Medicare is a health insurance program in the United States for citizens over the age of 65. Medicare may be available to citizens under the age of 65 who have disabilities (disability benefits) or are suffering from irreversible renal failure.
Although the Medicare program helps with healthcare expenditures, it does not cover all medical bills or most long-term care expenses. You can get Medicare coverage in a few different ways. You can buy a Medicare Supplement Insurance (Medigap) policy from a commercial insurance provider if you want Original Medicare (Part A and Part B) coverage.
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Part B of Medicare helps to fund medical services such as doctor’s visits, outpatient treatment, and other services that Part A does not cover. Part B is a choice. When medically essential, Part B helps pay for covered medical services and equipment. Part B also includes preventive treatments including as checkups, lab testing, and screening immunizations to help prevent, detect, and manage medical problems.
Cost: If you have Part B, you must pay a monthly fee. The majority of consumers will pay the usual premium. Some persons who are required to pay extra because of their income will be contacted by Social Security. You may have to pay a late enrollment penalty if you don’t sign up for Part B when you initially become eligible.
Look through your copy of the “Medicare & You” guidebook, call Social Security at 1-800-772-1213, or go to your local Social Security office for further information about enrolling in Medicare. If you receive Railroad Retirement Board (RRB) benefits, contact your local RRB office or call 1-800-808-0772.
To sign up for Social Security (or the Railroad Retirement Board), call 1-800-772-1213.
Part A (Hospital Insurance) and Part B (Other Insurance). Why don’t I contact Medicare and enroll in Parts A and B?
To enroll, you do not need to create a Medicare account. You can create your protected Medicare account after you join up and acquire your Medicare Number. To receive greater coverage, you might join a plan or get supplemental insurance.
Part B (or Part A if you have to pay a fee for it) is only available at particular hours. Learn about the sign-up periods for Part A and Part B.
Other aspects of Medicare are managed by private insurance firms that adhere to Medicare’s guidelines.
If they have worked and paid Medicare taxes long enough, most people aged 65 and up are eligible for free medical hospital insurance (Part A). By paying a monthly premium, you can enroll in Medicare medical insurance (Part B). Larger-income participants will pay a higher monthly Part B cost. Read Medicare Premiums: Rules For Higher-Income Beneficiaries for further information.
You can enroll in Medicare Part A and Part B (medical insurance) using our online application (medical insurance). You have the option to decline Part B coverage because it requires a premium.
If you’re 65 years old and eligible, your initial enrollment period starts three months before your birthday includes the month you turn 65, and concludes three months following your birthday.
If you delay signing up in Part B and later decide to do so, your coverage may be delayed, and you might have to pay a higher monthly premium for the duration of your Part B coverage. Unless you qualify for a “Special Enrollment Period,” your monthly premium will increase by 10% for each 12-month period during which you were eligible for Part B but did not enroll (SEP).
If you don’t sign up for Medicare Part B during your initial enrollment period, you’ll have another chance each year from January 1 to March 31 during a “general enrollment period.” The year you sign up, your coverage begins on July 1 of that year. For additional information, see our Medicare publication.
If you have a Health Savings Account (HSA) or health insurance via your current job, you should check with your HR department or insurance company to see how Medicare may affect you.
You may not need to apply for Medicare Part B at age 65 if you have medical insurance via your or your spouse’s current employer’s group health plan. You may be eligible for a “Special Enrollment Period” (SEP) during which you can sign up for Part B:
If you are within three months of turning 65 and are not yet ready to begin receiving monthly Social Security payments, you can use our online retirement application to enroll in Medicare only and wait to apply for your retirement or spouse’s benefits later. It takes less than ten minutes, and there are no forms to sign or paperwork to complete.
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To know what documents and information you need to apply, visit the Checklist For The Online Medicare, Retirement, and Spouses Application.
Your Medicare card has a unique Medicare number to help secure your identity. If you haven’t received your red, white, and blue Medicare card, there may be an error, such as your mailing address. Sign in to or create a personal my Social Security account to alter your mailing address. Learn everything there is to know about your Medicare card.
You can receive information and services online if you have Medicare. Learn how to take control of your benefits.
Please complete form CMS-40B, Application for Enrollment in Medicare – Part B, if you are enrolled in Medicare Part A and want to enroll in Part B. (medical insurance). You must also fill out form CMS-L564, Request for Work Information if you are applying for Medicare Part B due to a loss of employment or group health coverage.
You can submit your registration request during the Special Enrollment Period using one of the following methods:
Note: When completing the forms CMS-40B and CMS-L564
Unless you choose otherwise, you’ll get Original Medicare (Parts A and B). To assist pay for expenditures that Original Medicare does not cover, you can add a medication plan (Part D) or purchase a Medigap policy. You can join a Medicare Advantage Plan (Part C) to have all of your Medicare benefits (including medicines and other benefits like vision, hearing, and dentistry) packaged into one plan.
Extra Help may be available to persons with low resources and income to help pay for Part D prescription costs.
Medicare is administered by the Centers for Medicare & Medicaid Services (CMS). They will send you a Welcome to Medicare packet along with your Medicare card once you have been enrolled. You’ll also get a copy of the Medicare & You guide, which contains vital details about your Medicare coverage options.
If you live in Puerto Rico, you will not automatically be enrolled in Medicare Part B (medical insurance). If you don’t sign up for it during your initial enrollment time, you’ll be charged a fee. Please call our toll-free hotline at 1-800-772-1213 to join up (TTY 1-800-325-0778). You can also contact the Social Security Administration in your area. Using our Office Locator, you can find your nearest Social Security office.
You can also contact the Federal Benefits Unit in your country of residency if you do not live in the United States or one of its territories.
If you live in Puerto Rico, you will not automatically be enrolled in Medicare Part B (medical insurance). If you don’t sign up for it during your initial enrollment time, you’ll be charged a fee. Please call our toll-free hotline at 1-800-772-1213 to join up (TTY 1-800-325-0778). You can also contact the Social Security Administration in your area. Using our Office Locator, you can find your nearest Social Security office.
You can also contact the Federal Benefits Unit in your country of residency if you do not live in the United States or one of its territories.
You have two choices once you’re eligible for Medicare (typically three months before you turn 65):
You’ll get a welcome packet with your Medicare card once you join up (or are accepted for benefits).
You might be able to buy Part A if you don’t qualify for Part A without having to pay a monthly premium. You must also register for Part B in order to purchase Part A.
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Contact Social Security to sign up for Part B:
If you’re enrolling because you’re retiring or have lost your job-based health insurance:
To be eligible for a
If you live outside the United States, you may wish to receive Part B if you plan to return to the United States for medical care. If you live in a foreign nation, Get help signing up for Part B if you live in a foreign country.
No, in most cases. If you miss your Part B enrollment window, which runs from three months before your 65th birthday to three months after your 65th birthday, you will most likely be charged a late enrollment penalty once you enrol, which will be added to your premium payments for the balance of your enrollment. For each 12-month period that you delay enrolling, you will be penalized 10% of the usual monthly premium.
If you didn’t sign up for Part B during your original enrollment period, you may be eligible for a Special Enrollment Period (SEP), which allows you to sign up for Part B (and/or Part A) at any time as long as you or a spouse is employed and covered by a group health plan through that employment. There is also an 8-month SEP for those 65 and older who have coverage through a group health plan, which begins the month after the employment or group health plan coverage finishes. The late enrollment penalty does not apply if you enroll during a SEP.
You can only join up for Part A and/or Part B during the General Enrollment Period, which runs from January 1 to March 31 each year, if you missed your original enrollment period when you initially became eligible for Medicare. Your protection will begin on July 1st. (Effective January 1, 2023, coverage will begin on the first of the month after the month in which you enrolled during the General Enrollment Period.) You cannot enroll in Medicare Part A or Part B during the yearly open enrollment period, which runs from October 15 to December 7. Only persons with Medicare can use that enrollment period to sign up for prescription coverage or Medicare Advantage coverage or to switch coverage if they already have it.
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“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all of your options.”
