How and when to apply for Medicare
What is Medicare, and how does it work?
Medicare is the federal health insurance program for people who are 65 and over. If you are under 65, you may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (Lou Gehrig’s Disease).
Medicare is divided into four parts:
- Medicare Part A is insurance for hospitalization, home or skilled nursing, and hospice.
- Medicare Part B is medical insurance.
- Learn about canceling Medicare Part A or Part B coverage, including its risks. Or, if you are ready to cancel your coverage, you can submit CMS Form 1763 to your local Social Security office.
- Medicare Part C (Medicare Advantage Plans) is a private insurance option that covers hospital and medical costs.
- Medicare Part D covers prescription medications.
Learn more about Medicare, including:
- How it works
- How to prepare to sign up and submit a Medicare application
Find out what Medicare costs based on what coverage you choose.
Medicare enrollment in your 60s
There are several ways to enroll in Medicare, whether you plan to retire or keep working:
- If you begin receiving Social Security retirement benefits between age 62 and up to 4 months before turning 65, you will be automatically enrolled in Medicare Part A and Part B when you turn 65.
- If you apply for Social Security 3 months before you turn 65 or later, you can sign up for Medicare when you apply for Social Security.
- The Initial Enrollment Period to sign up for Medicare begins 3 months before you turn 65 and ends 3 months after the month you turn 65 — a total of 7 months. You may have to pay a penalty if you miss your Initial Enrollment Period.
- If you are not ready to receive Social Security benefits at 65 because you are still working, you can apply online for Medicare only. Or you may be able to wait until you retire to sign up during a special enrollment period. Learn more about how Medicare works if you are employed past age 65.
Read this important information explaining when to sign up for Medicare based on your situation.
Sign Up for Medicare
Receiving Medicare under age 65 if you have a disability
- If you receive Social Security disability benefits, you will automatically begin receiving Medicare Parts A and B after 24 months.
- If you have Lou Gehrig’s Disease (ALS), you will receive Medicare Parts A and B immediately when you enroll in Social Security disability benefits. Find and contact your Social Security Office to apply.
- If you have End-Stage Renal Disease (ESRD), learn about Medicare coverage and enrollment.
Find a doctor, care provider, or hospital that accepts Medicare
Many types of health care providers accept Medicare. This includes doctors, hospitals, nursing homes, and in-home care providers.
Use your ZIP Code to find a Medicare-certified provider near you.
Contact Medicare about your benefits
Find out how to contact Medicare with questions about your:
- Claims
- Medical records
- Expenses
Get a Medicare Card Replacement
Learn what steps to take to replace your Medicare card if:
- It is lost, stolen, or destroyed
- You have changed your name
Get help paying for Medicare
The Medicare Savings Programs include 4 options that can help you pay for Medicare expenses:
- Qualified Medicare Beneficiary (QMB) program – Parts A and B premiums, deductibles, coinsurance, and copayments
- Specified Low-Income Medicare Beneficiary (SLMB) program – Part B premiums
- Qualifying Individual (QI) program – Part B premiums
- Qualified Disabled & Working Individual (QDWI) program – Part A premiums
Learn more about the Medicare Savings Programs, including what income and asset limits determine eligibility.
Medicare & You
The “Medicare & You” handbook is your official guide to Medicare. We mail an updated printed handbook to all Medicare households in late September. You can sign up for the the electronic version of the handbook and have access to the most up-to-date Medicare information faster.
Keep your handbook as a reference. It has important information about:
- Medicare benefits, costs, rights, and protections.
- Health and drug plans.
- Answers to common questions.
Sources: USA.gov; Medicare.gov
