Preparing for Medicare
While Medicare eligibility starts on your 65th birth month, not everyone will start Medicare at that time. Everyone’s situation is different. If you want to see if applying at 65 is right for you, schedule an appointment or review the document “Should I Enroll in Medicare“.
Medicare Enrollment Timeline
Medicare enrollment follows a 7-month window, which includes:
- 3 months before your birth month
- Your birth month
- 3 months after your birth month
It is highly recommended to start the Medicare application process during the first week of the first month in this window.
- Medicare ID numbers and cards can take 6-8 weeks to arrive.
- Without a Medicare ID number, you cannot enroll in additional coverage (Advantage, Medigap/Supplement, or Part D/Prescription Drug Plan).
Get Help with Your Medicare Enrollment
What Happens After Medicare Enrollment?
Once enrolled in Medicare Part A & B, you can select additional coverage:
- Medicare Advantage (Part C): All-in-one coverage, often including drug and extra benefits.
- Medigap (Medicare Supplement): Covers costs not paid by Original Medicare. Hospital and Medical coverage only.
- Prescription Drug Plan (Part D): Stand-alone coverage for medications only, no Hospital or Medical coverage beyond what Original Medicare (Part A and Part B) provides.
Medicare enrollment is handled through Social Security, but selecting additional insurance is where Brokers like Clear Benefits Advisors can assist.
Schedule a Medicare Plan Review
Why You Cannot Stay on COBRA or Individual Health Insurance Past 65
COBRA & Medicare
- COBRA is NOT considered creditable coverage for Medicare.
- Once you turn 65, you cannot remain on COBRA. If you do not enroll in Medicare on time, you may face lifetime penalties.
- Delaying Medicare enrollment because of COBRA may result in higher premiums and gaps in coverage.
Individual Private Health Insurance & Medicare
- If you have an ACA (Affordable Care Act) or private health plan, you cannot keep it past age 65.
- Even if private insurance is less expensive than Medicare, you must enroll in Medicare to avoid penalties and loss of coverage.
- Medicare is the primary coverage once you turn 65, and private insurers will not allow continued enrollment.
Helpful Resources
Why Work With Us?
- We specialize in helping retirees transition smoothly into Medicare.
- We ensure you avoid late penalties, coverage gaps, and costly mistakes.
- We help you compare Medicare plans based on your health and budget.
- We specialize in helping those turning 65 determine their Medicare path.
Tip: Medicare enrollment is time-sensitive, schedule a consultation early to ensure a smooth transition.
