Healthcare

What You Need to Know About Obtaining Medicare Coverage

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by Alli Thomas

Jun 21, 2020

If you’re over age 65 and have either lost your job or have been forced into retirement because of the COVID-19 pandemic—or if you had health coverage through your spouse who lost their job—you’re probably exploring signing up for Medicare if you weren’t signed up already.

Keep in mind that if you’re eligible for Medicare but don’t sign up, you may be subject to late enrollment penalties. And because there are multiple parts to Medicare, there are several sets of rules

Here’s what you need to know:

 

When Can I first Sign Up for Medicare?

Since people turn 65 every day, Medicare offers everyone a seven-month enrollment window around their 65th birthday for all components – Part A, Part B, Part C (Medicare Advantage), and Part D (prescription drugs). The Initial Enrollment Period for everyone starts three months prior to the month you turn 65 and ends three months after.

For example, if you turn 65 in September, you can enroll in Medicare from June to December.

There is one order-of-operations component, too. You have to be enrolled in Part A and Part B before you can enroll in a Medicare Advantage plan, so don’t wait until the last month of your IEP to apply if you want more than just Parts A and B.

Note: If you already get benefits from Social Security, you don’t have to sign up as you will automatically be enrolled in Part A and Part B unless you live in Puerto Rico.

 

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Was I Supposed to Have Enrolled in Medicare Even Though I Was Still Working?

Good news: If you were working until recently at an employer with over 20 employees and received health coverage, you weren’t required to sign up for Medicare Part A (which covers hospitalization, skilled nursing and some home health care) or Part B (which covers office visits, outpatient care, and medical supplies). And if you’re still working and covered by your employer’s health insurance plan when you turn 65, you can postpone applying for Medicare.

However, since Part A is free, many people sign up for it anyway when they first become eligible because Part A is free. It’s a good idea to sign up for Part A even if you are still working and have employer-sponsored health insurance as it can act as secondary insurance to pick up the tab for expenses that your employer-sponsored health insurance doesn’t cover.

 

What If I Didn’t Enroll and Lost My Employer-Covered Healthcare?

Workers over 65 that lose their employer-covered health coverage either due to retirement, loss of work, or end of benefits receive an eight-month Special Enrollment Period to sign up for Medicare. This period starts the month after your employment or health coverage ends – for example, if your benefits end in September, your enrollment period begins in October.

 

What If I Missed the Enrollment Period?

If you missed your enrollment period, you should contact Medicare as soon as possible as you may qualify for an additional Special Enrollment Period if you were impacted by COVID-19. You can reach them by calling 1-800-MEDICARE (1-800-633-4227).

If you’re not sure what the right decision is for you and want to discuss your Medicare options in more detail, our financial advisors can help. The first conversation is free and there’s no further obligation. Click here to make an appointment.

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Alli Thomas

Alli Thomas has worked in the financial services industry for nearly 20 years, with a focus on retirement-related investing. She began her career as a FINRA-licensed participant-services call-center associate at Vanguard, and then moved to Principal Financial Group, where she worked closely with employers, assisting with retirement plan set-up and design, selecting appropriate plan investment offerings, and maximizing employee participation through targeted education campaigns and enrollment meetings. Alli has also worked as a qualified 401(k) administrator and registered investment advisor for several small investment firms. She now writes about all things investment- and finance-related, leveraging her extensive experience and passion for retirement planning to help investors make well-informed financial decisions.

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