You may be nearing 65 and wondering about Medicare. Specifically, whether you have to enroll in Medicare or can keep your current health insurance.
The short answer: It depends. You may have to enroll in Medicare when you turn 65 if you want to avoid late penalties or premium surcharges.
To better answer the question “Can I keep my current health insurance when I turn 65?”, let’s first talk about your Initial Enrollment Period (IEP).
Initial Enrollment Period (IEP)
Whether you choose to, you are first able to sign up for Medicare during your Initial Enrollment Period (IEP). It lasts for seven months total: the three months prior to the month of your 65th birthday, the month of your 65th birthday, and the three months after the month of your 65th birthday.1
Late Penalties
Generally speaking, if you do not sign up for Medicare on time, you may have to pay a 10% surcharge on Medicare Part B premiums for each year you go without coverage starting the month you’re eligible for coverage.2
But what if you’re still working when you turn 65?
It depends.
Do you have group coverage under a group health plan through an employer with 20 employees or more?3
If yes …
You
do not have to enroll in Medicare right away, and you can keep your current group health insurance.3 An individual will not receive a late penalty if they have coverage under a group health plan with 20 or more employees.
If no …
You
do have to enroll in Medicare Part A and Part B.3
What happens next?
If you:
- have group coverage under a group health plan through an employer with 20 employees or more,
- delay enrolling in Medicare, and
- keep your current group health insurance for a certain amount of time after you turn 65
you’ll be eligible to enroll in Medicare during a Special Enrollment Period (SEP).
Special Enrollment Period (SEP) for when you leave your job after turning 65 and have delayed enrolling in Medicare.
You get an eight-month SEP to sign up for Medicare when you leave your job after turning 65.1 Signing up during this SEP ensures you will not have to pay Medicare Part B late penalties or premium surcharges.
You’re also eligible to sign up for Medicare during this eight-month SEP if you delayed enrolling in Medicare Part B because you were covered under your spouse’s group health insurance.1
Medicare Supplement plans allow you to choose any doctor that accepts Medicare.
Get details about policies that may meet your insurance needs.
Pick the coverage that’s best for you.
Just because you can delay enrolling in Medicare, doesn’t mean it makes the most financial sense for you to do so.
Compare what you pay for employer-provided health insurance coverage – including deductibles and cost-sharing – and which benefits it provides to the cost and benefits Medicare can provide you.
The coverage you need depends on your lifestyle and factors like budget, age, and health. Learn more about Medicare at medicare.gov, and speak to a licensed insurance agent to get one-on-one help choosing coverage that best fits your needs.
Sources:
- Medicare.gov, When does Medicare coverage start?, accessed November 2021
- Medicare.gov, Part B late enrollment penalty, accessed November 2021
- Medicare.gov, Working past 65, accessed November 2021
FAQs
You do not have to enroll in Medicare right away, and you can keep your current group health insurance. An individual will not receive a late penalty if they have coverage under a group health plan with 20 or more employees. You do have to enroll in Medicare Part A and Part B.
Can I keep my private insurance when I turn 65? ›
It depends on how you are receiving your current insurance. If you are receiving employer-sponsored health insurance through either your or your spouse's job when you turn 65, you may be able to keep your insurance until you (or your spouse) retire(s).
When you retire from a company, do you keep your health insurance? ›
If you've been relying on your employer's group health insurance, your coverage will likely end, although 21% of large firms extend healthcare coverage to retirees, so check to see if your employer is one of them.
Do you have to notify Medicare when you turn 65? ›
If you don't sign up when you turn 65, you'll have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up.
Can I keep my federal health insurance when I turn 65? ›
If you are turning 65 years old and you are employed, your coverage continues unreduced. For retirees, your coverage may/may not reduce based on your elections you made at retirement for your Basic and Optional coverages.
Why are you forced to get Medicare at 65? ›
It's likely that you can delay Medicare enrollment, but some employers require that people 65 and older must enroll in Medicare to receive company health insurance benefits. For these smaller companies with less employees, Medicare pays first, and work-based insurance pays second.
Can I drop my employer health insurance and go on Medicare Part B? ›
Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).
What is the best health insurance for seniors? ›
Medicare is the best health insurance option for seniors and retirees. Medicare is the cheapest health insurance with the best benefits for people age 65 and older or who have a qualifying disability. You can choose between two different options: Original Medicare and Medicare Advantage.
Can I have Medicare and employer insurance at the same time? ›
Can I combine employer health insurance with Medicare? If you or your spouse are working and covered through an employer, you can also decide to keep this coverage and enroll in Original Medicare, Part A and/or Part B to get additional health coverage.
What happens to my Obamacare when I turn 65? ›
Your Marketplace coverage will not be cancelled automatically by your plan when you turn 65 and sign up for Medicare, but if you receive premium tax credits to help you pay for your Marketplace plan premium, your eligibility for these tax credits will end when your Medicare Part A coverage starts (people with Medicare ...
You'll receive your card in the mail three months before your Medicare coverage starts. You can start using the card at the beginning of the month you turn 65 or the first day of the previous month if your birthday falls on the first. The start date for Part A and Part B will appear on the front of the card.
How much does Medicare cost at age 65? ›
If you don't get premium-free Part A, you pay up to $505 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024).
Is the Medicare age changing to 67? ›
The progressive changes are nearing their conclusion: Beginning in 2022, the standard age for full benefits became 67 for anyone born after 1960. Besides the Medicare eligibility age of 65, what remains unchanged is that you can opt to begin drawing partial Social Security benefits as early as age 62.
Is healthcare free after 65 in US? ›
Medicare is a federally funded insurance program for eligible participants 65 or over. Medicare has two parts, Part A (Hospital Insurance) and Part B (Medical Insurance). Medicare does not cover 100% of all costs.
At what age do you stop paying Medicare premiums? ›
Premium-Free Medicare Part A Based on Age
To be eligible for premium-free Part A on the basis of age: A person must be age 65 or older; and. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.
Can you have Medicare and marketplace insurance at the same time? ›
Can I get a Marketplace plan in addition to Medicare? No. It's against the law for someone who knows you have Medicare to sell you a Marketplace plan. This is true even if you have only Medicare Part A (Hospital Insurance) or only Medicare Part B (Medical Insurance).
Do I have to use Medicare if I have private insurance? ›
It is possible to have both private insurance and Medicare at the same time. When you have both, a process called “coordination of benefits” determines which insurance provider pays first. This provider is called the primary payer.
How much will I pay for Medicare when I turn 65? ›
If you don't get premium-free Part A, you pay up to $505 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024).
What insurance do I get when I turn 65? ›
Medicare is health insurance for people 65 or older. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig's disease).
Is Medicare free when you retire at 65? ›
Because you pay for Medicare Part A through taxes during your working years, most people don't pay a monthly premium. You're usually automatically enrolled in Part A when you turn 65 years old. If you're not, it costs nothing to sign up.