Medicare Blog

when to sign up for medicare if still working after 65

by Reina Schowalter III Published 2 years ago Updated 1 year ago
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As long as you have group health insurance from an employer for which you or your spouse actively works after you turn 65, you can delay enrolling in Medicare until the employment ends or the coverage stops (whichever happens first), without incurring any late penalties if you enroll later. When the employer-tied coverage ends, you’re entitled to a special enrollment period of up to eight months to sign up for Medicare.

Full Answer

Can you get Medicare if you are still working?

You can get Medicare if you’re still working and meet the Medicare eligibility requirements. You become eligible for Medicare once you turn 65 years old if you’re a U.S. citizen or have been a permanent resident for the past 5 years. You can also enroll in Medicare even if you’re covered by an employer medical plan.

Does Medicare automatically start at 65?

Most of the U.S. If you receive Social Security benefits at age 65, Medicare automatically starts at age 65. Medicare will automatically enroll you in Part A and Part B. If you are not yet receiving Social Security benefits, you can start still start receiving Medicare Part A and B, or you can keep Part A and opt out of Part B until your group coverage ends.

Are you automatically enrolled in Medicare at age 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. Keeping Your Medicare Card Safe

What if you don't sign up for Medicare at 65?

If you do not sign up for Medicare at 65 and are not enrolled in other health insurance, you will be subject to a Medicare late enrollment penalty whenever you eventually sign up for Medicare at a later date.

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Is it a good idea to get Medicare if you're still working at 65?

If you're 65 or older, still working and are covered by employer health insurance, it can make sense to sign up for Medicare now. Enrollment might reduce your out-of-pocket costs. Millions find themselves in this situation.

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.

How many months before I turn 65 should I 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.

What happens if you forget to sign up for Medicare at age 65?

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. (Since Medicare Part A is usually free, a late enrollment penalty doesn't apply for most people.)

Do you automatically get a Medicare card when you turn 65?

You should receive your Medicare card in the mail three months before your 65th birthday. If you are NOT receiving benefits from Social Security or the RRB at least four months before you turn 65, you will need to sign up with Social Security to get Parts A and B.

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...

Can I drop my employer health insurance and go on Medicare?

You can keep your employer plan and sign up for Medicare Part A. You can keep your employer plan and sign up for Medicare Part A, and decide if you want to pick up B, D, and/or a Medigap Plan. Most people don't sign up for Parts B and D, because they have a monthly premium.

Can you have Medicare and employer insurance at the same time?

Yes, you can have both Medicare and employer-provided health insurance. In most cases, you will become eligible for Medicare coverage when you turn 65, even if you are still working and enrolled in your employer's health plan.

When should I apply for Social Security when I turn 66 and 2 months?

You can apply up to four months before you want your retirement benefits to start. For example, if you turn 62 on December 2, you can start your benefits as early as December. If you want your benefits to start in December, you can apply in August.

Are you automatically enrolled in Medicare if you are on Social Security?

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.)

Can I enroll in Medicare Part A anytime?

Part A, and you can enroll in Part A at any time after you're first eligible for Medicare. Your Part A coverage will go back (retroactively) 6 months from when you sign up (but no earlier than the first month you are eligible for Medicare).

Do you have to enroll in Medicare Part B every year?

Do You Need to Renew Medicare Part B every year? As long as you pay the Medicare Part B medical insurance premiums, you'll continue to have the coverage. The premium is subtracted monthly from most people's Social Security payments. If you don't get Social Security, you'll get a bill.

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.

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.

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.

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 ...

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 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 ...

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.

What percentage of Americans will be working in 2026?

Millions find themselves in this situation. The proportion of Americans ages 65 to 74 who are working is projected to reach 30.2% in 2026, according to the Bureau of Labor Statistics. But Medicare is complicated, and there are a lot of caveats and some surprise expenses to be avoided.

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.

When do you have to enroll in Medicare?

If you work for an employer with fewer than 20 employees, you need to enroll in Medicare at age 65, during your IEP. Medicare becomes the primary payer and your employer's insurance becomes secondary.

What age do you have to be to get Medicare?

You'll need to know what your coverage options will be at age 65 and adjust your Medicare enrollment to meet your needs. One other situation that can cause confusion occurs if you leave your job with a "retiree" health care plan or coverage under COBRA (the Consolidated Omnibus Budget Reconciliation Act of 1985).

How long can you enroll in Medicare if you don't have insurance?

If you don't enroll during your IEP because you have employer group health insurance coverage, you can enroll at any time you still have employer group coverage or within 8 months after the month your employment or group coverage ends. You'll need to know what your coverage options will be at age 65 and adjust your Medicare enrollment ...

When does Medicare become the primary payer?

Medicare becomes the primary payer for your health care expenses once you reach age 65 and lose your employer group coverage (assuming you work for an employer with more than 20 employees). If you continue to work, your employer's insurance pays first.

What are the pitfalls of working past 65?

5 pitfalls to avoid when working past age 65. 1. Not doing your homework: If you plan to work past age 65, or if your spouse or partner continues to work and covers you, you've got some research to do to make sure you know your options, the costs, and any restrictions. Your employer is required to offer you coverage, but is that your best option? ...

How long is the GI window for Medicare?

However, your GI window is only 63 days long, and does not apply to every Medigap plan. If you were eligible for Medicare prior to 2020, you can get GI for Plan A, B, C, F, K, and L. If you became eligible for Medicare in 2020 or later, the GI is available to you for Plan A, B, D, G, K, and L.

How long does it take to get backdated Social Security?

If you apply for Part A (and Social Security) and you are six months or more beyond your full retirement age, you will get six months of backdated benefits from Social Security. Since Social Security and Medicare Part A go hand-in-hand, this means your Part A effective date will also retroact six months.

How long is the Medigap open enrollment period?

Your Medigap Open Enrollment window is a 6-month period that begins the day your Part B starts.

Is Medicare Part D voluntary?

Medicare Part D. If you have delayed Medicare Parts A and B, you have also delayed Part D. Enrolling in Part D is voluntary but even if you do not currently take prescription drugs, it is in your best interest to enroll to avoid penalties for signing up late.

Can I get Medicare if I work past 65?

If you work past 65 for a large employer with a group health plan, you can delay Medicare Part B until retirement without penalty. As I mentioned earlier, if you work past 65 for a small employer, you’ll need to enroll in Part A and Part B during your IEP.

Is Medicare primary or secondary?

Even if you have group coverage, you will want to apply for Medicare and enroll in Parts A and B to avoid penalties (be careful if you have an HSA – more on that below.) Medicare will be primary, and your group coverage will be secondary. Many group coverage plans offer prescription drug coverage.

Is it a financial requirement to work past 65?

For many, working past 65 is a financial requirement to avoid scraping by and for others it is about fulfillment and not being ready to hang up their boots. If you are planning to remain in the workforce beyond 65, irrespective of why, you do not want to overlook navigating your enrollment into Medicare before or after retirement.

How does Medicare work with my job-based health insurance when I stop working?

Once you stop working, Medicare will pay first and any retiree coverage or supplemental coverage that works with Medicare will pay second.

When & how do I sign up for Medicare?

You can sign up anytime while you (or your spouse) are still working and you have health insurance through that employer. You also have 8 months after you (or your spouse) stop working to sign up.

Do I need to get Medicare drug coverage (Part D)?

Prescription drug coverage that provides the same value to Medicare Part D. It could include drug coverage from a current or former employer or union, TRICARE, Indian Health Service, VA, or individual health insurance coverage.

Can You Continue to Work and Still Enroll in Medicare?

Yes! You don’t have to retire in order to enroll in Medicare. The only eligibility requirements are to be at least 65 years old or have been collecting SSDI for at least 24 months. Whether you’re working or not is completely irrelevant when it comes to eligibility.

How Employer Coverage and Medicare Part B Work Together

Enrolling in Part B alongside your employer’s health plan is also an option. If you choose to obtain both health plans, Part B would be the primary payer for your coverage. Your secondary payer would be your employer.

Difference Between Active Employment vs. Retiree Benefits

There are different benefits beneficiaries can receive whether they’re actively working or deciding to retire. The main benefit that creates a huge impact on your healthcare plans is the enrollment period technicalities associated with both.

Do You Have to Sign up For Medicare if You Are Still Working?

The most common reason for people not signing up for Medicare when they turn 65 is because they are still working. Because they’re still working, they’re likely covered under their employer’s health insurance plan and are also unlikely to be collecting Social Security retirement benefits.

Can I Get Social Security and Not Sign up for Medicare?

Yes and no. Medicare Part B is optional. If you’re automatically enrolled in Medicare Part A, you will be automatically enrolled in Part B and then given the option of opting out. You may still continue to receive your Social Security benefits without having Part B.

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