Medicare’s enrollment rules
Dear Savvy Senior,
Can you give me a rundown on Medicare’s enrollment choices and rules along with when and how to apply? I turn 65 next year and want to make sure I know what to do.
The strict rules and timetables for Medicare enrollment can be confusing to many new retirees, so you’re wise to plan ahead. Here’s a simplified rundown of what to know.
First a quick review. Remember that original Medicare has two parts: Part A, which provides hospital coverage and is free for most people, and Part B which covers doctor’s visits and other medical services, and costs $104.90 per month for most enrollees in 2015.
When to Enroll
Everyone is eligible for Medicare at age 65, even if your full Social Security retirement age is 66 or later.
You can enroll any time during the “initial enrollment period,” which is a seven-month period that includes the three months before, the month of, and the three months after your 65th birthday. It’s best to enroll three months before your birth month to ensure your coverage starts when you turn 65.
If you happen to miss the seven-month sign-up window for Medicare Part B, you’ll have to wait until the next “general enrollment period” which runs from Jan. 1 to March 31 with benefits beginning the following July 1. You’ll also incur a 10 percent penalty for each year you wait beyond your initial enrollment period, which will be tacked on to your monthly Part B premium. You can sign up for premium-free Part A, at any time with no penalty.
Special rules apply if you’re eligible for Medicare and still on the job. If you have health insurance coverage through your employer or your spouse’s employer, and the company has 20 or more employees, you have a “special enrollment period” in which you can sign up. This means that you can delay enrolling in Medicare Part B, and are not subject to the 10 percent late-enrollment penalty as long as you sign up for within eight months of losing that coverage.
Be aware that original Medicare does not cover prescription medications, so if you don’t have credible drug coverage from an employer or union, you’ll need to buy a Part D drug plan from a private insurance company (see medicare.gov/find-a-plan) during your initial enrollment if you want coverage. If you don’t, you’ll incur a premium penalty -- 1 percent of the average national premium ($33.13 in 2015) for every month you don’t have coverage -- if you enroll later.
If you choose original Medicare, it’s also a good idea to get a Medigap (Medicare supplemental) policy within six months after enrolling in Part B to help pay for things that aren’t covered by Medicare like copayments, coinsurance and deductibles. See Medicare.gov and click on “Supplements & Other Insurance” to shop and compare policies.
Instead of getting original Medicare, plus a stand-alone Part D drug plan and a Medigap policy, you could sign up for a Medicare Advantage plan (see medicare.gov/find-a-plan) that covers everything in one plan. These plans, which are also sold by insurance companies, are generally available through HMOs and PPOs and often have cheaper premiums, but their deductibles and co-pays are usually higher which makes them better suited for healthier retirees.
How to Enroll
If you’re already receiving your Social Security benefits before 65, you will automatically be enrolled in Part A and Part B, and you’ll receive your Medicare card about three months before your 65th birthday. It will include instructions to return it if you have work coverage that qualifies you for late enrollment. If you’re not receiving Social Security, you’ll need to enroll either online at socialsecurity.gov/medicare, over the phone at 1-800-772-1213 or through your local Social Security office.
Jim Miller is a contributor to the NBC “Today” show and author of The Savvy Senior. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org.
Your Opinions and Comments
Be the first to comment on this story!
You must be logged in to post a comment.
South Texas Living Archives
A creepy Halloween party appetizer (October 19, 2016)
Applying for Social Security (October 19, 2016)
Chili Cook-off to benefit Wilson County youth (October 19, 2016)
DRT joins Heritage Music Festival (October 19, 2016)
DRT to meet Oct. 24 in Kerrville (October 19, 2016)
Enjoy Harvest Festival in Marion (October 19, 2016)
Enter Pecan Bake Show (October 19, 2016)
Little Golden Books (October 19, 2016)
Make plans for Halloween fun and fall fests (October 19, 2016)
Meeting the needs of the community: St. Vincent de Paul (October 19, 2016)
R&B legend opens Carver season Oct. 29 (October 19, 2016)
Readers share their spooky tales, part two (October 19, 2016)
Road Runners plan Oct. 22 group run (October 19, 2016)
See country legends Oct. 22 (October 19, 2016)
Try your hand at square dancing (October 19, 2016)
Turn yard waste into gardener’s gold (October 19, 2016)
Baptist church to ring in 100 years (October 12, 2016)
Church plans Junk and Treasure Sale (October 12, 2016)
Comal Country Music Show is Oct. 18 (October 12, 2016)
Davy Crockett (October 12, 2016)
Enjoy fried chicken in Poth Oct. 23 (October 12, 2016)
Enjoy this flashy winter resident (October 12, 2016)
Join in the 2016 Rosary Crusade (October 12, 2016)
National Charity League plans celebration (October 12, 2016)
New program increases student knowledge of E-cigarette dangers (October 12, 2016)
Play bunco in La Vernia Oct. 22 (October 12, 2016)
Pondering a poignant letter from the past (October 12, 2016)
Save the date for Oct. 22 March for Life (October 12, 2016)
Should you redeem old savings bonds? (October 12, 2016)
Show Barn Cook-off approaching (October 12, 2016)
Sutherland Springs Old Town Day (October 12, 2016)
The business of aging grows more complex (October 12, 2016)
Try your luck at China Grove Lions Club Casino Night (October 12, 2016)
Atascosa County Craft Show seeks vendors (October 5, 2016)
Beautify your landscape with cacti (October 5, 2016)
Experience Oktoberfest in San Antonio (October 5, 2016)
Gilded peanuts and golden memories — recalling past Floresville Peanut Festivals (October 5, 2016)
Japan Fest set for Oct. 16 (October 5, 2016)
Meal service delivery options for seniors who don’t cook (October 5, 2016)
Oktoberfest comes to Floresville Oct. 15 (October 5, 2016)
Past Pirate champions will never be forgotten (October 5, 2016)
Readers share their ‘spooky’ tales (October 5, 2016)
Sacred Springs PowWow (October 5, 2016)
Shorter teapot (October 5, 2016)
Sinatra tribute comes to Kerrville (October 5, 2016)
Stockdale librarian updates Blue Bonnet Club members (October 5, 2016)
Sunnyside 4-H Bake Sale (October 5, 2016)
Time for turkey in Cestohowa (October 5, 2016)