Medicare Blog

why should i sign up for medicare part b

by Dr. Christina Fay Published 2 years ago Updated 1 year ago
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You Need Part B if Medicare Is Primary
Once you retire and have no access to other health coverage, Medicare becomes your primary insurance. Part A pays for your room and board in the hospital. Part B covers most of the rest. Enrolling in Part B when Medicare is primary will help you avoid unexpected medical bills.
Jan 2, 2021

Full Answer

Why do you need Medicare Part B?

You need Part B in order to sign up for Medicare Advantage or a Medigap plan. Original Medicare has two parts: Part A covers inpatient hospital costs, and Part B covers outpatient medical care, preventive care, durable medical equipment and more. Medicare Part B is optional.

When do you have to sign up for Medicare Part B?

When You Must Enroll in Medicare Part B You may be required to get Medicare Part B even when you’re still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees.

What happens after I sign up for Medicare?

After you sign up and get your Medicare Number, you can create your secure Medicare account. You can also join a plan or buy supplemental insurance to get more coverage. You can only sign up for Part B (or Part A if you have to pay a premium for it) at certain times. Learn about Part A & Part B sign up periods.

How do I enroll in Medicare Part B online?

If you are already enrolled in Medicare Part A and you would like to enroll in Part B under the Special Enrollment Period (SEP), you can apply online at Apply for Medicare Part B Online during a Special Enrollment Period. You can upload your application and documents that verify your group health plan coverage through your employer.

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What is the benefit of having Medicare Part B?

Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem. Cost: If you have Part B, you pay a Part B premium each month.

What happens if I don't sign up for Medicare Part B when I turn 65?

If you didn't get Part B when you're first eligible, your monthly premium may go up 10% for each 12-month period you could've had Part B, but didn't sign up. In most cases, you'll have to pay this penalty each time you pay your premiums, for as long as you have Part B.

When should you take Medicare Part B?

You should start your Part B coverage as soon as you stop working or lose your current employer coverage (even if you sign up for COBRA or retiree health coverage from your employer). You have 8 months to enroll in Medicare once you stop working OR your employer coverage ends (whichever happens first).

What happens if you decline Medicare Part B?

You may face a late enrollment penalty if you do not enroll in Part B when eligible. Your monthly premium may go up 10% for each 12-month period you could have had Part B but didn't.

Can I delay Medicare Part B enrollment without paying higher premiums?

Coverage usually starts the first day of your 65th birthday month. If you have other creditable coverage, you can delay Part B and postpone paying the premium. You can sign up later without penalty, as long as you do it within eight months after your other coverage ends.

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.

Are you automatically enrolled in Medicare Part B?

Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

Do I need Part B Medicare if I am still working?

You may be required to get Medicare Part B even when you're still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you're covered by a spouse's employer, and the employer requires covered dependents to enroll in Medicare when they turn 65.

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.

Can I cancel Medicare Part B at any time?

You can voluntarily terminate your Medicare Part B (medical insurance). However, since this is a serious decision, you may need to have a personal interview. A Social Security representative will help you complete Form CMS 1763.

Does Medicare Part B premium change every year based on income?

Remember, Part B Costs Can Change Every Year The Part B premium is calculated every year. You may see a change in the amount of your Social Security checks or in the premium bills you receive from Medicare. Check the amount you're being charged and follow up with Medicare or the IRS if you have questions.

Do I need Medicare Part D if I don't take any drugs?

No. Medicare Part D Drug Plans are not required coverage. Whether you take drugs or not, you do not need Medicare Part D.

You Always Need Part B If Medicare Is Primary

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Do You Need Medicare Part B? - Senior65

Do I Need Medicare Part B? | Answers From a Medicare Expert

Why Should I Enroll in Medicare if I Already Have Insurance?

Difference Between Medicare Part A and Part B

What happens if you don't enroll in Medicare Part B?

If you elected to not enroll in Medicare Part B and found out 5 years down the road that FEHB no longer covered something, you may be in a precarious situation. In this circumstance, if you went back to enroll in Medicare Part B, you would pay a 50% penalty for the rest of your life. Not a one-time penalty — a permanent penalty.

How long do you have to sign up for Medicare at age 65?

Enrolling in Medicare Part A and/or Part B. When you turn age 65, you have a 7-month window to sign up for Medicare Part A and/or Medicare Part B.

What happens to health insurance when you retire?

When you retire, your health insurance premiums will be adjusted accordingly; it can be a dramatic change for postal workers.

How long do you have to retire to get Medicare?

If you are actively employed when you turn age 65, you have 8 months from the date you retire to enroll in Medicare Part A and/or Part B. As a Federal Employee covered under FEHB, it is important to understand that while your health insurance coverage is fantastic, it is not all-encompassing.

How much is the penalty for not enrolling in Medicare?

Choosing not to enroll in Medicare Part B when you are first eligible will result in penalties when you apply during an open enrollment period, later. For every 12 months that you were eligible to enroll in Medicare Part B but chose not to, there is a 10% penalty. Year 1 Penalty: 10%. Year 2 Penalty: 20%. Year 3 Penalty:

How long does it take to enroll in Medicare?

During this 7- month period, you can enroll in Original Medicare and a Medicare Advantage plan. Annual Enrollment Period (AEP, also called the Annual Election Period) ...

What is Medicare Advantage Plan?

A Medicare Advantage (Medicare Part C) plan is an alternative to Part A and Part B (though you still need to enroll in Part B before you can enroll in a Medicare Advantage plan). Your Medicare Advantage plan carrier (a private insurance company) provides all of your Part A and Part B benefits, instead of the federal government.

What is Medicare Supplement Insurance?

If you have Medicare Part A and Part B, you might also consider a Medicare Supplement Insurance (also called Medigap) plan. Medigap plans can help cover some of the out-of-pocket costs that Medicare does not cover, such as deductibles, coinsurance and copayments.

What happens if you don't have creditable coverage?

If you do not have “creditable coverage” after you first become eligible for Medicare Part B, you incur a penalty that you will pay when you eventually do enroll in Part B . The late enrollment penalty fee amount is a 10 percent increase in your Part B premium (which is $135.50 per month for most people in 2019) for each 12-month period you could ...

How much is the penalty for not enrolling in Part B?

For example, if you did not enroll in Part B when first eligible and delayed your enrollment for 14 months (and if no enrollment exception applied), your standard Part B premium amount – including your late enrollment penalty – would be $149.05 per month.

When is the Medicare AEP?

Annual Enrollment Period (AEP, also called the Annual Election Period) This enrollment period (also called the Open Enrollment Period for Medicare Advantage & Medicare prescription drug coverage) lasts from October 15 to December 7 every year. During Medicare AEP, you can enroll in a Medicare Advantage plan or switch from one Medicare Advantage ...

Is Medicare Part B optional?

Medicare Part B is optional. Whether or not you need Part B depends on your individual situation . You need to be aware that once you become eligible for Part B (generally when you turn 65), you will incur a late enrollment penalty for not signing up for Part B and decide you want it later, unless you meet one of the exceptions to ...

Who missed the deadline to sign up for Medicare Part B?

George Zeppenfeldt-Cestero of Manhattan missed the deadline to sign up for Medicare Part B. He calls the effort to rectify the situation “my nightmare.”. Credit... Twenty years ago, George Zeppenfeldt-Cestero left his job as a hospital administrator in New York to open a one-person health care consulting firm.

When do you have to enroll in Medicare Part A?

Enrollment in Medicare Part A, which covers hospitalization and requires no premiums for most beneficiaries, occurs automatically at age 65 if you’re drawing Social Security retirement benefits. You have to take steps to enroll if you delay taking Social Security past age 65. If you’re not yet receiving Social Security benefits, ...

How long do you have to apply for Part B?

You have seven months — the month in which you turn 65 and the three months both before and after it — to apply for Part B without penalty. You can apply online at https://www.medicare.gov/sign-up-change-plans/how-do-i-get-parts-a-b or at a Social Security office. If you’re still employed and working at a company or organization with 20 ...

How many Medicare beneficiaries were paying Part B penalties?

Such Part B mistakes appear to happen with some frequency. Last year, nearly 700,000 Medicare beneficiaries were paying Part B penalties, according to the Centers for Medicare and Medicaid Services.

What happens if you miss the enrollment window?

If you miss that window, you have to wait for the general enrollment period, which runs from January 1 through March 31 each year. That creates two problems. First, Medicare will add a permanent 10 percent penalty to your premiums for each year you delayed. Mr.

When does Medicare open enrollment start?

The general enrollment period (not to be confused with the Open Enrollment Period currently underway when those already receiving Medicare can change plans) runs from January through March, remember. But coverage doesn’t begin until the following July 1. If you didn’t sign up for Part B and recognize your error in March, you can be insured in July.

Is Medicare a full retirement age?

Both threshold ages used to be 65 but now, the full Social Security retirement age has passed 66 and will gradually rise to 67.

When do you have to enroll in Medicare Part B?

When You Must Enroll in Medicare Part B. You may be required to get Medicare Part B even when you’re still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you’re covered by a spouse’s employer, and the employer requires covered dependents to enroll in Medicare ...

How much does Medicare Part B cost?

Part B is different. Unlike Part A, Medicare Part B has a monthly premium, which can cost $148.50 to $504.90 depending on income. It has a late enrollment penalty for anybody who enrolls without qualifying for a Special Enrollment Period.

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

How long does it take to enroll in Medicare if you lose your employer?

When you lose your employer coverage, you will get an 8-month Special Enrollment Period during which to enroll in Medicare Part B, and Part A if you haven’t done so already. You’ll also be able to enroll in a Medicare Advantage (Part C) plan or Part D prescription drug plan in the first two months of this period.

When do dependents have to enroll in Medicare?

If you’re covered by a spouse’s employer, and the employer requires covered dependents to enroll in Medicare when they turn 65. If you’re not married but living in a domestic partnership and are covered by your partner’s employer health insurance.

Can you avoid Medicare if you file for Social Security?

PHIL: When you file for Social Security, by law you must receive Part A of Medicare. You can't avoid it. If you want to get Social Security benefits, you have to be enrolled in Part A.

Does a postal worker have health insurance?

Health insurance for postal workers is provided by the Federal Employee Health Benefits Program (FEHBP). It generally provides strong coverage and, I’m assuming, covered you as a retiree’s spouse while your husband was alive. The key question here is what happened to your coverage when your husband passed away.

Is Medicare correct to sign you up for Part B?

Further, your failure to return that card in a timely fashion does not necessarily mean that Medicare was correct to sign you up for Part B and begin to subtract the monthly premiums for Part B from your Social Security. However, it might have been correct.

Can I get Medicare if I turned 65?

You say you chose not to get Medicare, so I assume you already have turned 65. But if you just turned 65, it’s standard for Social Security to send you notice about Medicare enrollment. Social Security administers many aspects of Medicare including the enrollment process and handling the deduction of Part B premiums from monthly Social Security ...

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