When Can I Get Medicare

What If Ive Worked But Not Long Enough

You can still get Medicare Part A coverage, even if you dont fully meet the work requirement of 40 credits. Heres what youll pay in 2022:

• If you have 30 to 39 credits, your Part A premium will cost $274 per month.
• If you have fewer than 30 credits, your Part A premium will cost $499 per month.
• If youre able to continue working and you accumulate 40 work credits, you wont have to pay the monthly premium for Part A coverage.

Part A is the only part of Medicare that requires a specific amount of work history. You can enroll in Medicare parts B, C, and D without a work history.

If My Spouse Is 65 And Im 62 How Can That Affect My Spouses Medicare Costs

Traditional Medicare refers to Part A and Part B. Almost everyone has to pay a Part B monthly premium. But most people donât have to pay a Part A monthly premium.

For Medicare Part A, your monthly premium amount depends on how long you or your spouse worked and paid taxes.

If youâve worked at least 10 years while paying Medicare taxes, you donât pay a monthly premium for your Medicare Part A benefits. But if you havenât worked, or worked less than 10 years, you may pay a premium.

Hereâs where your spouse might benefit from your work history, or vice versa. Say youâre age 62 or older, and your spouse is 65. Your Medicare-eligible spouse has worked for less than 10 years. You, on the other hand, arenât eligible for Medicare yet at age 62, but youâve worked at least 10 years while paying taxes.

Well, tell your spouse he or she owes you a grand night out on the town. Because of your work history, your spouse will qualify for premium-free Part A.

So, to summarize with an example:

• Bob is 65 years old. Heâs on Medicare, but he pays a monthly premium for his Medicare Part A benefits. He only worked for seven years and no longer works.
• His wife, Mary, has worked for over 30 years.

Signing Up For Medicare

Follow the steps below if you need to actively enroll in Medicare.

If you decide to enroll in Medicare during your Initial Enrollment Period, you can sign up for Parts A and/or B by:

• Visiting your local Social Security office
• Mailing a signed and dated letter to Social Security that includes your name, Social Security number, and the date you would like to be enrolled in Medicare
• Or, by applying online at www.ssa.gov

If you are eligible for Railroad Retirement benefits, enroll in Medicare by calling the Railroad Retirement Board or contacting your local RRB field office.

Keep proof of when you tried to enroll in Medicare, to protect yourself from incurring a Part B premium penalty if your application is lost.

• Take down the names of any representatives you speak to, along with the time and date of the conversation.
• If you enroll through the mail, use certified mail and request a return receipt.
• If you enroll at your local Social Security office, ask for a written receipt.
• If you apply online, print out and save your confirmation page.

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Should I Sign Up For Medical Insurance

With our online application, you can sign up for Medicare Part A and Part B. Because you must pay a premium for Part B coverage, you can turn it down.

If youre eligible at age 65, your Initial Enrollment Period begins three months before your 65th birthday, includes the month you turn age 65, and ends three months after that birthday.

Note: Important Upcoming Change Rules for 2023 and later: If you accept the automatic enrollment in Medicare Part B or if you sign up during the first three months of your IEP, your coverage will start the month youre first eligible. Beginning January 1, 2023, if you sign up during the month you turn 65 or during the last three months of your IEP, your coverage starts the first day of the month after you sign up.

The following chart shows when your Medicare Part B becomes effective in 2022:

The following chart shows when your Medicare Part B becomes effective in 2023:

What Services Does The Partnership Provide

• Medicare and Medicaid information and education
• Help with original Medicare eligibility, enrollment, benefits, complaints, rights and appeals
• Explain Medicare Supplemental insurance policy benefits and comparisons
• Explain Medicare Advantage and provide comparisons and help with enrollment and disenrollment
• Explain Medicare Prescription Drug coverage, help compare plans and search for other prescription help
• Information about long-term care insurance

The partnership also helps with the following programs. Benefit Counselors are specially trained to help you understand all the fine print to find and apply to a plan that works for you. They advocate for you with these programs and help you get the services you need.

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What Else Do I Need To Know

• Medicare can help cover your costs for health care, like hospital visits and doctors services.
• Most people dont pay a premium for Part A, but you do pay a monthly premium for Part B.
• If you cant afford the monthly premium, there are programs to help lower your costs. Get details about cost saving programs.

Dont Register For Medicare Alone

If youre uncomfortable with applying for Medicare alone, we can help! Our services are entirely free for you. When applying, if you would like an agent by your side, we can walk you through setting up all your coverage.

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What Are The Typical Age Requirements For Medicare Coverage

The typical Medicare age requirement is 65, or younger if you qualify for disability benefits. In addition to meeting the age requirement of 65, you must also be a U.S. citizen or legal permanent resident before you are eligible for Medicare.

Most people who are 65 qualify for premium-free Medicare Part A because they have worked for at least ten years and have paid Medicare taxes. Medicare Part A helps cover hospitalization, skilled nursing facility, home health care, and hospice costs. If you are not eligible for premium-free Part A because you have not worked and paid Medicare taxes, but are a citizen with permanent residency and are 65, you can pay premiums to have Part A coverage. If your spouse has worked long enough to qualify for premium-free Part A, your Part A premiums will be free after your spouse turns 62.

When you meet the requirements for Part A, you also qualify for Medicare Part B which helps cover medical out patient costs such as doctors visits, urgent care, durable medical equipment , some preventive care, and more. If you have Part B, there is a monthly premium you pay, which is $148.50 for 2021, and an annual deductible of $203.

How Medicare Taxes Work If Youre Self

Medicare is funded in part by payroll taxes. If youre self-employed, you must pay 15.3% of your net earnings to FICA . 2.9% of that goes to Medicare and 12.4% goes to Social Security.

Since you are your own boss, youll have to withhold payroll taxes from your own paycheck. The IRS requires self-employed workers to make quarterly payments of their estimated taxes . If you dont make those quarterly payments or dont pay enough you may owe a penalty.

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At What Age Can You Get Medicare

You are eligible for Medicare when you turn 65. You may be working, not working or retired. You may or may not be receiving Social Security or other retirement benefits. As far as Medicare eligibility goes, your age is what matters.

Key word your. Medicare is individual insurance. Its your age that counts, not your spouses, even if you are both covered by the same employer insurance when one of you turns 65.

Also, Medicare is separate from Social Security benefits, and there are different eligibility requirements for each. The age for Medicare eligibility is 65. The age for full Social Security benefits depends on what year you were born.

If I Enroll Earlier Than Age 65 Is My Medicare Coverage Reduced

You donât have to worry about this, because you canât enroll in Medicare before youâre eligible.

If you qualify for Medicare before age 65 due to disability:

• You can get full Original Medicare benefits.
• If you want to buy a Medicare Supplement insurance plan , some states will let you do this and others wonât. You can check with your stateâs State Health Insurance Assistance Program agency to find out if you can get a Medicare Supplement insurance plan if youâre disabled and not yet 65.

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People Who Have Both Medicare & Medicaid

People who have both Medicare and full Medicaid coverage are dually eligible. Medicare pays first when youre a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

You can still pick how you want to get your Medicare coverage: Original Medicare or Medicare Advantage . Check your Medicare coverage options.

If you choose to join a Medicare Advantage Plan, there are special plans for dual eligibles that make it easier for you to get the services you need, include Medicare coverage , and may also cost less, like:

• Special Needs Plans
• Medicare-Medicaid Plans
• Program of All-Inclusive Care for the Elderly plans can help certain people get care outside of a nursing home

How To Apply Online For Just Medicare

Are you within three months of turning age 65 or older and not ready to start your monthly Social Security benefits yet? You can use our online retirement application to sign up just for Medicare and wait to apply for your retirement or spouses benefits later. It takes less than 10 minutes, and there are no forms to sign and usually no documentation is required.

To find out what documents and information you need to apply, go to the .

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If I Retire At Age 62 Will I Be Eligible For Medicare At That Time

Medicare is federal health insurance for people 65 or older, some younger people with disabilities, and people with end-stage kidney disease. Most commonly, you are eligible for Medicare when you turn 65, but there are other health insurance options if you are younger and do not have coverage through you or your spouses employer.

What you should know

Medicare was established in 1965 in order to provide health coverage for seniors who would otherwise not be covered by employer-sponsored health insurance plans. If you retire at the age of 62, you may be eligible for retirement benefits through social security, but early retirement will not make you eligible for Medicare.

Signing Up For Medicare Part A And Part B

If youre collecting Social Security benefits, youll automatically enroll in Medicare Part A and Part B upon turning 65. However, if youre not automatically enrolled, the best time to enroll in Medicare Part A is during your initial enrollment period.

If you worked a minimum of ten years while paying Medicare taxes, you can receive Medicare Part A premium-free. So, regardless of whether youre still working when you become eligible for Medicare, it makes sense to get Medicare Part A as soon as you can. This will help keep your out-of-pocket hospital inpatient costs to a minimum.

With Medicare Part B, you have different enrollment options. Medicare Part B medical insurance requires every beneficiary to pay a monthly premium. Therefore, if you have health coverage at age 65, you may delay Medicare Part B without penalties unless you lose creditable coverage before getting Medicare Part B.

Common reasons beneficiaries delay Medicare Part B include:

• Health insurance through a previous employer
• To remain with spousal coverage, if available, as Medicare Part B premiums are based on income reported two years prior
• Employer coverage

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How Do I Get Full Medicare Benefits

Youâre entitled to full Medicare Part A and Part B benefits as soon as youâre eligible for Medicare. Part A and Part B make up Original Medicare.

So how do you sign up for Medicare? In many cases, youâre automatically enrolled in Medicare Part A and Part B, as described above.

What happens when youâre eligible for Medicare and youâre not yet receiving Social Security benefits? In that case, youâll need to sign up for Medicare yourself â it generally wonât happen automatically. You can typically apply for Medicare through the Social Security Administration . If you worked for a railroad, you can sign up through the Railroad Retirement Board .

If youâre interested in benefits beyond Original Medicare coverage, you might want to check out:

• Medicare Advantage . Medicare Advantage gives you another way to get your Medicare Part A and Part B coverage, but plans often include extra benefits, like prescription drug coverage.
• Medicare Supplement insurance. This is available from private insurance companies. It works alongside your Medicare Part A and Part B coverage.
• Stand-alone Medicare Part D prescription drug plans. These plans may help cover your prescription drugs.

You can learn more about your Medicare coverage choices by entering your zip code on this page, or by calling eHealth to speak to a licensed insurance agent.

Medicare Eligibility At Age 65

• You are at least 65 years old
• You are a U.S. citizen or a legal resident for at least five years

In order to receive premium-free Part A of Medicare, you must meet both of the above requirements and qualify for full Social Security or Railroad Retirement Board benefits, which requires working and paying Social Security taxes for at least 10 full years .

Learn more about Medicare eligibility at and before age 65 by referring to this helpful chart and reading more information below.

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Comparison With Private Insurance

Medicare differs from private insurance available to working Americans in that it is a social insurance program. Social insurance programs provide statutorily guaranteed benefits to the entire population . These benefits are financed in significant part through universal taxes. In effect, Medicare is a mechanism by which the state takes a portion of its citizens’ resources to provide health and financial security to its citizens in old age or in case of disability, helping them cope with the enormous, unpredictable cost of health care. In its universality, Medicare differs substantially from private insurers, which must decide whom to cover and what benefits to offer to manage their risk pools and ensure that their costs do not exceed premiums.

Medicare also has an important role in driving changes in the entire health care system. Because Medicare pays for a huge share of health care in every region of the country, it has a great deal of power to set delivery and payment policies. For example, Medicare promoted the adaptation of prospective payments based on DRG’s, which prevents unscrupulous providers from setting their own exorbitant prices. Meanwhile, the Patient Protection and Affordable Care Act has given Medicare the mandate to promote cost-containment throughout the health care system, for example, by promoting the creation of accountable care organizations or by replacing fee-for-service payments with bundled payments.

Sign Up: Within 8 Months After Your Family Member Stops Working

• If you have Medicare due to a disability or ALS , youll already have Part A .
• Youll pay a monthly premium for Part B , so you may want to wait to sign up for 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 until you turn 65. The penalty goes up the longer you wait to sign up. How much is the Part B late enrollment penalty?

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I Am Turning 65 Next Year When Can I Sign Up For Medicare

If you are eligible for Medicare, your initial enrollment period for Part A and Part B begins three months before the month of your 65th birthday and ends three months after it. For example, if your 65th birthday is in June, your enrollment period will extend from March 1 through September 30. If you join during one of the 3 months before you turn 65, coverage will begin the first day of the month you turn 65. If you join during the month you turn 65, your coverage will begin the first day of the month after you turn 65. If you join in the month after you turn 65, coverage will begin 2 months later, and if you join 2 or 3 months after you turn 65, coverage will begin 3 months later. A recent change in law limits these gaps in coverage. Starting in 2023, if you enroll in Medicare during the first 3 months after your turn 65, coverage will begin the first day of the month following the month you enroll.

Once you have Part A and Part B, you are then also eligible to enroll in a Medicare Advantage plan and/or a Part D plan. If you are already receiving Social Security benefits when you turn 65, you will automatically be enrolled in Part A and Part B. If you are not already receiving Social Security benefits and you want to enroll in Medicare, you should contact Social Security.