Can you get medicare without collecting social security

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How to enroll in Medicare if you are turning 65 without Social Security or Railroad Retirement benefits

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If you are eligible for Medicare but not currently receiving Social Security retirement benefits or Railroad Retirement benefits, there are three different time periods during which you can enroll in Medicare Parts A and B.

  1. Initial Enrollment Period (IEP). You can enroll in Medicare at anytime during this seven-month period, which includes the three months before, the month of, and the three months following your 65th birthday. The date when your Medicare coverage begins depends on when you sign up.
    • If you enroll during the first three months of your IEP, coverage begins the month in which you first become eligible for Medicare.
    • If you enroll during the fourth month of your IEP, coverage begins the month following the month of enrollment.
    • If you enroll during the fifth month of your IEP, coverage begins the second month following the month of enrollment.
    • If you enroll during the sixth or seventh month of your IEP, coverage begins the third month following the month of enrollment.

For example, let’s say you turn 65 in June. Use the following chart to determine when you can enroll in Medicare and when your coverage would start.

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You can enroll anytime in: Your coverage starts:
March June 1st
April June 1st
May June 1st
June July 1st
July September 1st
August November 1st
September December 1st
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It is important to note that if your birthday falls on the first of the month, your IEP is the seven months surrounding the month prior to the month of your birth. For example, let’s say you turn 65 on June 1. Your IEP runs from February 1 to August 31.

  1. Special Enrollment Period (SEP). SEPs are periods of time outside of normal enrollment periods, triggered by specific circumstances. The Part B SEP lets you delay enrollment in Part B without penalty if you were covered by insurance based on your or your spouse’s current work (job-based insurance) when you first become eligible for Medicare. You can enroll in Medicare without penalty for up to eight months after you lose your group health coverage or you (or your spouse) stop working, whichever comes first. Medicare coverage begins the first month after you enroll. For example, if you retire and sign up for Medicare in February, your coverage will begin March 1. To avoid a gap in coverage, enroll in Medicare the month before your job-based insurance will end.
  2. General Enrollment Period (GEP). If you did not enroll in Medicare when you originally became eligible for it (either during your IEP or an SEP), you can sign up during the GEP. The GEP takes place January 1 through March 31 each year, with coverage starting July 1. You may incur a Part B late enrollment penalty and face gaps in coverage if you sign up during the GEP.

If you already get Social Security benefits, we’ll automatically enroll you in Medicare Hospital Insurance (Part A) and Medical Insurance (Part B). We’ll mail you all the information you need a few months before you become eligible.
Note: Residents of Puerto Rico or foreign countries won’t automatically receive Part B. They must elect this benefit.

If you don’t get Social Security benefits and are not ready to apply for them yet, you should sign up for Medicare three months before your 65th birthday.
The easiest way to apply for Medicare is by using our online application.

If you don’t wish to apply online, make an appointment by calling us at 1-800-772-1213 (TTY 1-800-325-0778), 8:00 am – 7:00 pm, Monday through Friday.

Important Information about Medical Insurance (Part B) Coverage
Because you must pay a premium for Part B coverage, you can turn it down. However, if you decide to sign up for Part B later, your coverage can be delayed and you may have to pay a late enrollment penalty for as long as you have Part B coverage. Your monthly premium will go up 10 percent for each 12-month period you were eligible for Part B, but didn’t sign up for it unless you qualify for a special enrollment period.

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