Medicare without Social Security
Medicare and Social Security benefits are no longer linked. In the past, both benefits were automatic at age 65. This is no longer the case.
Today, most people are eligible for their Medicare benefits at age 65. Some people qualify earlier than age 65 due to their Social Security Disability Insurance (SSDI) status.
Social Security is no longer automatic at age 65. You can retire as early as age 62 or as late as age 70.
To be eligible for retirement benefits, you must have earned an average of one work credit for each calendar year between age 21 and the year in which you reach age 62, up to a maximum of 40 credits.
Medicare Benefits If You Retire Early
If you make the decision to take your Social Security benefits before your full retirement age, you will not be eligible for Medicare until you reach age 65. The converse is also true.
If you wait until age 70 to retire and begin taking Social Security retirement benefits, your Medicare benefits will not be delayed. You still qualify for Medicare at age 65.
When to Sign Up for Medicare
You can sign up for Medicare Parts A, B, and D as early as three months before you turn age 65 or as late as three months after your 65th birthday. This is your Initial Enrollment PeriodThe Initial Enrollment Period is a seven-month period when new beneficiaries can enroll in Medicare without a penalty. Most people enroll in Medicare at age 65. (IEP). For instance, if your 65th birthday is July 4, 2023, your IEP is open from April 1 until October 31.
Your Initial Enrollment Period is Important
It’s important to sign up on time. If you don’t enroll during your 7-month IEP, you risk having Medicare put a penalty on your Medicare Part BMedicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services. and Medicare Part DMedicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... monthly premiumsA premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. .
Part A is premium-free if you qualify for Social Security. This is true even if you have not applied for benefits.
In 2023, the standard Part B premium is $164.90 a month. Beneficiaries with incomes above $97,000 (single) are required to pay an additional surcharge. The base limit for married couples filing jointly is $194,000.
If you have not started your Social Security benefits, you will pay your Medicare Part B premiums directly through your MyMedicare account. Once you start Social Security, the SSA will take your Part B premiums from your monthly benefit payment.
Your Initial Enrollment Period and Medigap
Medicare Part AMedicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. (hospital coverage) and Medicare Part B (medical coverage) do not cover all costs. On average, Medicare pays only 80% of all Medicare-approved costs. Beneficiaries are responsible for the remaining 20%.
How you pay your 20% share depends on your personal situation. Options include:
- Through employer retirement benefits
- MedicaidMedicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. / Medicare Savings Programs (if you qualify)
- Medicare AdvantageMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B).
Paying out-of-pocket is a risky proposition, even if you are healthy. Just imagine receiving a bill for your 20% share of a $100,000 hospital bill. And, there’s no limit on the amount you can be billed.
That’s where a Medigap policy comes in.
Medigap, as the name implies, helps cover the 20% gap in your Medicare coverage. The are 10 different plans, so you can get the level of coverage that’s right for you.
Hi there. MedicareWireMedicareWire is a Medicare insurance consulting agency. We founded MedicareWire after seeing and hearing how confusing and frustrating it is to find, understand, and choose a plan. Our services are free to the consumer. offers a 100% FREE Medigap Rate Comparison Service. It will arm you with all of the information you need to make an informed decision.
Get Your Free Medicare SupplementMedicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare Part A and Medicare Part B) health insurance coverage. Rate Comparison
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It’s important to note that you have a limited time to get a Medigap policy with guaranteed issue rightsGuaranteed-issue is a right granted to Medicare beneficiaries and applies to Medicare Supplement insurance (aka, Medigap plans). All states and the federal government enforce this essential right, which protects Medicare beneficiaries from medical underwriting.. Your Medigap protections begin the month you are enrolled in both Medicare Part A and Part B and end 6 months later.
When your protections end, carriers can ask you health questions and deny your application. However, when you join when first eligible, you can’t be turned down and you can’t be canceled (unless you fail to pay your premiums).
Your Initial Enrollment Period and Medicare
If you decide that Original MedicareOriginal Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage. coverage isn’t for you, you have a private health plan option through Medicare Advantage. Unlike Original Medicare, all Medicare Advantage plans have an annual out-of-pocket maximum.
Once you reach the annual maximum on your Medicare Advantage plan’s Part A and Part B services (which do not include your prescriptions), you pay no additional copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. for the remainder of the year.
Medicare eligibility no longer coincides with Social Security’s full retirement age (FRA). Your FRA is when you qualify for the full Social Security benefit calculated from your lifetime earnings.
For decades, FRA was set at age 65 but it’s gradually going up.FRA is 66 years and 4 months for people born in 1956, and two months later for those born in 1957. For those born in 1960 or later it is age 67.