Enrolling in Medicare
WebMD Medical Reference
Enrolling in Medicare is simple and often automatic. Follow these three steps to learn what you should do.
Medicare is for people age 65 or older, and for those who are disabled or are on renal dialysis. Medicare has two parts. Medicare Part A covers hospital stays and other inpatient services. Part B covers physician and other outpatient services.
If you currently get Social Security or Railroad Retirement payments:
If you do not draw Social Security or Railroad Retirement payments:
To sign up for both Medicare and Social Security retirement benefits:
If you qualify for Social Security benefits, you do not pay for Medicare Part A coverage. Therefore, you should definitely sign up for Part A.
For Medicare Part B insurance everyone pays a monthly fee, which is usually taken out of your Social Security payment. In 2005, this fee is $88.50, although it may be higher if you didn't sign up for Part B when you first became eligible. You may choose not to participate in Medicare Part B insurance, which covers doctor visits and other outpatient medical services.
If you are still working and you are covered under your union or employer's health insurance -- or if you are covered under your spouse's employee health insurance -- Medicare Part B is not necessary. However, if you have retiree health insurance, you will need Medicare Part B. If you do not want Part B, you must opt out.
If you were enrolled in Medicare automatically:
If you are enrolling yourself in Medicare:
If you opt out of Part B when you are enrolled, you may pay higher premiums if you decide you want it later. The premium goes up 10% every year that you could have had Part B.
There are some exceptions. You will not pay more for signing up later:
If you decline Part B at first, and do not sign up within eight months after your other health coverage ends, you can only sign up during Medicare's "general enrollment" period: January 1 to March 31 of each year, and your coverage will not begin until July of that year.
Before opting out of Medicare Part B, it would be a good idea to talk to the group benefits administrator with your other health insurance plan. In some cases Medicare Part B would be your main insurance even if you have other coverage.
Your retiree health insurance plan may pay for some of the deductibles or co-payments that you have to pay with Medicare coverage. If you don't have retiree health benefits, you can decide to participate in a Medicare Advantage plan that often covers some of the gaps in Medicare. Or you can buy specially designed health insurance that supplements Medicare called Medigap insurance.Medigap
Medigap plans are sold by private companies to seniors on Medicare. These plans are meant to fill in the "gaps" in Medicare. They help pay for things that Medicare does not pay for.
If you are going to buy a Medigap plan, you should do so within six months of taking Medicare Part B. During this six-month window, insurers:
If you try to buy a Medigap policy after your six-month enrollment period has ended, there is no guarantee that you will be given coverage.
To learn about Medigap plans offered in your area, you can use the online Medicare Personal Plan Finder.Medicare Advantage (formerly Medicare + Choice)