Before You Decide
If you are within three months of age 65 or older and not ready to start your monthly cash benefits yet, you can use our online retirement application to sign up just for Medicare and apply for your retirement or spouses benefits later.
Before you decide, you need to be sure that you understand how waiting until later will affect
- the lifetime benefits we can pay on your record.
- your health insurance coverage.
Note: If you have a Health Savings Account (HSA) and/or health insurance based on current employment, you may want to ask your personnel office or insurance company how signing up for Medicare will affect you.
If you live to the average life expectancy for someone your age, it doesn't matter whether you choose to start receiving benefits this month, at age 66, at age 70 or any age in between. You will still receive about the same amount in lifetime benefits. If you:
Apply for benefits before full retirement age, currently age 66, your benefits will be reduced because you are taking them earlier.
Example: If your retirement benefits start at age 65, your benefit will be 93.3% of what you would receive at full retirement age. However, you would receive benefits for 12 more months over your lifetime.
Delay receiving retirement benefits until after you reach full retirement age (any month up to age 70), you can increase your benefit by accumulating Delayed Retirement Credits. If your full retirement age is 66 and you wait until age 70, your benefit will be 132% of your full retirement age benefit.
Have family members who qualify for benefits, a delay means you would lose some of the benefits they might have received. However, delaying benefits also increases the maximum monthly survivors benefit your spouse may receive.
If you plan to continue working
Even if you plan to continue working, you may still be able to receive some benefits. If you are under full retirement age and you earn over a certain amount, we will deduct the excess earnings from your benefits.
If you delay receiving benefits until the month you reach full retirement age, you may receive your benefits with no limit on your earnings.
For more information that will help you decide the best time to start benefits, please read Other things to consider.
Medicare is our country's health insurance program for people age 65 or older. The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care.
Hospital insurance (Part A) helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care and hospice care.
Note: Most people age 65 or older are eligible for free Medicare Hospital Insurance (Part A) if they have worked and paid Medicare taxes long enough. You should sign up for Medicare Hospital Insurance (Part A) 3 months before your 65th birthday, whether or not you want to begin receiving retirement benefits.
Medical insurance (Part B) helps pay for doctors’ services and many other medical services and supplies that are not covered by hospital insurance.
Note: Anyone who is eligible for free Medicare hospital insurance (Part A) can enroll in Medicare medical insurance (Part B) by paying a monthly premium. Some beneficiaries with higher incomes will pay a higher monthly Part B premium.
To find out the premium amount you pay, read "Medicare Premiums: Rules For Higher Income Beneficiaries" (Publication No. 05-10536).
Should I Sign Up For Medical Insurance (Part B)?
When you sign up for Medicare, you will be asked if you want to enroll in Medical Insurance (Part B).
If you do not choose to enroll in Medicare Part B and then decide to do so later, your coverage may be delayed and you may have to pay a higher monthly premium unless you qualify for a "Special Enrollment Period."
Special Enrollment Period (SEP)
If you are age 65 or older and your medical insurance coverage is under a group health plan based on your, or your spouse's, current employment, you may not need to apply for Medicare Supplementary Medical Insurance (Part B) at age 65. You may qualify for a "Special Enrollment Period" (SEP) that will let you sign up for Part B during:
Any month you remain covered under the group health plan and your, or your spouse's, employment continues; or
The 8-month period that begins with the month after your group health plan coverage or the employment it is based on ends, whichever comes first.
Exception: If your group health plan coverage or the employment it is based on ends during your initial enrollment period for Medicare Part B, you do not qualify for a SEP.
Your initial enrollment period starts three months before the month you attain age 65 and ends three months after the month you turn 65.
If you want to know more about enrollment periods for Part B, please read the information about general and special enrollment periods in our "Medicare" booklet or talk to your personnel office before you decide.