Medicare Part A & B Enrollment Guide
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Questions and Answers

If you are already receiving Social Security benefits, you will automatically get Part A and Part B when you turn 65.

True

If you live in Puerto Rico, you automatically receive Part B.

False

What do you need to do if you choose not to keep Part B?

Inform Medicare before the coverage start date on your Medicare card.

What should you do if you are close to turning 65 and do not receive Social Security or RRB benefits?

<p>Sign up for Medicare</p> Signup and view all the answers

If you have ALS, you will get Part A and Part B automatically the month your Social Security __________ benefits begin.

<p>disability</p> Signup and view all the answers

What is the penalty for not signing up for Part B when first eligible?

<p>You may pay a late enrollment penalty</p> Signup and view all the answers

Where can you get more information about your Medicare eligibility?

<p>Visit SSA.gov/medicare/sign-up.</p> Signup and view all the answers

You will get your Medicare card in the mail 3 months before your 65th birthday.

<p>True</p> Signup and view all the answers

What are the two main ways to get Medicare?

<p>Original Medicare</p> Signup and view all the answers

Medicare Advantage is also known as Part C.

<p>True</p> Signup and view all the answers

Medicare Advantage plans usually include Part ___ and Part ___.

<p>A, B</p> Signup and view all the answers

Can you use any doctor or hospital that takes Medicare with Original Medicare?

<p>Yes</p> Signup and view all the answers

What do Medicare Advantage Plans typically cover?

<p>Part A, Part B, and usually Part D</p> Signup and view all the answers

Which of the following is a feature of Medicare Advantage Plans?

<p>Includes Medicare Part A and Part B</p> Signup and view all the answers

You cannot join a separate Medicare drug plan if you have Medicare Advantage.

<p>False</p> Signup and view all the answers

What is one additional benefit that Medicare Advantage Plans might offer?

<p>Vision, hearing, and dental services</p> Signup and view all the answers

What is the main difference in doctor choice between Original Medicare and Medicare Advantage?

<p>Original Medicare allows you to use any doctor; Medicare Advantage may limit you to network doctors.</p> Signup and view all the answers

Study Notes

Medicare Part A & B Automatic Enrollment

  • Individuals receiving Social Security or Railroad Retirement Board benefits automatically receive Medicare Part A and Part B.
  • Automatic enrollment begins on the first day of the month an individual turns 65.
  • If the individual's birthday falls on the first of the month, enrollment begins onthe first day of the prior month.
  • Individuals under 65 with a disability will automatically receive Part A and Part B after 24 months of disability benefits.
  • Individuals with ALS automatically receive Part A and Part B the month their disability benefits begin.
  • Part A (premium-free) is automatically provided while Part B is optional.

Medicare Part A & B Enrollment for Individuals Not Receiving Social Security or RRB benefits

  • Individuals who have not reached age 65 but are not receiving Social Security or RRB benefits must manually enroll in Medicare.
  • Individuals can apply for Part A and Part B through the Social Security website or by contacting Social Security 3 months before turning 65.
  • Individuals who worked in the railroad industry can apply through the Railroad Retirement Board website or by contacting the RRB.
  • Delayed enrollment in Part B can lead to coverage delays in the future as enrollment is only available at specific times.
  • Late enrollment might incur penalties paid throughout the duration of Part B coverage.

Medicare Enrollment for Individuals with End-Stage Renal Disease (ESRD)

  • Individuals with ESRD must enroll in Medicare.
  • Contact Social Security for enrollment information and guidance on how to enroll in Part A and Part B.

Medicare Enrollment in Puerto Rico

  • Part A is automatically offered starting on the first day of the month the individual turns 65 or following 24 months of receiving disability benefits if the individual is receiving benefits from Social Security or RRB.
  • Part B enrollment requires completing an “Application for Enrollment in Part B Form” (CMS-40B).
  • Forms can be accessed on the Medicare website and by calling the Medicare helpline.
  • Delayed enrollment can lead to future coverage delays and might impose a late enrollment penalty.

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Related Documents

Medicare & You 2025 PDF

Description

This quiz covers the automatic and manual enrollment processes for Medicare Part A and B, including eligibility criteria for individuals turning 65, those with disabilities, and those not receiving Social Security benefits. Gain a clear understanding of when and how to enroll in Medicare to ensure you have the coverage you need.

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