Applying for Medicare: A Checklist
The question we get most often is: what steps do I need to complete in order to get my Medicare coverage into effect? Here is what to do, and when to do it.
Six months before you turn 65: LEARN
Insurance companies and agents across the state buy lists of people turning 65 and send marketing materials for the six months leading up to your birth month. You will be besieged.
The antidote is knowing the subject before the mail starts. Read through this section of our site. It is short, concise, and written in plain language, and it covers everything you actually need to decide.
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Read the plan descriptions so you know the difference between Plan G, Plan N, Plan F, and Medicare Advantage.
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Read the prescription drug plan page, because drug coverage is bought separately with a supplement.
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Skim the Medicare FAQs and write down anything still unclear. Bring the list to your appointment.
Three months before your birth month: APPLY for Medicare
Three months before the month you turn 65, you can sign up for Medicare Part A and Part B. Apply early, because it normally takes about three to four weeks to get your new card.
Are you already receiving Social Security benefits?
Then you will be enrolled in Medicare Part A and Part B automatically, and your red, white and blue Medicare card will arrive around three months before your birth month. Nothing to do but watch the mailbox.
Not yet receiving Social Security?
Then you need to apply. You sign up for Medicare through Social Security rather than through Medicare, because Social Security is the agency that checks whether you are eligible, including whether you or another qualifying person paid Medicare taxes long enough to get Part A without a monthly premium. They also process Part B requests.
Applying online is the easiest and quickest way
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Go to the Social Security website and find Sign up for Medicare.
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Read the text and scroll down to the blue box in the center of the page, then click Sign up for Medicare.
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On the next screen, scroll to Sign up for Medicare and click Apply Online.
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Tick I Understand and Agree, then click Next. You are now on the Social Security website.
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Under Apply and Complete, click Start a new application.
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Answer a few questions, set up a username and password, and you are on your way.
Done. Your card arrives in about three to four weeks.
Your no questions asked window. You get six months to buy a Medicare supplement without answering a single medical question, and it starts the first month you are both 65 or older and enrolled in Medicare Part B. For most people that is the six months beginning the month they turn 65. If you are still working and delay Part B, the six months has not started yet, so you have not missed it.
Prefer the phone?
Call Social Security nationally at 1-800-772-1213, or the local Social Security office at 1-866-695-6285.
Still working past 65? If you are currently on an employer sponsored group health plan and are past age 65, you will need a form completed by your employer verifying that group coverage. We can provide those forms for you. Call us before you start. Your six month supplement window has not started yet either: it begins the first month you are both 65 or older and enrolled in Part B.
When your Medicare card arrives: choose your plan
The arrival of your red, white and blue Medicare card is the usual cue to call Hopper Insurance Services for an appointment. We need your Medicare number to submit a supplement or Advantage application. The plastic card does not have to come first, though: as soon as your enrollment is processed you can see and print your number from your account at Medicare.gov, or find it in your my Social Security account. If you have the number, call us and we can get started.
In about an hour we educate you on Medicare, explain every option, help you find the best value for your needs and budget, and complete the enrollment with you. There is never a charge for any of this. The insurance company pays the agent, and you pay the same premium either way.
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Bring your Medicare card, your medication list, and the names of the doctors you want to keep.
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We go over Plan G, Plan N, Plan F if you are eligible, and the Advantage plans available here.
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We set up automatic monthly premium payment from your checking account so a missed payment can never cancel you.
The Costs of Medicare Itself
Before any supplement enters the picture, Medicare has its own costs. Here is what each one is, and why we confirm the current figure with you rather than print it.
Part A: hospital
For most people the premium is zero, because they paid Medicare taxes long enough while working, generally at least 10 years or 40 quarters. This is sometimes called premium free Part A.
Part B: medical services
Almost everyone pays a monthly premium for Part B, and it can be higher depending on your income. The amount is set by Medicare and can change each year. You pay it every month even in a month when you use no Part B services. If your income and savings are limited, a Medicare Savings Program may pay it for you. Ask us.
How the Part B premium is paid
Your Part B premium is automatically deducted from your Social Security benefit payment. If you are not receiving those payments yet, you will get a quarterly bill instead.
IRMAA, the higher income surcharge
Most people pay the standard premium amount. If your modified adjusted gross income is above a certain level you may pay an Income Related Monthly Adjustment Amount, or IRMAA. Medicare uses the modified adjusted gross income from your IRS tax return from two years ago, since that is the most recent return the IRS has provided to Social Security. Social Security will tell you if you have to pay more because of your income.
The Part B deductible
This is the amount of Part B medical expense you pay yourself each year before Medicare starts paying its 80 percent share. It is the one Medicare cost sharing number that still lands on you with a Medicare Supplement Plan G, and it is the number that Plan F covered for people who were already enrolled before Plan F closed. You will also still pay your Part B premium, your Part D premium and drug costs, and anything Medicare does not cover at all, such as dental, vision, hearing aids and long term care.
Why no dollar figures on this page. The Part B premium, the Part B deductible and the income brackets are reset by Medicare every year. A number printed on a website goes stale quietly, and a stale number is worse than none. We confirm the current figures with you when we meet, and you can always verify them at Medicare.gov or by calling 1-800-MEDICARE.
Ready for Step 2?
Book a one hour appointment and we will walk the whole checklist with you. There is never a charge for our services.