Medicare Blog

who do i know my effective date for medicare part a?

by Ms. Joanie Cassin PhD Published 3 years ago Updated 2 years ago
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Your effective date for Medicare Parts A and B depends on when you enroll. If you enrolled within the three months before your 65th birthday, your effective date is the first day of your birthday month. If you enroll during the month of your 65th birthday, your effective date is the first day of the month after your birthday.

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

Full Answer

What is my effective date for Medicare Parts A and B?

Jan 01, 2022 · The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. 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 can I sign up for Medicare Part A?

Apr 10, 2020 · If you enroll for Medicare Part A and/or Part B during the IEP, the main determinant of the start of your coverage is your birthday date, Medicare.gov states. If you enroll before your 65th birthday, coverage will start on the first day of the month of your birthday; the only exception is if your birthday is on the first of the month.

Should I apply for Medicare Advantage before or after my effective date?

Effective date is the later of: Application Receipt Date Date of first services at a new location (up to 30 days prior to application receipt) ** Must be in compliance at requested effective date (operational, licensed) MAR APR MAY JUN JUL AUG SEP OCT. Option A: Early Submission Physicians / Groups can apply 60 days prior **

Why is it important to know when my Medicare enrollment period begins?

Jul 02, 2021 · Your effective date for Medicare Parts A and B depends on when you enroll. If you enrolled within the three months before your 65th birthday, your effective date is the first day of your birthday month. If you enroll during the month of your 65th birthday, your effective date is the first day of the month after your birthday.

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How do I find my Medicare start date?

Your Medicare coverage generally starts on the first day of your birthday month. If your birthday falls on the first day of the month, your Medicare coverage starts the first day of the previous month. If you qualify for Medicare because of a disability or illness, in most cases your IEP is also seven months.

How do I find out if my Medicare is active?

How Do I Check the Status of My Medicare Enrollment? The status of your medical enrollment can be checked online through your My Social Security or MyMedicare.gov accounts. You can also call the Social Security Administration at 1-800-772-1213 or go to your local Social Security office.

Is Medicare Part A always retroactive?

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).

What day of the month does Medicare start when you turn 65?

If you choose to enroll at age 65, benefits start on the first day of the month you turn 65. For example, if you turn 65 on June 30th, your coverage begins on June 1st.

Why would Medicare Part A be inactive?

Depending on the type of Medicare plan you are enrolled in, you could potentially lose your benefits for a number of reasons, such as: You no longer have a qualifying disability. You fail to pay your plan premiums. You move outside your plan's coverage area.

Does Medicare ever expire?

As long as you continue paying the required premiums, your Medicare coverage (and your Medicare card) should automatically renew every year. But there are some exceptions, so it's always a good idea to review your coverage every year to make sure it still meets your needs.

Why was my Medicare Part A backdated?

If you enroll in Social Security retirement benefits or Medicare benefits for the first time, and you're beyond your Initial Enrollment Period (IEP) in Medicare, your Part A benefits will be backdated up to 6 months from the month you initiate the enrollment, and you might incur tax penalties associated with excess HSA ...Mar 29, 2022

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.)

Do I have to pay for Medicare Part A?

Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $499 each month in 2022. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $499.

Does Medicare start the first day of your birthday month?

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.)

Can I change my Medicare Part B start date?

If changing your initial month of Part B coverage is possible in your case, you'll likely need to submit a new form CMS-40B (https://www.cms.gov/cms40b-application-enrollment-part-b) along with any required documentation. You should probably first contact Social Security to see what options are available to you.Mar 31, 2020

Do Medicare benefits start the month of your birthday?

Medicare treats this birthday as though it occurred in the month right before the actual birthday. If these individuals sign up during the first three months of that Initial Enrollment Period, Medicare coverage begins the month before their birthday.

When Will My Medicare Coverage Start?

Like we said above, most people will be automatically enrolled into Medicare. This typically happens when you have already enrolled to receive Soci...

Coordinating Start Dates For Medigap With Medicare

Once you know when your Medicare effective date is, you can apply for Medicare Supplement (Medigap). You can enroll up to 3 months before your part...

Coordinating Start Dates For Medicare Advantage Or Drug Coverage and Medicare

Same applies as above. Once you learn your Original Medicare effective date, you’ll want to apply for Medicare Advantage prior to that date, so tha...

Further Information About Medicare Start Dates

1) If you have delayed Part B, your start date will be different from above, as will your Medicare Advantage and Medigap effective dates.2) If you...

When is the effective date for Medicare?

If you enroll during the month of your 65th birthday, your effective date is the first day of the month after your birthday. Should you enroll in the three months following your birthday, your effective date will be the first of the month either three, five, or six months after your birthday month. This number goes up for each month you wait.

How long do you have to sign up for Medicare?

Totaling seven months in which you can actively sign up for Part A and Part B unless you qualify for automatic enrollment. When Medicare starts depends on your situation.

How long does Medicare enrollment last?

Your Medicare Initial Enrollment Period begins three months before you turn 65, the month of your 65th birthday, and continues for three months after your birthday month. Totaling seven months in which you can actively sign up for Part A and Part B unless you qualify for automatic enrollment. When Medicare starts depends on your situation.

When do you have to enroll in Medicare if you are not on Social Security?

If you’re not collecting Social Security by the time you age into Medicare at 65, you’ll need to actively enroll yourself. If you have Social Security or Railroad Retirement Board disability for at least 24 months, you qualify for automatic enrollment as well. Your Medicare card is mailed out about three months before the 25th month ...

Who is Lindsay Malzone?

Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

When does Medicare start?

Medicare will start 3 months after you sign up . 3 months after you turn 65. Medicare will start 3 months after you sign up. After that time, you can usually only apply during the General Election Period (1/1-3/31) Medicare will start July 1st.

How long does it take to get medicare?

One month after you turn 65. Medicare will start 2 months after you sign up. 2 months after you turn 65. Medicare will start 3 months after you sign up. 3 months after you turn 65. Medicare will start 3 months after you sign up. After that time, you can usually only apply during the General Election Period (1/1-3/31)

What is the phone number for Medicare?

If you have an urgent matter or need enrollment assistance, call us at 800-930-7956. By submitting your question here, you agree that a licensed sales representative may respond to you about Medicare Advantage, Prescription Drug, and Medicare Supplement Insurance plans.

Medicare Part A

Most people do not pay a premium for Part A of Medicare. As long as they (or their spouse) have contributed to the Medicare program through payroll deductions for 10 years, they qualify for “premium-free” Medicare Part A.

Medicare Part B

While Medicare Part A is free for most people at age 65, Medicare Part B is not. When you sign up for Part B, you pay a monthly premium, either through deductions from your Social Security check or by making direct payments to the government.

Long Story Short

To summarize, our prospective client had postponed Medicare parts A and B and did not have creditable group health coverage. When he signed up for Part A in January 2018, there was no penalty and his coverage was backdated to July 1, 2017.

How long does it take to get Medicare if you are 65?

For someone under age 65 who becomes entitled to Medicare based on disability, entitlement begins with the 25 th month of disability benefit entitlement.

How long do you have to be on Medicare if you are disabled?

Disabled individuals are automatically enrolled in Medicare Part A and Part B after they have received disability benefits from Social Security for 24 months. NOTE: In most cases, if someone does not enroll in Part B or premium Part A when first eligible, they will have to pay a late enrollment penalty.

What is MEC in Medicare?

Medicare and Minimum Essential Coverage (MEC) Medicare Part A counts as minimum essential coverage and satisfies the law that requires people to have health coverage. For additional information about minimum essential coverage (MEC) for people with Medicare, go to our Medicare & Marketplace page.

What is Medicare Part A?

Medicare Part A counts as minimum essential coverage and satisfies the law that requires people to have health coverage. For additional information about minimum essential coverage (MEC) for people with Medicare, go to our Medicare & Marketplace page.

How long does Part A coverage last?

If the application is filed more than 6 months after turning age 65, Part A coverage will be retroactive for 6 months. NOTE: For an individual whose 65th birthday is on the first day of the month, Part A coverage begins on the first day of the month preceding their birth month.

When does Part A start?

NOTE: For an individual whose 65th birthday is on the first day of the month, Part A coverage begins on the first day of the month preceding their birth month. For example, if an individual's birthday is on December 1, Part A begins on November 1.

Do you have to pay Part A and Part B?

Also enroll in or already have Part B. To keep premium Part A, the person must continue to pay all monthly premiums and stay enrolled in Part B. This means that the person must pay both the premiums for Part B and premium Part A timely to keep this coverage. Premium Part A coverage begins prospectively, based on the enrollment period ...

When does Medicare start?

Your Medicare coverage start date, or the date on which it is “active,” depends on the month during which you enroll: If you sign up for Original Medicare during: Your coverage starts: The 3 months prior to turning 65. The month you turn 65. The month you turn 65.

How long does it take to get Medicare after turning 65?

1 month after you turn 65. 2 months after you sign up. 2 months after you turn 65. 3 months after you sign up. 3 months after you turn 65. 3 months after you sign up. Source: Medicare.gov. As you can see from the table above, any delay in Medicare enrollment will result in delays for you to receive health coverage, ...

How often does Medicare send a summary notice?

Medicare also sends you a Medicare Summary Notice every three months, listing any Medicare services you received during the previous quarter.

How long do you have to be on Medicare if you are 65?

If you’re not automatically enrolled, you may sign up for Original Medicare during your seven-month Medicare Initial Enrollment Period (IEP), which begins 3 months before you turn 65.

When is the Medicare election period?

The AEP runs from October 15 through December 7 of each year. It is the one enrollment period that occurs each year.

When does Medicare open enrollment end?

Medicare Advantage plan enrollees have an annual opportunity to disenroll from their plan and return to Original Medicare between January 1 and March 31 of every year. The effective date of a disenrollment request made during the Medicare Advantage Open Enrollment Period will be the first ...

How to apply for Medicare Advantage?

To be eligible to enroll in a Medicare Advantage plan, you must: 1 Have Medicare Part A and be enrolled in Part B, provided that you will be entitled to receive services under Medicare Part A and Part B as of the effective date of coverage under the plan. 2 Permanently reside in the service area of the Medicare Advantage plan (exceptions may apply for persons living outside the service area at time of the enrollment request). 3 Not have been medically determined to have End-Stage Renal Disease (ESRD) prior to completing the enrollment request. 4 You or a legal representative completes an enrollment request and includes all the information required to process the enrollment or meets alternative conditions for enrollment specified by Medicare.

When is the AEP for Medicare?

The AEP runs from October 15 through December 7 of each year. It is the one enrollment period that occurs each year. The AEP is also referred to as the “Fall Open Enrollment” season in Medicare beneficiary publications and other tools. Outside of this period, you may be more limited in the types of changes you can make.

How to change Medicare Advantage plan?

In addition, you may be able to change your Medicare Advantage coverage by qualifying for a Special Election Period (SEP). This lets you enroll in, switch, or disenroll from plans without waiting for the Annual Election Period or the Medicare Advantage Open Enrollment Period that occurs each year. Some situations that may qualify you for a Special Election Period include, but aren’t limited to, if you: 1 Move out of your plan’s service area. 2 Qualify for the Low-Income Subsidy (Extra Help) program. 3 Have full Medicaid coverage and Medicare. 4 Live in a nursing home, skilled nursing facility, or rehabilitation hospital.

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