Dear Savvy Senior, <\/p>\n
My wife and I are approaching 65, but I\u2019m still working and have good health coverage through my employer. Do we need to enroll in Medicare at this point?<\/p>\n
\u2013Almost 65<\/p>\n
Dear Almost, <\/p>\n
If you or your spouse is still working past age 65 and has health insurance through the job, you may be able to delay enrolling in Medicare without a late enrollment penalty. However, the rules depend largely on the size of your employer.<\/p>\n
First, a quick refresher: Remember that original Medicare has two parts:<\/a> Part A, which covers hospital care and is premium-free for most people, and Part B, which covers doctor visits, lab tests and outpatient care and has a monthly premium of $202.90 in 2026. Higher-income individuals (over $109,000) and couples (over $218,000) pay more.<\/p>\n RELATED | Where to get help with Medicare decisions<\/a><\/p>\n If you\u2019re already receiving Social Security<\/a>, you\u2019ll automatically be enrolled in Parts A and B when you turn 65, and your Medicare card will arrive in the mail. It will include instructions on how to return it if you have employer coverage that allows you to delay Part B.<\/p>\n If you\u2019re still working <\/p>\n Start by talking with your benefits manager or HR department to understand how your employer\u2019s insurance works with Medicare. In most cases, it makes sense to enroll in Part A since it\u2019s free. However, if you contribute to a Health Savings Account, enrolling in Part A will stop those contributions.<\/p>\n Whether you should enroll in Part B usually depends on your employer\u2019s size.<\/p>\n Small employer <\/p>\n If your employer has fewer than 20 employees, Medicare becomes your primary insurance. In this case, you should enroll in Part B during your Initial Enrollment Period, which lasts seven months: the three months before your 65th birthday, your birthday month, and the three months after.<\/p>\n If you aren\u2019t receiving Social Security, you\u2019ll need to apply for Medicare. You can do this online at ssa.gov\/medicare\/sign-up<\/a>, by phone at 1-800-772-1213, or in person at your local Social Security office.<\/p>\n If you miss your Initial Enrollment Period, you\u2019ll need to wait for the General Enrollment Period, which runs annually from Jan. 1 through March\u202f31. Coverage begins the first day of the month after you enroll, but a 10% penalty is added to your Part\u202fB premium for each full year you waited. Signing up on time helps you avoid both coverage gaps and added costs.<\/p>\n Large employer <\/p>\n If your employer has 20 or more employees, your group health plan remains your primary insurance while you\u2019re actively working. In this case, you generally don\u2019t need to enroll in Part B at 65 if your coverage is adequate. If you do enroll, Medicare will serve as secondary coverage.<\/p>\n Once your employment or employer coverage ends, you\u2019ll have an eight-month Special Enrollment Period to sign up for Part B without penalty.<\/p>\n Check drug coverage <\/p>\n You should also review your prescription drug coverage. Ask your benefits manager if your employer\u2019s plan is considered \u201ccreditable.\u201d If it is, you don\u2019t need to enroll in a Medicare Part D plan. If it isn\u2019t, you should sign up for Part D during your Initial Enrollment Period to avoid a penalty \u2014 typically 1% of the national average premium for each month you delay.<\/p>\n You can compare Part D plans at medicare.gov\/plan-compare<\/a>.<\/p>\n Need help? <\/p>\n For free guidance, contact your State Health Insurance Assistance Program at 1-877-839-2675 or shiphelp.org<\/a>. You can also call the Medicare Rights Center helpline at 1-800-333-4114.<\/p>\n Navigating Medicare while you\u2019re still working can be confusing, but a quick check with your employer and a clear understanding of the rules can help you avoid costly mistakes. Taking the time to get it right now will ensure you have the coverage you need, without unnecessary penalties down the road. RELATED STORIES: <\/p>\n \t \t \t \t=htmlentities(get_the_title())?>%0D%0A%0D%0A=get_permalink()?>%0D%0A%0D%0A=htmlentities(‘For more stories like this one, be sure to visit https:\/\/www.eastidahonews.com\/ for all of the latest news, community events and more.’)?>&subject=Check%20out%20this%20story%20from%20EastIdahoNews” class=”fa-stack jDialog”> \t <\/p>\n","protected":false},"excerpt":{"rendered":"Dear Savvy Senior, My wife and I are approaching 65, but I\u2019m still working and have good health…\n","protected":false},"author":2,"featured_media":635222,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-635221","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/635221","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=635221"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/635221\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/635222"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=635221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=635221"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=635221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Send your questions or comments to questions@savvysenior.org<\/a>, or to Savvy Senior, P.O. Box 5443, Norman, OK 73070.<\/p>\n