How and When to Sign Up for Medicare

Breaking down the enrollment periods and eligibility.
Provided by Jeff Gielau,ChFC

Medicare enrollment is automatic for some. For those receiving Social Security benefits, the coverage starts on the first day of the month you turn 65.1

If you are not receiving Social Security benefits at 65, you may be delaying until you reach full
retirement age, or until you reach 70. If you’re coming up on 65 and not receiving Social
Security benefits, SSDI, or benefits from the Railroad Retirement Board, you can still apply for
Medicare coverage. You can visit your local SSA office or visit
www.socialsecurity.gov/medicareonly/ to determine your eligibility.1

If you’re getting Social Security checks and approaching age 65, you’ll get a Medicare card in
the mail three months before your 65th birthday. If you are getting SSDI (Social Security
Disability Insurance; regardless of your age), the card is scheduled to arrive coincidental with
your 25th month of disability. You must be a U.S. citizen or a permanent legal resident of this
country. If so, you or your spouse must have earned sufficient credits to be eligible for
Medicare, typically earned over 10 years.2

When can you add or drop forms of Medicare coverage? Medicare has enrollment periods that
allow you to do this.

*The initial enrollment period is seven months long. It starts three months before the month in
which you turn 65 and ends three months after that month. You can enroll in any type of
Medicare coverage within this seven-month window – Part A, Part B, Part C (Medicare
Advantage Plan), and Part D (prescription drug coverage). As it happens, if you don’t sign up for
some of this coverage during the initial enrollment period, it may cost you more to add it later.1

*Once you are enrolled in Medicare, you can only make changes in coverage during certain
periods of time. For example, the open enrollment period for Part D is October 15-December 7,
with Part D coverage starting January 1.1

Do you have questions about eligibility or the eligibility of your parents? Your first stop should
be the Social Security Administration (see the contact information in the fourth paragraph
above). You can also visit www.medicare.gov and www.cms.gov.

Jeff Gielau, ChFC may be reached at 714-998-5433 or jag6@fortunefinancialservices.com.
www.sofinancialservices.com

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Citations
1. medicare.gov, October 20, 2020
2. aarp.org, October 1, 2020