How to Enroll in Medicare

Getting Started Enrolling in Medicare

Medicare is a federal program that offers health insurance to American citizens age 65 and older, and other eligible individuals. 

Understanding the different enrollment periods is important to ensure you do not miss deadlines and risk penalties. 

For some people, enrollment in Medicare is automatic.

For most of us, however, enrollment is not automatic.  

If you aren’t among those who are already receiving social security or railroad benefits, you will need to sign up for Original Medicare yourself.  You won’t receive an official notice on how or when to do this, so it’s up to you to know when exactly you’re eligible to enroll and how to do it.   

Enroll during your Initial Enrollment Period (IEP) 

Your IEP is triggered by your 65th birthday.

For most, it is your first chance and ideal time to enroll in Medicare.  

It is a 7-month window that begins 3 months prior to your 65th birth month, includes your birth month, and the 3 months that follow your birth month.  

It provides you the opportunity to enroll penalty-free in Medicare Parts A and B, as well as a Part D prescription plan.  

Automatic Enrollment

For many, enrollment in Original Medicare is automatic when they first become eligible. What does that mean exactly?  It means that you don’t have to enroll in Medicare Parts A and B yourself, and that the government does it for you.  

If you are currently receiving Social Security/Railroad Retirement Board benefits before your 65th birthday, the government is assuming that you have retired and are no longer working, and you will automatically be enrolled in Medicare Parts A and B.  For most, this will happen a couple months before your 65th birthday and your coverage will start the 1st of the month that you turn 65. 

Just be on the lookout for your red, white and blue Medicare card, as well as a “Welcome to Medicare” packet, in the mail from the Social Security Administration about three months prior to your 65th birthday.

For those automatically enrolled that do NOT want Medicare coverage, you must contact Social Security and make a formal request to decline these benefits.

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Turning 65 & Enrolling in Medicare

Turning 65 is an important Medicare milestone because typically this is the first time you’re eligible to enroll in Medicare.  Signing up for Original Medicare, which is comprised of Part A, your hospital insurance, and Part B, your doctor and outpatient insurance, is the first step in your transition to Medicare as your healthcare provider.

There are two ways to enroll in Part A and Part B.  You can either be automatically enrolled or you might be responsible for enrolling yourself.  Your enrollment option depends on your specific situation.

How To Prepare

We suggest that you start gathering the information that you need to complete your Medicare application about 6 months before your 65th birthday.  You’ll also need to determine when your initial enrollment period is.  Not sure when that is? You can learn more about your IEP on our Initial Enrollment Periods page, and also check out our IEP calculator below, which can provide the specific dates of your IEP for you. 

Ideally, 90 days before your birth month, which is when your IEP begins, you’ll have all of your documents together and be prepared to enroll in Medicare Part A and Part B.  

Not sure exactly when your IEP is?
Find out with our Medicare Enrollment Calculator.

We can remind you when your Initial Enrollment Period in Medicare starts.

Please note that your reminder will be sent 120 days before your 65th birthday. If your birthday is within 120 days, give us a call at 703-214-4600 if you need help.

How To Apply for Original Medicare

There are four different ways to apply for Part A and Part B:

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Online

You can apply online by visiting www.SSA.GOV.

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By Phone

You can apply by calling the Social Security Administration office at 800-772-1213.  

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In Person

You can apply by visiting your local Social Security Administration office.

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By Mail

You can apply by sending a signed and dated application to your local Social Security Administration office.

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Still Have Questions About Enrollment?

Still have questions on how to enroll in Original Medicare? Let us help you.  We can explain when and how you’ll need to enroll to have the coverage you need, when you need it, without late penalties.

Contact Us

  • 1934 Old Gallows Road, #350
    Vienna, Virginia 22182
  • 1-703-214-4600
  • info@medicareportal.org
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