How & When does one enroll, sign up for Medicare?

Part A – Hospital, usually for no premium and

Part B Doctors for around $148/month?

It's best to enroll 3 months before you turn 65

Graphic of when you can enroll based on turning age 65  *  Publication 11036  *

Graphic of when you can enroll based on turning age 65

Use this Medicare tool to Find out when you’re eligible for Medicare.

The best time to sign up is 3 months before your 65th birthday and coverage will start on the 1st of the month of your birthday.   Be sure to let your prior carrier know at least 30 days in advance that you have new coverage and want to cancel.  Especially if it's Covered CA!  That way you don't have double premiums and duplicate coverage.

Once you enroll in Parts A & B, you are then eligible to get a Medi Gap Plan and part D Rx or Medicare Advantage (HMO) to fill in the gaps that Medicare doesn't pay.  Please note that prescription drug coverage is effectively mandatory as there is a penalty when you eventually sign up, if you didn't  sign up when you are supposed to.

How to Apply for Medicare using Medicare/Social Security’s ONLINE tool

  1. Click on the link to go to Social Security’s online enrollment tool 
  2. Before applying, you can visit the “Getting Ready” section to prepare;
    1. Before you start your application, we recommend that you take a moment to prepare yourself by reviewing a few items:
      1. Make sure you meet the requirements to apply online for Retirement/Medicare;
      2. Gather all of the information you need to complete the application process.
  3. More Information
    1. When to Start Receiving Retirement Benefits #10147
      Other Ways To Apply for Benefits
    2. Be sure to sign up for BOTH Part A Hospital and B Dr. Visits – so that you can get Medi Gap supplement coverage or Medicare Advantage
    3. Please note, if you already have Part A, you can’t enroll online, for Part B Dr. Visits you have to fill out  form OMB No. 0938-1230 !   You can mail it in, but be sure to follow up that Social Security has the form.  If not, go to your local Social Security Office and enroll.  Make sure you get a receipt! 
      Please note also, that it’s been reported that  your Social Security number is required, even though there is NO PLACE on the form for it!
  4. Apply and complete the application, which normally takes 10 to 30 minutes;  If you don’t have a Social Security account, the website will have you create one or check out the instructions on our other webpage
    1. Watch a Video on how to create your Social Security Account
    2. You don’t have to collect Social Security to get Medicare!
    3. If this confuses you, if you have SKYPE we can share your screen and help you, set a time to do it  and
  5. Select “Submit Now” to send your application electronically to Social Security.  Publication 10530

If you’d rather see a video, on how to enroll click on the link or scroll down

#General Enrollment Period (GEP)
Didn't sign up for Part B at the right time

If you didn’t sign up for Part B Doctor Visits on time, then you have to wait for the General Enrollment Period from January 1 to March 31   to enroll in Part B.  Coverage will  start July 1 of that year.

See page 13 Publication 11036 Enrolling in Medicare it’s at the right on a full screen monitor or scroll down for smartphone.  See also Medicare & You

Please note, if you already have Part A, you can’t enroll online, you have to fill out

#application for Part B  OMB No. 0938-1230 !

You can mail the application in, but be sure to follow up that Social Security has the form.  If not, go to your local Social Security Office and enroll.  Make sure you get a receipt! 

Please note also, that it’s been reported that  your Social Security number is required, even though there is NO PLACE on the form for it!

Graph general enrollment period

Eligibility & Premium Calculator

 

Related Web Pages

 

How to create a
My Social Security & Medicare.Gov Account on SSA.gov

Create ONLINE Account Publication # 10540

Social Security ONLINE Account

 

video how to create my social security account

VIDEO on advantages and saving time by creating a Social Security Account

Our webpage on how to create a Social Security and My Medicare Account 

You need it to sign up for Medicare too.

Create Social Security Account 

create Social Security Account

 

We suggest that you create an account with Social Security  and   Medicare  then you can log in and replace your card, in addition to getting tons of other information, like the explanation of benefits for any claims you have.  The new card takes about 30 days to get.  You can also change your address, etc.

With your free, personal my Social Security account, you can receive personalized estimates of future benefits based on your real earnings, see your latest Statement, and review your earnings history. It even makes it easy to request a replacement Social Security Card or check the status of an application, from anywhere!

What can you do with a my Social Security account?
pdf # 10121

Sign In or Create Your Free Account

Official Medicare Enrollment Sit 

Here’s a screen shot of what the Medicare Enrollment Website looks like

Please note, if you already have Part A, you can’t enroll online, you have to fill out  form OMB No. 0938-1230 !   You can mail it in, but be sure to follow up that Social Security has the form.  If not, go to your local Social Security Office and enroll.  Make sure you get a receipt! 

Please note also, that it’s been reported that  your Social Security number is required, even though there is NO PLACE on the form for it!

Should you start taking Social Security too?

Official Medicare Enrollment Site

#How, why and when…

Didn’t sign up for Part B, Want Part B, Should I wait to get Part B?

 

Part B Enrollment or Wait FAQ’s

from deleted page that we combined on this page

If I don’t sign up for Part B when first eligible,

what happens?

How do I enroll?

How do I appeal the penalty?

Late Enrollment Penalty

In most cases, if you don’t sign up for Part B when you’re first eligible, (FAQ Calculate the dates) for Medicare, during the  7-month Initial Enrollment Period to sign up for Part A and/or Part B.  you’ll have to pay a late enrollment penalty. You’ll have to pay this penalty for as long as you have Part B.

Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it.

Check out the Eligibility & Premium Calculator

Resources

Why are you being forced into Medicare at 65?  Verywell.com 

FAQ’s on late enrollment penalty

Please note, if you already have Part A, you can’t enroll online,  you have to fill out a form OMB No. 0938-1230 !

Please note also, that it’s been reported that  your Social Security number is required, even though there is NO PLACE on the form for it!

If you are new to medicare, be it, you are turning 65, qualified through SSDI or are losing employer coverage, this page is for you.

See our page on How to sign up for Medicare?

Here’s the Social Security & Medicare ONLINE Enrollment and Benefit Calculator

Standard Premiums is  $148.50 for 2021 with a $203 Part B deductible and if you are fortunate to have a high income there is a surcharge  see  our webpage on high income.   If you have low income, check out our webpage on Medicare Savings Programs.

Here’s the Late Enrollment & Premium Penalty Calculator if you don’t sign up when you are supposed to and don’t have a valid exemption – reason, like having employer coverage,  not including COBRA or Cal COBRA.

 

See above on the General Enrollment Period GEP 

No Penalty Reasons?

Usually, you don’t pay a late enrollment penalty if you meet certain conditions that allow you to sign up for Part B during a Special Enrollment Period, namely loss of employer coverage.  

Employment Coverage vs Medicare Parts A, B & D

FAQ Incarcerated?  

If you have limited income and resources, your state may help you pay for Part A, and/or Part B.

You may also qualify for Extra Help  LIS  to pay for your Medicare prescription drug coverage.

The New York Times:
Why You Shouldn’t Wait To Sign Up For Medicare Part B

 

[George Zeppenfeldt-Cestero] should have signed up for Medicare Part B three years earlier when he turned 65. By delaying, he had missed the best window — the so-called Initial Enrollment Period — to apply for Part B, which covers much of what we consider health care: doctor visits, tests, injectable drugs (including chemotherapy), ambulances, physical therapy and other non-hospital services.

As a result, he has to pay permanently higher premiums, and he had to endure an unsettlingly long period — from December to July — before the coverage actually kicked in. (Span, 10/26)  New York Times:

49 comments on “Enroll ONLINE for Medicare Part A Hospital & B Doctor Visits

  1. 28 comments on “Part B Late Enrollment Penalty”

    1. Anonymous says:

      Steve, how high can the Part A Hospital, part b Doctor Visits & D Rx penalty be?

      My parents have green cards since 2005, continuous residence since 2012 and they never enrolled in Medicare

      My Dad is 80 and Mom is 72.

      Reply
      • Really high – Here’s a video where I used the Medicare Calculator, but didn’t get a full bottom line answer, yet.

        Immigration status and enrollment

        To enroll in either Part A or Part B, an individual must either be a U.S. citizen or be lawfully present in the
        United States. In most cases, as discussed in detail below, a non-citizen who does not qualify for premium-free Part
        A must be a lawful permanent resident (LPR) with five years of continuous residence in the U.S. immediately prior to Medicare enrollment. Justice in Aging Older Immigrants & Medicare

        ***So, the penalties wouldn’t start till 2017 based on the start of continuous residence of 2012.

        More from the Medicare Calculator

        You may not be able to get premium-free Part A (Hospital Insurance) based on the work history of you or your spouse (living, deceased or divorced). You can buy Part A for a monthly premium.

        If you paid Medicare taxes for less than 30 quarters, the standard Part A premium will be $471.00. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium will be $259.00. Some people pay a higher premium if they don’t enroll when they’re first eligible.

        Part A Late Enrollment Penalty

        If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You’ll have to pay the higher premium for twice the number of years you could have had Part A, but didn’t sign up.

        ***So they would pay 10% more for the next 10 years.

        Part B Late Enrollment Penalty

        If you don’t sign up for Part B when you’re first eligible or if you drop Part B and then get it later, you may have to pay a late enrollment penalty for as long as you have Medicare. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it.

        ***So, that would be 50% more.

        2021 Part B premium (most people pay this amount)
        $148.50

        You can get coverage here as a new immigrant besides or in addition to the Bridge Plan.

        Reply
    2. Anonymous says:

      So I foolishly did not pay my Medicare premiums and my part B got cancelled.

      Can you tell me how to get it back?

      I am at a loss as to where to start.

      Reply
      • Fortunately, we are in the General Enrollment Period, till March 31. So, you can sign up now, see the application above and be effective July 1st.

        The 2nd problem you may have, is that Medi Gap and Medicare Advantage policies require that you have Part B, so you might be getting cancellation noticies…

        Here’s our page on guaranteed acceptance for Medi Gap plans

        Medicare Advantage – Special Enrollments

        If we don’t have an answer spelled out on those pages, just ask and we’ll research it.

        Reply
        • Anonymous says:

          So, after I get Part B back, then I can enroll, check out, etc. Medi Gap and/or Medicare Advantage?

          Reply
          • You should get notice of Part B Approval, enrollment well before the July 1st effective date.

            So, I would suggest enrollment as soon as April, as long as you have approval.

            Medi Gap has a special guaranteed enrollment when you get back on both Parts A AND B. Please enroll early… as I don’t think the written rules are 100% clear, but I’ve written people in the same situation and have checked with my Regional Sales Managers.

            Medicare Advantage is a little different!

            You have Medicare Part A coverage, and you get Part B for the first time by enrolling during the Part B General Enrollment Period (January 1–March 31). Publication 11219

            I’ll check further…

            Reply
            • I checked and getting Part B under General Enrollment in July, would not allow one to get Medicare Advantage.

              One might try to get in under the 5 star program.

              Reply
    3. Anonymous says:
      I went to Social Security on March 31 and got all signed up. Now they say they have a record of me being there, but no record of signing up. What do I do?

       

      disability secrets.com/social-security-office-lost-my-appeal-paperwork-what-do-i

      just answer.com social-security-office-losing-paperwork

      We did have a client who reported that her local Congressperson helped her out and got the problem resolved.

      house.gov/find-your-representative

      Reply
    4. Anonymous says:

      I was incarcerated and wasn’t able to pay my Part B Premium. Is there any way, I can avoid the late penalty?

      Reply
    5. Anonymous says:

      I won’t have 40 quarters until I’m 68. When is my initial enrollment period? I don’t want any penalties.

      Reply
      • Use this tool to determine when you are eligible for Medicare.

        Medicare Eligiblity Tool

        Your Initial Enrollment Period based on your age Your Initial Enrollment Period based on your age contextual help
        October 1, 2019 – April 30, 2020

        Am I eligible to enroll?

        Medicare is for people age 65 and older and those who have special condition or disability. You’re not eligible to enroll in Medicare now because you don’t meet the special condition/disability requirements.

        If you’re a U.S. citizen or you meet the lawful presence and residency requirements, the Initial Enrollment Period (IEP) is your first chance to sign up for Medicare. It starts 3 months before your 65th birthday, includes the month you turn 65, and ends 3 months after the month you turn 65.

        Sign up for Medicare

        Costs for Medicare since you won’t get it for free…

        Costs for Medicare… How does that compare to the under 65 plan you have now?

        Reply
    6. Ted W says:

      The “SSA international operations” number (in Baltomore) was 410-965-2356. Zero wait time. It seemed to me that because my application had an overseas address, it could only be handled by this office.

      Reply
    7. Ted W says:

      Presumably, if you cancel your Part B, if you to reinstate Part B later it will not come with guaranteed issue rights for MediGap?

      Reply
    8. Anonymous says:

      If I have Part B and move out of country or go back to work and have employer coverage, how do I cancel Part B?

      Reply
      • Voluntary Termination of Medicare Part B

        You can voluntarily terminate your Medicare Part B (medical insurance). It is a serious decision. You must submit Form CMS-1763 to the Social Security Administration (SSA).
        You’ll need to have a personal interview with Social Security before you can terminate your Medicare Part B coverage. To schedule your interview, call the SSA or your local Social Security office.

        USA.Gov ssa.gov

        Reply
      • Here’s what Anonymous reported to us in an email about cancelling a pending application for Part B

        1) I called the SSA domestic line, waited for half an hour, and was told that the person on that line couldn’t help me because we had an international application. She gave me a number for “international operations” (in Baltimore).

        2) I called the “international operations” number and connected directly (no answering machine) to a very helpful young woman who cancelled the Part B application for myself and my wife in about 5 minutes.

        3) I strongly suspect that it is policy that you can withdraw an application for which Medicare coverage has not year come into force. In any event, it worked for us.

        Reply
    9. Anonymous says:

      How do I compare, since I’m not currently residing in the USA, the Part B late enrollment penalty, having to enroll in January – March and not having coverage till July, then being able to get a Medi-Gap plan guaranteed issue

      vs

      paying $134/month now for Part B and say $180/month for a Medi Gap Plan F or $61/month for Hi F?

      Reply
      • This is an interesting and perhaps a more complex question than one might think. We will respond on a full webpage, so that we can get more detail on information on it. Click here for the new webpage.

        Reply
    10. Anonymous says:

      If I live outside of the USA, do I need to sign up for Part B when I turn 65 or is there a guaranteed enrollment period when I return to USA – California?

      Reply
      • Living outside the U. S.
        (Excerpt copied from publication 11036 Enrolling in Parts A & B)

        I live outside the U. S., and I don’t have Part B. Can I get Part B and will I pay more?

        It depends on your situation:

        Situation #1: If you’re over 65, currently getting Social Security benefits and Part A, and you didn’t take Part B when you were first eligible, (our webpage on eligiblity) (Medicare Eligiblity Tool) you may only apply for Part B during the General Enrollment Period. This period runs from January 1 – March 31, and you may have to pay a late enrollment penalty for as long as you have Part B.

        Situation #2: If you live outside of the U.S., you’re over 65, and you’re eligible for Social Security benefits, you may file an application for monthly benefits and Part A. You’ll have to file for Part B during the General Enrollment Period. This period runs from January 1 – March 31, and you may have to pay a late enrollment penalty.

        Situation #3: If you’re a U. S. citizen, you’re over 65, you’re not eligible for Social Security benefits, and lived in a foreign country when you turned 65, you must live in the U. S. to file for Part B. You’re first eligible to enroll in Part B the month you return to the U. S. to establish your new residence.

        You won’t have to pay a late enrollment penalty if you enroll in Part B when you first return to the U. S. Although you may be able to enroll, in most cases, you won’t be able to get Medicare-covered services while living outside the U.S. Medicare generally can’t pay for any of your hospital or medical bills unless you get your medical care in the U.S. (including Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa). Under certain limited circumstances, medical services provided in outside of the United States also may be covered by Medicare, but only if you’re living in the U.S.

        Reply
        • Excerpt of Email from Ted W

          Steve —

          I learned a few things today that I thought I might share with you.

          1) Because I enrolled for Part A from abroad (Italy), and declined Part B, I became a candidate to receive an unsoliticed phone call from a US government employee in Rome who handles SS/Medicare issues!! This person wanted to make sure I understood the issues with respect to Part B penalties. This person was very helpful, but knew nothing about MediGap. He didn’t even know what it was.

          2) Medicare Part B penalties increment after each full year in which you could have had Part B but chose not to. What then is the date in which you could have had Medicare? You can sign up for Medicare for 3 months before eligibility, and since if you do so your coverage date begins on the first day of the month of your birthdate (unless your birthday is the 1st of the month). For example, if you decline Part B in your initial enrollent period in 2018 but opt for Part B in the first general enrollment period of 2019, your coverage will start July 1, 2019. If your birthday is in July, your full-year penalty clock will start on July 1 and will have traversed a full year. If your birthday is in August, the clock will start on August 1 and it will have been only 11 months … hence no penalty for that year.

          Cheers,

          Ted W

          Reply
  2. Comments from “culled” page and combined with this page.

    36 comments on “Part B – Doctors – How to sign up – Benefits”

    1. Anonymous says:

      Hi, I have turned 65 on last month.

      however, i’m still working in the motion picture business and plan to do so for another year or so.

      i am fully covered right now.

      I was told I should enroll for plan B.

      i am very confused…

      Reply
    2. Anonymous says:

      I just got Medicare Part B and the ID card. They said I would get a bill immediately. I don’t have it. What do I do? Should I worry?

      Reply
      • Here’s Medicare’s webpage on paying A & B premiums

        What if my premium payment is late?

        If your First Bill payment is late, you’ll get a Second Bill. Your Second Bill will include both past amounts and next month’s premium. If you don’t pay the total amount due by the 25th of the month, you’ll get a Delinquent Bill. If you get a Delinquent Bill and you don’t pay your total amount due by the 25th of the month, you’ll lose your Medicare coverage.

        What if I have questions about my bill or the status of my coverage?

        Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778)

        If you’re having trouble paying your premiums now or if you have any questions about your Medicare premium bill, call us at 1-800-MEDICARE. TTY: 1-877-486-2048.

        When should I get my bill?

        On or about the 10th of the month. Medicare.gov

        Sample Bill

        How about setting up an ONLINE Medicare & Social Security Account? https://medicare.healthreformquotes.com/seminar/get-online-account/

        Reply
    3. What and how are any prescriptions or infusions paid under Part B Outpatient – Doctor Visits, as opposed to Part D Rx?

      Reply
    4. Anonymous says:

      What if you don’t pay or are late on paying your Medicare Advantage (Part C) or Part D Rx premiums?

      Reply
      • See the official publication:

        what happens if a person with Medicare doesn’t pay the premiums for his or her Medicare Advantage Plan (like an HMO or PPO) or Medicare Prescription Drug Plan.
        Publication 11338

        Reply
    5. Anonymous says:

      How can I tell if the Part B application went through correctly?

      Reply
      • How can I pay my Part B premium?

        If you get Social Security or Railroad Retirement Board (RRB) benefits, your Medicare Part B (Medical Insurance) premium will be deducted from your benefit payment.

        If you’re a federal retiree with an annuity from OPM and not entitled to RRB or SSA benefits, you may request to have your Part B premiums deducted from your annuity. Call 1-800-MEDICARE (1-800-633-4227) to make your request. TTY users can call 1-877-486-2048.

        If you don’t get these benefit payments, you’ll get a bill. If you choose to buy Medicare Part A (Hospital Insurance), you’ll always get a bill for your premium. There are 4 ways to pay these bills:

        1. Pay by check or money order. Write your Medicare Number on your payment, and mail it with your payment coupon to:
        Medicare Premium Collection Center P.O. Box 790355 St. Louis, MO 63179-0355

        2. Pay by credit/debit card. To do this, complete the bottom portion of the payment coupon on your Medicare Premium Bill, and mail it to the address above. Payments submitted without the bottom portion of the payment coupon may not be processed.

        3. Sign up for Medicare Easy Pay. This is a free service that automatically deducts your premium payments from your savings or checking account each month. Visit Medicare.gov or call 1-800-MEDICARE and to find out how to sign up.

        4. Make an online bill payment. This is a more secure and faster way to make your payment without sending your personal information in the mail. Ask your financial institution if it allows customers to pay bills online. Not all financial institutions offer this service and some may charge a fee. You’ll need to give your financial institution this information:

        • Account number: This is your Medicare Number. It’s important that you use the exact number on your red, white, and blue Medicare card, but without the dashes.
        • Biller name: CMS Medicare Insurance
        • Remittance address:
        Medicare Premium Collection Center P.O. Box 790355 St. Louis, MO 63179-0355

        Note to RRB Annuitants: If you get a bill from the RRB, mail your premium payments to:
        RRB Medicare Premium Payments P.O. Box 979024 St. Louis, MO 63197-9000

        If you have questions about your premiums or need to change your address on your bill, call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778. If your bills are from the RRB, call 1-877-772-5772. TTY users can call 1-312-751-4701.

        If you’d like more information about paying your Medicare premiums, visit Medicare.gov to view the brochure “Understanding the Medicare Premium Bill Form (CMS-500).”

        If you need help paying your Part B premium, see pages 86–88.

        Copied from Page 23 https://www.medicare.gov/sites/default/files/2018-09/10050-medicare-and-you.pdf

        Reply
        • Anonymous says:

          What if you don’t pay or are late on paying your Medicare Advantage (Part C) or Part D Rx premiums?

          Reply
          • See the official publication:

            what happens if a person with Medicare doesn’t pay the premiums for his or her Medicare Advantage Plan (like an HMO or PPO) or Medicare Prescription Drug Plan.
            Publication 11338

            Reply
            • Anonymous says:

              How do I show “Good Cause?” for not paying the premium on time?

              Reply
              • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c29.pdf

                240.2 – Conditions and Examples That May Establish Good Cause for Late Filing by Beneficiaries

                Good cause may be found when the record clearly shows, or the beneficiary alleges, that the delay in filing was due to one of the following:

                • Circumstances beyond the beneficiary’s control, including mental or physical impairment (e.g., disability, extended illness) or significant communication difficulties;
                • Incorrect or incomplete information about the subject claim and/or appeal was furnished by official sources (CMS, the contractor, or the Social Security Administration) to the beneficiary (e.g., a party is not notified of her appeal rights or a party receives inaccurate information regarding a filing deadline);

                NOTE: Whenever a beneficiary is not notified of his/her appeal rights or of the time limits for filing, good cause must be found.

                • Delay resulting from efforts by the beneficiary to secure supporting evidence, where the beneficiary did not realize that the evidence could be submitted after filing the request;
                • When destruction of or other damage to the beneficiary’s records was responsible for the delay in filing (e.g., a fire, natural disaster);
                • Unusual or unavoidable circumstances, the nature of which demonstrates that the beneficiary could not reasonably be expected to have been aware of the need to file timely;
                • Serious illness which prevented the party from contacting the contractor in person, in writing, or through a friend, relative, or other person;
                • A death or serious illness in his or her immediate family;
                • A request was sent to a Government agency in good faith within the time limit, and the request did not reach the appropriate contractor until after the time period to file a request expired; or
                • Delay due to additional time required to produce the beneficiary’s Medicare documents (such as an MSN) in an accessible format (e.g., large print, Braille, etc.);
                • Delay as the result of an individual having sought and received help from an auxiliary resource (such as a SHIP or senior center), due to his or her disability, in order to be able to file the appeal.

                Following are examples of cases where good cause for late filing is found. This list is illustrative only and not all-inclusive:

                • Beneficiary was hospitalized and extremely ill, causing a delay in filing;
                • Beneficiary is deceased. Her husband, as representative of the beneficiary’s estate, died during the appeals filing period. Request was then filed late by the deceased husband’s executor;
                • The denial notice sent to the beneficiary did not specify the time limit for filing for the redetermination; and
                • The request was received after, but close to, the last day to file, and the beneficiary claims that the request was submitted timely.

                42 CFR § 478.22 – Good cause for late filing of a request for a reconsideration or hearing.

                Our Medicare Appeals Page

                CMS FAQ’s Technical on the process

                I don’t like to cite non official sources, but here’s Q1Medicare

                Reply
            • Anonymous says:

              Just to make sure, is renewal automatic?

              Reply
              • Yes, everything Parts A Hospital, B Doctor Visits, Medi Gap, Medicare Advantage and Part D Rx automatically renew.

                I’m having trouble finding citable sources. I don’t count other agent websites, as it seems I’m the only one, who cites a source.

                https://www.medicare.gov/pubs/pdf/10050-medicare-and-you.pdf

                Didn’t you get a January bill for Parts A & B? Just pay it.

                What happens if you don’t pay Medicare Advantage or Part D Rx? #11338

                Reply
    6. Ra V says:

      I currently have a good group health care plan and will be retiring. I will retire about 6 months before I turn age 65. I plan on extending my current plan through COBRA for the 6 months between retirement and age 65. At age 65 I will enroll in Medicare part B, D etc.

      My question is:

      When I turn 65, will I be have different and potentially better part B choices because I am on a high quality group PPO plan at age 65 (not a covered California, conversion or HIPPA plan).

      Could my part B policy potentially be different, especially a higher quality part B plan, if I am enrolled in a high quality group plan when I turn age 65 (in terms of benefits and provider access)?

      Or does it not matter, everyone is in the same pool and all choices are available to everyone, regardless of whether or not you were on a group plan?

      Reply
      • Part B Doctor Visits is exactly the same for everyone. To get the “best” greatest selection of MD and providers you would want to sign up for a Medi Gap planPlan F has the most comprehensive benefits. This would be most similar to PPO and not the restrictive provider lists in a Medicare Advantage Plan (MAPD). MAPD though generally has zero premium.

        If you are thinking of keeping your COBRA beyond age 65 and not getting Part B, that won’t work, see Medicare Publication 11036 Enrolling in A & B page 13.

        See link above to use our Blue Cross and Blue Shield affiliate sites to view benefits, pricing and enroll online. We also have tons of detail on each page in our website.

        Reply
    7. Anonymous says:

      Where and how do I shop all the Insurance Companies to get the best coverage and premium for Part B Doctor Visits?

      Reply
    8. Dennis F says:

      Hello Steve

      I have a question I hope you can answer.

      1. My father has only Medicare Part A [hospitalization] combined with VA healthcare benefits. he did not enroll in Part B [doctor visits] when first eligible because of VA benift among other factors.

      2. In November he received a letter from orange county social services that he was eligble for medicaid [Medi-Cal in CA] and that he was also eligible for Medicare QMB [Qualified Medicare Beneficiary] effective November 1, 2015

      3. I was told by railroad retirement board that despite his eligibility for QMB that he can not elect immediate enrollmet with a November 1, 2015 retroactive date. That he can enroll now through the open enrollment period but must wait until July 1 to begin benefits.

      4. I read somewhere online that Part B enrollment becomes effective the same day as QMB eligibility.
      http://www.medicarerights.org/fliers/Part-B-Enrollment/Using-MSPs-to-Enroll-in-Part-B.pdf?nrd=1

      Do you have knowledge on this matter?

      Reply
      • 4. Thank you SO MUCH for including a link to Medicare Rights.org. They are talking about automatic enrollment in Part B, IF one enrolls in a Medicare Savings Program, which includes QMB’s. Which it sounds like you are doing with Orange County Social Services. So, it sounds to me like you are OK. Apply and see what happens. Here’s the link or have Social Services help you. According to your reference on Medicare Rights.org enrollment is automatic when you are approved for the QMB.

        3. Normally what you heard from the Railroad Retirement Board is correct. Having VA coverage is not employement based coverage that would give you a special enrollment period, as mentioned in Medicare and You page 26. They are talking about the General Enrollment Period page 25 where one can sign up January 1 to March 31 and be effective in July. There might even be a financial penalty for late enrollment.

        Be sure to read the entire page from CA Health Care Advocates on this subject. They know what they are talking about! See also our page on Cal Medi Connect. Check back with us in a few weeks and we will know more as we will be attending a Blue Cross seminar on Medicare Advantage Plans for those on Medi-Cal on the 17th.

        Reply
  3. I am trying to get my Mom on Medicare part A. She is on part B but not part A.

    How can I get this done?

    • Did your Mom or Dad work over 10 years in the USA and pay into Medicare?

      Here’s our webpage on the rules if they have to pay a premium, if they don’t have enough credits

      Why didn’t your Mom sign up for Part A previously?

      When was she first eligible for Part A?

      There are monetary penalties for late enrollment.

      Please send the details to the questions above, the answer is not as simple as the question seems. Let us get you the correct information, based on your situation.

      You might have to wait for the General Enrollment Period, if you have to pay for Part A Hospital?

      How about checking our website and getting information on Medicare Advantage or Medi Gap. We can help you enroll with no extra charge for our expertise.

  4. My husband turns 65 in November. I’m 61. How does that affect my Covered CA coverage and subsidies? How does that affect our MAGI income? All the income is in his name! Does that mean I’ll have to be on Medi Cal as I won’t show any income?

  5. Because my 65th birthday is 10/17/2019, today I submitted an online application for Medicare.

    What’s next?

  6. I turn 65 in July. I just applied for Social Security and have received two checks so far. Will I be automatically enrolled into Medicare?

  7. I applied for Medicare, but they are asking for tons of extra paperwork. Will my effective date still be my birthday month or will their scrutiny make it take longer?

  8. My wife needs health insurance from Medicare.

    She’s 65 years old us citizen but still working.

    Social security can’t support her due to over the limit income.

  9. I’m interested in getting Medicare at 63 years old. I have MS and have been told I’m eligible at 63. Is that true?

  10. I need Medicare Coverage for April 1st.

    1. What is the deadline to turn in my paper application or do it online?

    2. If I apply say March 31st, will coverage start April 1st, even though I haven’t been notified?

    • Part A Hospitalization will be effective on the first month that you are eligible for Medicare (your birthday) as long as you do it within the time frame shown above – 3 months before or after the month you turn 65 Enrolling in Medicare 11036 page 11

      Part B gets delayed a month, if you don’t sign up before your birthday month. See page 12 for chart.

      If you have a special enrollment period for Part B, coverage typically starts the month after Social Security gets your application – see page 13.

  11. Medicare was enacted in 1965. I first had it deducted from paychecks starting in 1966. I retired in 2016 so Medicare was deducted from all my earnings for 50 years.

    I finally had occasion to use my Medicare benefit getting a doctor ordered blood test in order to continue receiving medication for high blood pressure. Medicare paid a whopping $2.94. My share was only $241.84.

  12. I can’t check the SS website because it won’t let me setup an account due to the fact that when I first tried to set up an account on March 8th I didn’t answer some of the identity verification questions correctly so it locked me out indefinitely. Great, huh!

    I was able to apply at Medicare however that day and got a confirmation email.

    I tried today to call SS to reset the site so I can setup an account, and see if I’m enrolled, but the wait time was 1-1/2 hours. Great, huh!

    Any suggestions????

        • Here’s what Social Securities FAQ’s and Help screens say a the bottom of the page:

          Sorry, the link broke. Try googling or just email us for the new one.

          If You Cannot Or Do Not Want To Create An Account Online

          You may be unable or unwilling to create an online account if you:

          Have blocked all electronic access to your personal information with us;
          Have recently moved or changed your name;
          Have been the victim of domestic violence or identity theft; or
          Are uncomfortable with or unable to use the online process for some other reason.
          In these cases, you may still create an account in person by visiting your local Social Security office.

          You might also just “suffer” and wait on hold, 1-800-772-1213 per their FAQ’s

  13. Hello Steve,

    1. I have coverage through my work.

    2. Will be turning 65 April 15th so need to enroll in Medicare.

    3. Any recommendations for that with the job coverage??

    Regards,

    Mike

Leave a Reply

Your email address will not be published.