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Working Past 65? Navigating Medicare Before Retirement

April 12, 2024

Many people are choosing to extend their careers past the traditional retirement age of 65. If that's you, you might be wondering how Medicare fits into your healthcare picture. Here's what you need to know about Medicare and working past 65:

Do I Need to Enroll in Medicare at 65 if I'm Still Working?

The short answer is no, you aren't required to enroll in Medicare right at 65 if you have health insurance from your employer. This is because employer-sponsored plans are considered primary insurance, meaning they typically pay for most of your medical expenses before Medicare kicks in.

There are some advantages to enrolling in Medicare Part A (hospital insurance) when you're first eligible (usually at 65). Part A is typically premium-free if you've worked enough and paid Medicare taxes. So, why not get free coverage?

Part B (medical insurance) is different. It has a monthly premium, and delaying enrollment can come with a penalty if you do decide to sign up later. However, if you have employer coverage, you may be able to delay Part B enrollment without a penalty.

So, When Should I Enroll in Medicare?

The decision depends on your specific situation. Here are some factors to consider:

  • Employer plan details: Check with your employer or plan administrator to understand how your current plan coordinates with Medicare. Some plans may require you to enroll in Medicare if you become eligible.
  • Retirement plans: If you plan to retire soon, you'll likely want to enroll in Medicare Parts A and B to avoid a late enrollment penalty on Part B.
  • Your health: If you have ongoing health needs, having both Medicare and your employer plan could provide more comprehensive coverage.

Special Enrollment Periods

There are special enrollment periods if you lose your employer coverage, or your employer plan changes significantly. This allows you to enroll in Medicare Parts A and B without a penalty during a specific window.

Getting Help

  • Figuring out Medicare and employer plans can be complex, but we are here to help you make informed discussion.  Start by checking out https://www.medicare.gov/basics


Then contact our office for a meeting with our Medicare enrollment agent, Danielle McKenna.

By understanding your options and considering your individual circumstances, you can make informed decisions about Medicare and health insurance coverage while continuing to work past 65.