How to Enroll in Medicare | Finance Strategists (2024)

Enrolling in Medicare

Enrolling in Medicare is a major milestone in your life.

Before you get started choosing which path in the program you want to take, you need to know these 5 important facts.

  • Some people get Medicare automatically, and some have to sign up. You may have to sign up if you're 65 (or almost 65) and not getting Social Security.
  • There are certain times of the year when you can sign up or change how you get your coverage.
  • If you sign up for Medicare Part B when you're first eligible, you can avoid a penalty.
  • You can choose how you get your Medicare coverage.
  • You may be able to get help with your Medicare costs.

When you are ready to enroll in Medicare, you can call the Social Security Administration at (800) 772-1213 or visit them online at www.socialsecurity.gov.

You can also go to www.medicare.gov and use the Medicare eligibility tool to find out if you are eligible and what you need to do to enroll if you are.

Have questions about Medicare? Click here.

Railroad Retirement Board

If you already get benefits from Social Security or the Railroad Retirement Board, you are automatically entitled to Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) starting the first day of the month you reach age 65.

You will not need to do anything to enroll. Your Medicare card will be mailed to you about 3 months before your 65th birthday.

Social Security Disability Benefits

If you are under age 65 and disabled, and have been entitled to disability benefits under Social Security or the Railroad Retirement Board for 24 months, you will be automatically entitled to Medicare Part A and Part B beginning the 25th month of disability benefit entitlement.

You will not need to do anything to enroll in Medicare. Your Medicare card will be mailed to you about 3 months before your Medicare entitlement date.

If you're already collecting Social Security benefits, you'll get Medicare Part A and Part B automatically when you're first eligible and don't need to sign up.

Medicare will send you a "Welcome to Medicare" packet 3 months before you turn 65.

You'll still have other important deadlines and actions to take, so read all of the materials in the packet.

Medicare Enrollment Period

Generally speaking, if you have to pay for Parts A and B of Medicare and fail to sign up for them as soon as you are able, then you'll probably be penalized for it and your enrollment may be delayed.

When you first become eligible for Medicare during your initial enrollment period, you can join a Medicare Advantage Plan (with or without drug coverage) or Medicare drug plan.

There are specific times when you can sign up for a Medicare Advantage Plan (with or without drug coverage) or a Medicare drug plan or make changes to coverage you already have.

General enrollment period

If you have Part A coverage and you get Part B for the first time during this period, you can also join a Medicare Advantage Plan or Medicare drug plan. Your coverage may not start until July 1.

Open enrollment period

From October 15 - December 7 you can join, switch, or drop a Medicare Advantage Plan or Medicare drug plan. Your coverage will begin on January 1 (as long as the plan gets your request by December 7).

How to Enroll in Medicare FAQs

Medicare is a publicly-available health insurance program run by the U.S. government.

You can sign up for Medicare online through the official Social Security website, by calling their toll-free number at 800-772-1213, or you can visit your local Social Security office. If you're already receiving retirement benefits from Social Security or the Railroad Retirement Board (RRB), you'll automatically be enrolled in Part A and Part B when you turn 65.

Generally, there are four ways to get Medicare coverage: Original Medicare (Part A and Part B); a Medicare Advantage Plan (Part C); a Prescription Drug Plan (Part D); and/or Medicaid. Each type of plan covers different health care services and comes with different costs and rules.

Most people can sign up for Medicare during the seven-month period that starts three months before your 65th birthday, includes your birth month, and ends three months after it. Special enrollment periods are also available if you miss the initial enrollment window or have other qualifying life events.

The cost of Original Medicare depends on which parts you choose to enroll in and the type of coverage you select (e.g., Part A hospital insurance, Part B medical insurance). Generally, most people don't pay a monthly premium for Part A since it is usually covered through payroll taxes while working. You may have to pay a monthly premium for Part B, as well as any deductibles, copayments, or coinsurance associated with your plan.

How to Enroll in Medicare | Finance Strategists (1)

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True Tamplin, BSc, CEPF®

True Tamplin is a published author, public speaker, CEO of UpDigital, and founder of Finance Strategists.

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How to Enroll in Medicare | Finance Strategists (2024)

FAQs

How do I get answers to Medicare? ›

Live chat with us, and find local organizations that can help answer your Medicare questions. You can also: Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays.

What are the biggest mistakes people make when signing up for Medicare? ›

Choosing the right Medicare plan can be confusing, and it's difficult to decipher all the language written into these plans and options. Medicare mistakes to avoid include missing your initial enrollment period, signing up for the wrong coverage, not paying your premiums, and assuming your spouse is covered.

What are the 3 important eligibility criteria for Medicare? ›

You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

What is the fastest way to enroll in Medicare? ›

Online (at Social Security) – It's 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 benefits.) Contact your local Social Security office.

What is the best source to learn about Medicare? ›

Centers for Medicare & Medicaid Services (CMS) provides information about Medicare coverage, Medicare health plans, Medicare quality initiatives and free publications.

Does AARP help with Medicare questions? ›

The tool clarifies eligibility and enrollment requirements and provides answers to questions on Medicare's plan options, coverage and costs in an easy-to-understand manner. Choose a topic below and click “See all questions” to find the answers you are looking for.

What is the major flaw in Medicare? ›

Affordability Concerns. Cost concerns related to insurance are an issue for Medicare beneficiaries of all ages, particularly when it comes to monthly premiums and out-of-pocket costs for prescription drugs.

Why is signing up for Medicare so confusing? ›

Factors Contributing to Medicare Confusion

is a federal health insurance program that is governed by complex rules and regulations. The program is divided into several parts, each with its own set of rules and regulations that can be difficult to parse through.

Why are people unhappy with Medicare Advantage plans? ›

In some cases, you'll have a higher share of costs when you see an out-of-network doctor. In other cases, you're not covered at all if you go out of network. This is particularly important if you travel a lot because Medicare Advantage plans generally don't provide out-of-state coverage.

What happens if you don't enroll in Medicare at 65? ›

If you waited 2 full years (24 months) to sign up for Part B and didn't qualify for a Special Enrollment Period, you'll have to pay a 20% late enrollment penalty (10% for each full 12-month period that you could have signed up), plus the standard Part B monthly premium ($174.70 in 2024).

Who is not eligible for Medicare? ›

Generally speaking, anyone under 65 will likely not have access to Medicare. Other people who may fall short of Medicare eligibility criteria include: Undocumented immigrants. People with disabilities who have received SSDI benefits for under two years.

What to do 6 months before turning 65? ›

12-6 months before your 65th birthday

Talk to someone about your retirement financial goals and make a list of your expenses or financial obligations. Meet with your employee benefits department or call your existing health plan to learn about plan options available to you after retirement.

Where is the best place to enroll in Medicare? ›

Apply for Medicare online at the Social Security website. (This is the fastest method.) Call Social Security at 800-772-1213. (TTY 800-325-0778.)

Can I drop my employer health insurance and go on 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).

How much do I have to pay for Medicare when I turn 65? ›

If you don't get premium-free Part A, you pay up to $505 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024).

Do I call Social Security for Medicare questions? ›

Contact Social Security to: See if you're eligible for Medicare; Create a my Social Security account to do things like request a replacement Medicare card and report a change of address, name, or phone number; Sign up for Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance);

Can a Social Security office answer Medicare questions? ›

Although the Centers for Medicare & Medicaid Services (CMS) is the agency in charge of the Medicare program, Social Security processes your application for Original Medicare (Part A and Part B). We provide general information about the Medicare program and can help you get a replacement Medicare card.

How do I contact CMS with questions? ›

California's participation in the federal Consumer Assistance Program grant has completed, however, the California Department of Insurance continues to provide assistance to consumers with health insurance questions or problems. You can contact them at 1-800-927-4357.

How do I get $800 Medicare reimbursem*nt online? ›

You must submit proof of Medicare Part B premium payments through the online portal, EZ Receipts app or by fax or mail. Upon approval, you will receive reimbursem*nt by direct deposit or check depending on how you set up your account.

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