Medicare Blog

when you sign up for medicare do you need to sign up for medicare advantage

by Elwyn Hyatt Published 2 years ago Updated 1 year ago
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When to apply for Medicare Part C You can sign up for a Medicare Advantage plan during your Initial Enrollment Period. As mentioned above, this is the seven-month period that begins three months before you turn 65, includes your birth month and lasts for three additional months.

You're newly eligible for Medicare because you turn 65. Sign up for a Medicare Advantage Plan (with or without drug coverage) or a Medicare drug plan. During the 7‑month period that starts 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

Full Answer

Who qualifies for a Medicare Advantage plan?

  • All-Dual
  • Full-Benefit
  • Medicare Zero Cost Sharing
  • Dual Eligible Subset
  • Dual Eligible Subset Medicare Zero Cost Sharing Who is eligible for a DSNP? ...
  • You must be a United States citizen or have been a legal resident for at least five years.
  • You must be 65 years old or have a qualifying disability if younger than 65.

More items...

How do you qualify for Medicare Advantage plans?

When can I enroll in a Part C plan?

  • Initial Enrollment Period (IEP)
  • Annual Enrollment Period (AEP)
  • Special Enrollment Period (SEP)

How early should you sign up for Medicare?

If you’re under 65 years old, you might be eligible for Medicare:

  • If you receive disability benefits from Social Security or certain disability benefits from the Railroad Retirement Board (RRB) for at least 24 months in a row
  • If you have amyotrophic lateral sclerosis (ALS, also called Lou Gehrig’s disease)
  • If you have end-stage renal disease (ESRD). ...

Do I qualify for Medicare Advantage?

You need to be enrolled in both Medicare Part A and Part B to qualify for a Medicare Advantage plan. You must also live within the plan’s service area. With any kind of Medicare Advantage plan, in most cases you must continue paying your Medicare Part B premium. However, the Medicaid program might pay your premium.

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Do you need both Medicare and Medicare Advantage?

Original Medicare doesn't offer extra benefits, such as vision, dental, and hearing. Instead, you'll need to add on a supplement to receive these benefits. Many Medicare Advantage plans offer additional coverage benefits.

Can you have both Medicare and a Medicare Advantage Plan?

If you join a Medicare Advantage Plan you'll still have Medicare, but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. You must use the card from your Medicare Advantage Plan to get your Medicare- covered services.

What are the negatives of a Medicare Advantage plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What is the first thing to do to sign up for Medicare?

Apply online (at Social Security) – This is the easiest and fastest way to sign up and get any financial help you may need. You'll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.

What is the benefit of choosing Medicare Advantage rather than the original Medicare plan?

Under Medicare Advantage, you will get all the services you are eligible for under original Medicare. In addition, some MA plans offer care not covered by the original option. These include some dental, vision and hearing care. Some MA plans also provide coverage for gym memberships.

Can you switch from original Medicare to Medicare Advantage?

You can switch from original Medicare to Medicare Advantage during one of the Medicare open enrollment periods. Medicare Advantage plans offer a popular substitute for Original Medicare (Parts A and B).

Is it necessary to have supplemental insurance with Medicare?

For many low-income Medicare beneficiaries, there's no need for private supplemental coverage. Only 19% of Original Medicare beneficiaries have no supplemental coverage. Supplemental coverage can help prevent major expenses.

What are the top 3 Medicare Advantage plans?

The Best Medicare Advantage Provider by State Local plans can be high-quality and reasonably priced. Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states.

Is Medicare Advantage more expensive than Medicare?

Slightly more than half of all Medicare Advantage enrollees would incur higher costs than beneficiaries in traditional Medicare with no supplemental coverage for a 6-day hospital stay, though cost are generally lower in Medicare Advantage for shorter stays.

How long does it take to set up Medicare?

Your initial enrollment window for Medicare spans seven months, beginning three months before the month of your 65th birthday and ending three months after that month. During this time, you have the option to sign up for Medicare online. The process is fairly simple and should take 15 minutes or less.

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

Initial Enrollment Period for Part B If you are already getting benefits from Social Security or the RRB, you will automatically get Part A and Part B starting on the first day of the month when you turn 65.

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

When do you get Medicare if you turn 65?

You’ll be automatically enrolled in Part A and B, receive your Medicare card three months before your 65th birthday, and your coverage will start the first day of your birthday month.

What is a SEP for a 65 year old?

If you’re 65 or older, still working, and covered under a group health plan from your current employer (or your spouse is, and you are both covered under their insurance) — you may qualify for a Special Enrollment Period (SEP).

Check when to sign up

Answer a few questions to find out when you can sign up for Part A and Part B based on your situation.

When coverage starts

The date your Part A and Part B coverage will start depends on when you sign up.

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.

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