Monday, February 26, 2024

What To Do For Medicare Before Turning 65

Don't Miss

Do I Need To Notify Social Security When I Turn 70

Working Past Age 65 and Medicare – What to Do?

When to apply if you’re turning 70 Social Security won’t automatically start sending you checks once you turn 70, with one exception: If you took benefits after reaching full retirement age and then suspended your benefits to earn delayed credits of 8% per year, your benefits will automatically restart at 70.

Im Turning 65 What Do I Need To Do For Medicare Enrollment


At 65 you may be looking forward to different things: having grandchildren perhaps, possibly retiring from your career, or taking a trip that youâve dreamed of your whole life. Sixty-five may also be a significant year for you as it may be the first year that youâre eligible for Medicare coverage options. Medicare coverage is the government health insurance program that provides hospital and medical insurance to people 65 and older and some under 65 who qualify because of a disability. Medicare Part A and Part B are called Original Medicare.

Ask Your Doctor If They Accept Medicare

Some doctors choose not to take Medicare as insurance. If youre hoping to keep your doctor after you transition to Medicare, make sure he or she sees patients with Medicare. You can contact the insurance company youre thinking of buying from and ask if that doctor takes the plan, or contact the doctors office directly.

Recommended Reading: Do You Have To Enroll In Medicare

Receiving Survivors Benefits Early

The earliest a widow or widower can start receiving Social Security survivors benefits based on age will remain at age 60.

Widows or widowers benefits based on age can start any time between age 60 and full retirement age as a survivor. If the benefits start at an earlier age, they are reduced a fraction of a percent for each month before full retirement age.

If a person receives widows or widowers benefits, and will qualify for a retirement benefit thats more than their survivors benefit, they can switch to their own retirement benefit as early as age 62 or as late as age 70. The rules are complicated and vary depending on the situation. Talk to a Social Security representative about the options available.

Enroll In Medicare Parts A And/or B

Medicare enrollment begins three months before your 65th birthday and ...

Before you can sign up for a private Medicare plan, you first need to enroll in Original Medicare, which is hospital and medical coverage provided by the federal government. If youre receiving Social Security benefits, you should get your Medicare card in the mail from the Social Security Administration three months before you turn 65. If you dont see it, give them a call at 800-772-1213. You can also email them, or stop by their office. Theyll confirm your eligibility and answer questions you may have.

Don’t Miss: Do You Have To Pay Back Medicare

Get Started With Medicare

Medicare is health insurance for people 65 or older. Youre first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease , or ALS .

Follow these steps to learn about Medicare, how to sign up, and your coverage options. Learn about it at your own pace.

Do I Qualify For A Medicare Special Enrollment Period

Perhaps, if you or your spouse is still working and you have health insurance from that employer. The special enrollment period allows you to sign up for Medicare Part B throughout the time you have coverage from your or your spouses employer and for up to eight months after the job or insurance ends, whichever occurs first.

If you enroll at any point during this time, your Medicare coverage will begin the first day of the following month. And you will not be liable for late penalties, no matter how old you are when you finally sign up.

Your decision also depends on the size of your employer and whether the employers plan is first in line to pay your medical bills or second.

Larger companies. If you or your spouse work for a company with 20 or more employees, you can delay signing up for Medicare until the employment ends or the coverage stops, whichever happens first. These large employers must offer you and your spouse the same benefits they offer younger employees and their spouses, which means that the employers coverage can continue to be your primary coverage and pay your medical bills first.

Many people enroll in Medicare Part A at 65 even though they have employer coverage, because its free if they or their spouse has paid 40 or more quarters of Medicare taxes. But they often delay signing up for Part B while theyre still working so they dont have to pay premiums for both Medicare and the employer coverage.

Keep in mind

Recommended Reading: Why Choose Medicare Advantage Over Medigap

Does Social Security Automatically Start At 65

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. … Social Security will send you sign-up instructions at the beginning of your initial enrollment period, three months before the month of your 65th birthday.

Sign Up: Within 8 Months After You Or Your Spouse Stopped Working

Turning 65 – What you need to know about enrolling in Medicare

Your current coverage might not pay for health services if you dont have both Part A and Part B .

Avoid the penalty & gap in coverageIf you miss this 8-month Special Enrollment Period, youll have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. How much is the Part B late enrollment penalty?

Don’t Miss: What Does Humana Medicare Advantage Cover

Who Is Automatically Enrolled In Medicare

If youre already receiving Social Security or Railroad Retirement Board benefits at least four months before your 65th birthday, youll be enrolled automatically in Medicare Part A and Part B. If you live in Puerto Rico and are receiving those benefits, only Part A will come to you automatically youll need to take extra steps to enroll in Part B.

Youll receive your Medicare card in the mail and can start using it the beginning of the month you turn 65. If your birthday is on the first day of a month, your coverage will start a month earlier.

Part A, which covers hospitalization, is free if you or your spouse has paid Medicare taxes for 40 quarters, the equivalent of 10 years. Part B, which covers doctor and outpatient services, has a monthly premium of $170.10 for most people in 2022, and the Social Security Administration will automatically deduct the premium from your monthly benefit.

But if you or your spouse is still working and you have health insurance from that employer, you may not have to enroll in Part B yet. You can send back the card and enroll in Part B later. Follow the instructions on the back of the card to delay enrolling in Part B if youre already receiving Social Security or Railroad Retirement benefits.

What Do I Need To Do Before Turning 65

This quick checklist covers some of the most important things you should review.Prepare for Medicare. … Consider Additional Health Insurance. … Review Your Social Security Benefits Plan. … Plan Ahead for Long-Term Care Costs. … Review Your Retirement Accounts and Investments. … Update Your Estate Planning Documents.Nov 22, 2021

Also Check: Does Medicare Have Silver Sneakers

Check In On Your Retirement

Even if you dont plan on retiring this year, your birthday is a great reminder to check in on your retirement accounts. Are your assets allocated in a way that lines up with your target retirement date and lifestyle? If so, great! If not, this could be a good opportunity to rebalance your portfolio. Talk to your financial advisor about the best way to proceed.

When To Apply For Medicare: Whats The Initial Enrollment Period

8 Medicare Facts and Myths You

For most people, the Medicare Initial Enrollment Period is a seven-month period. It starts three months before the month you turn 65, includes your birthday month, and goes three more months after that. So if your 65th birthday is in November, your IEP runs from August through February.

Your IEP is different if youre not yet 65, but you qualify for Medicare by disability. For example, you might be automatically enrolled during your 25th month in a row of receiving Social Security disability benefits.

Learn how enrollment works if youre under 65 but eligible for Medicare through disability.

You May Like: Does Aarp Medicare Advantage Cover Eyeglasses

Have You Or Your Spouse Worked For At Least 10 Years At Jobs Where You Paid Medicare Taxes

Generally, youre first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65.

Avoid the penalty If you dont sign up when youre first eligible, youll have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. How much is the Part B late enrollment penalty?

Comparing Medicare Medicare Advantage Plans

In South Florida, there are many plans to choose from. In Miami alone, there are 48 Medicare Advantage Plans, Sarmiento said. Before you compare plans, ask your doctors what Medicare Advantage Plans they accept and make a list of the prescription drugs you take.

To review plans, go to and use its Plan Finder tool to compare options, call 1-800-Medicare, contact a local insurance company or call SHINE for free assistance, Sarmiento said.

Some Advantage plans offer additional benefits like dental, hearing aids or transportation to the doctor, she said. It depends on what the person is looking for and whats valuable to them.

Because of the COVID pandemic, SHINE counselors offer assistance by phone or Zoom video calls. They can do an insurance comparison and help you understand your choices, she said. Wait until you are eligible to start comparing plans, because your options can change. Sometimes new plans are introduced, existing plans are discontinued and doctors drop or add plans.

Recommended Reading: What Is A Ppo Medicare Plan

Do You Have Alternatives To Original Medicare When You Turn 65

When you are eligible to sign up for Medicare coverage at 65 you may want coverage in addition to Original Medicare . This could include:

  • Medicare Supplement Insurance plans: Medicare Supplement insurance plans help pay out-of-pocket costs such as copayments, coinsurance and deductibles. You have a six month Medicare Supplement Open Enrollment Period that begins the month you turn 65 and are enrolled in Medicare Part B.
  • Medicare Part D: Medicare Part D is prescription drug coverage. Original Medicare generally doesnât cover most of the prescription drugs you take at home which is why some Medicare beneficiaries chose Part D coverage. You have a 7-month Initial Enrollment Period for Part D which starts three months before the month you turn 65, includes the month you turn 65, and lasts three months after the month you turn 65.

You also may want a Medicare Advantage plan.

  • Medicare Advantage is an alternative way to get your Part A and Part B benefits from a private insurance company. Medicare Advantage plans must cover everything that Medicare Part A and Part B covers, with the exception of hospice care, which is still covered by Medicare Part A. The Medicare Advantage Initial Enrollment Period is the same as the Medicare Part D Initial Enrollment Period, which is 7 months. It starts three months before you turn 65, includes the month of your 65th birthday, and ends three months after your 65th birthday.

Alternative Or Supplemental Insurance Policies Can Fill Coverage Gaps

Turning 65: How to Prepare as You Approach Medicare

Because Medicare doesn’t cover everything, you might want to find an alternative or a supplement to fill any coverage gaps.

Medicare Advantage plans, also known as Medicare Part C, are privately offered all-in-one alternatives to Original Medicare. They usually include Medicare parts A, B and D. They also usually include things Medicare doesn’t cover, like vision, hearing and dental coverage. Medicare Supplement insurance, or Medigap, plans can also help fill the out-of-pocket gaps in Original Medicare.

Medicare Advantage and Medigap plans help cover specific needs and provide additional financial assistance, but they have limitations. You can’t be enrolled in both programs simultaneously, and there are restrictions on which providers you can choose for full coverage. And if you have a Medicare Advantage plan and want to switch back to Original Medicare, you can only do so during the annual enrollment period.

Other government programs, such as Medicaid, Veterans Affairs benefits and state and local programs, can help cover health care costs, too.

If you dream of spending time abroad during retirement, consider purchasing a traveler’s insurance plan, as Medicare doesn’t cover care costs incurred in a foreign country, except under limited emergency circumstances.

Read Also: Does Medicare Cover Lasik Eye Surgery

You Might Not Need To Sign Up For Medicare At 65

What if you’re still working and still have health insurance when you hit 65?

You could sign up for Original Medicare, or you could delay it and, depending on the health coverage you have and the size of your employer, you might not have to pay a penalty when you sign up for Medicare Part B.

Talk with your workplace benefits administrator to learn how the group plan might work with Medicare. You must enroll in Part B while you’re covered by the group plan or during the eight months after your employment and coverage end, whichever is first. Get proof of your benefits coverage in writing to avoid penalties for late Part B and Part D enrollment.

As health care costs rise, making the most of your senior years can hinge upon affordable access to quality care. Medicare can help you manage expenses, even if you’re still working. There are many plans and options available, so take time to plan for your health care needs before making any decisions.

If you have specific questions or concerns, consult a Medicare expert.

What Happens If You Don’t Sign Up For Social Security At 65

If you are not receiving your Social Security benefits when you turn 65, you will need to apply for Medicare benefits three months before you turn 65. If you don’t sign up for Medicare Part B when you’re first eligible, you may have to pay a late enrollment penalty for as long as you have Medicare coverage.

Recommended Reading: What Is Medicare Insurance Plans

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 work.

Generally, if you have job-based health insurance through your current job, you dont have to sign up for Medicare while you are still working. You can wait to sign up until you stop working or you lose your health insurance .

  • If youre self-employed or have health insurance thats not available to everyone at the company: Ask your insurance provider if your coverage is employer group health plan coverage If its not, sign up for Medicare when you turn 65 to avoid a monthly Part B late enrollment penalty.
  • If the employer has less than 20 employees: You might need to sign up for Medicare when you turn 65 so you dont have gaps in your job-based health insurance. Check with the employer.
  • If you have COBRA coverage: Sign up for Medicare when you turn 65 to avoid gaps in coverage and a monthly Part B late enrollment penalty. If you have COBRA before signing up for Medicare, your COBRA will probably end once you sign up.

How Do I Sign Up For Medicare Supplement Insurance

The Medicare Info Every 64 Year Old Should Learn Before Turning 65 ...

The timing for buying Medicare Supplement insurance plans is a bit different. You have guaranteed-issue rights to buy any Medicare Supplement insurance plan sold in your state during the six-month period beginning the month you are both age 65 or older and enrolled in Part B.

You can still apply for a Medicare Supplement insurance plan after that time, but the plan doesnt have to accept your application in most states. Depending on your health status, you may not be able to buy the plan you want, or your premiums could be much higher if you have health problems.

To compare plans, enter your zip code where shown on this page, and click the Medicare Supplement insurance plans tab.

Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. The product and service descriptions, if any, provided on these eHealth web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.

Medicare information is everywhere. What is hard is knowing which information to trust. Because eHealths Medicare related content is compliant with CMS regulations, you can rest assured youre getting accurate information so you can make the right decisions for your coverage. Read more to learn about our Compliance Program.

You May Like: What Does Part C Cover In Medicare

More articles

Popular Articles