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Should I enroll in Medicare Part B if I am 65 or older, still working (or spouse is still working) and have insurance from that job?

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Last Update: February 11, 2005

If you are 65 and older and there are fewer than 20 employees in the company you or your spouse works for:
    Medicare is your primary coverage. If you have not yet enrolled, you should enroll during your Initial Enrollment Period. If you decline Part B, neither Medicare nor your job coverage (with limited exceptions) will pay for your doctors' services and other medical care.
If you are 65 and older and there are 20 or more employees in the company you or your spouse works for:
    Your employer group health plan is your primary insurer. You do not need to enroll in Medicare if you are satisfied with your job coverage.
    To find out more about employer insurance and Medicare, click on the link in the GO TO box.

In either case, you qualify for a Special Enrollment Period, which means you can delay enrollment in Part B without penalty if you were covered by employer health insurance through your or your spouse’s current job when you first become eligible for Medicare. You can enroll in Medicare without penalty at any time while you have group health coverage and for eight months after you lose your group health coverage or you (or your spouse) stop working, whichever comes first.


Case Examples
Mr. T had group health coverage through his wife but had to pay a Part B premium penalty when he enrolled in Part B after she retired.

Social Security said that Mr. H’s Special Enrollment Period had passed.

Related Questions
Can I enroll in Medicare if I only worked a few years?

What does “currently working” mean?

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What do I have to pay for services covered under Medicare Part B?

Should I enroll in Medicare if I have health insurance from my (or my spouse's) current employer?

 
LINKS
MyMedicare.gov: Access your Medicare information

State Health Insurance Assistance Program (SHIP) Directory

 
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