you get Railroad Retirement benefits, your package and card will come from the Railroad Retirement Board .
How long does it take to get Medicare?
Learn how to make sure they have health insurance once you’re enrolled. Medicare eligibility starts at age 65. Your initial window to enroll is 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 ...
What happens if you don't sign up for Medicare?
Specifically, if you fail to sign up for Medicare on time, you’ll risk a 10 percent surcharge on your Medicare Part B premiums for each year-long period you go without coverage upon being eligible.
When do you get Medicare if you leave your job?
In that case, you’ll get an eight-month special enrollment period to sign up for Medicare if and when you leave your job or your employer stops offering coverage. It will start the month after you separate from your employer, or the month after your group health coverage ends – whichever happens sooner.
Do you have to double up on Medicare?
No need to double up on coverage. Many seniors are no longer employed at age 65, and thus rush to sign up for Medicare as soon as they’re able. But if you’re still working at 65, and you have coverage under a group health plan through an employer with 20 employees or more, then you don’t have to enroll in Medicare right now.
Does Medicare pay for Part A?
That said, it often pays to enroll in Medicare Part A on time even if you have health coverage already. It won’t cost you anything, and this way, Medicare can serve as your secondary insurance and potentially pick up the tab for anything your primary insurance (in this case, your work health plan) doesn’t cover.
What happens if you overlook Medicare enrollment rules?
Medicare processes and rules are complex and rife with exceptions; if you overlook something in the enrollment rules, you may pay a high price in terms of both penalties and gaps in coverage. So you should consult with Medicare and with the benefits administrator for your employer coverage — before you enroll or decide to delay enrollment.
How long do you have to work to get Medicare Part A?
If by the time you reach 65 you’ve worked a total of approximately 10 years over your career, you’re entitled to premium-free Medicare Part A, which pays for in-patient hospital charges and more.
How many employees do you have to have to have Medicare Part B?
If the employer has fewer than 20 employees: If your or your spouse's employer has fewer than 20 employees and the health coverage is not part of a multiemployer group plan, at age 65 you must enroll in Medicare Part B, which will be your primary insurance. If you have an HSA and want to keep contributing: If you have an HSA ...
What is Medicare Part A?
If the employer has fewer than 20 employees: If your or your spouse's employer has fewer than 20 employees and the health coverage is not part of a multiemployer group plan, at age 65 you must enroll in Medicare Part A, which will be your primary insurance. “Primary” means that Medicare pays first, and then the employer insurance kicks in ...
How long do you have to keep HSA contributions?
Stop making contributions to your HSA at least six months before you sign up for Part B. And you’ll want to sign up for Medicare at least a month before you stop work ...
Does Medicare Part A cover my employer?
Because in some cases, Medicare Part A may cover what your employer plan does not. But as with so many aspects of Medicare, there are caveats, exceptions and potential pitfalls. If the employer has 20 or more employees: If your or your spouse's employer has 20 or more employees and a group health plan, you don't have to sign up for Medicare ...
Is Medicare cheaper than group health insurance?
If your employer (or your spouse’s employer) requires you to pay a large portion of the premium on your group health insurance, you may find Medicare cheaper and the coverage adequate. So compare your current coverage and out-of-pocket expenses — including premiums, deductibles, copays and coinsurance — with your costs and benefits under Medicare, which may also pay some expenses not covered by your group plan.
