Medicare Expert Q&A: How Do I know When I'm Supposed to Enroll in Medicare?

Medicare won't automatically let you know when it's time to enroll. Medicare expert Christian Worstell answers the question of how and when to sign up.

In this Q&A series, Medicare expert Christian Worstell answers your questions about Medicare coverage, benefits, eligibility, enrollment and more. Christian is a licensed insurance agent and frequent contributor to MedicareAdvantage.com.

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"I am 64 and will be retiring next year. How do I know when I am supposed to enroll in Medicare?" – Ken S., Buffalo, NY

Hi Ken, and congratulations on your upcoming retirement!

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The time at which you will enroll in Medicare will depend on your age and circumstances. It’s important to note that depending on your situation, the Centers for Medicare & Medicaid Services (CMS) may not actually reach out and let you know that it’s time to enroll.

If you’re like most people, the first time you can sign up for Medicare is during your Initial Enrollment Period (IEP). This period begins three months before your 65th birthday, includes the month of your birthday and continues for another three months thereafter (for a total of seven months).

Even if you are still working when you turn 65, you may go ahead and sign up for Medicare during your Initial Enrollment Period. For more information on how Medicare may work with your employer coverage, you should speak with a representative from your Human Resources department.

  • Once you do retire (and are at least 65 years old and had group health insurance coverage through your employer), you should be given a Special Enrollment Period to enroll in Medicare Part A and Part B if you didn’t sign up during your IEP. This Special Enrollment period lasts for eight months

  • It’s advised that you also enroll in Medicare prescription drug coverage during this period, unless you have non-Medicare drug coverage that pays at least the same as Medicare drug coverage.

If your plans change and you retire before you turn 65, you will have to wait for your Initial Enrollment Period to begin before you sign up for Medicare. In the meantime, you may be able to purchase insurance coverage through the health insurance marketplace. 

If you are already collecting Social Security retirement benefits when you turn 65, you may be automatically enrolled in Medicare Part A and Part B (as long as you are a U.S. citizen or a legal permanent resident of at least 5 years).

If you are not yet receiving Social Security retirement benefits when you turn 65, you must manually enroll in Medicare Part A and Part B. You can do so online, over the phone or at your local Social Security office. 

How can I get help with Medicare enrollment?

Medicare enrollment can be confusing, but we’re here to help. Our Medicare Enrollment Guide provides much more information about enrollment periods and the sign up process.

You can also call to speak with a licensed insurance agent to learn more about Medicare Advantage plans and Medicare prescription drug plans, or you can compare plans online for free, with no obligation to enroll.

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Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

Christian

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

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