Medicare Insurance: Part B, Enrollment (2)
Medicare Insurance: Part B, Enrollment (2)
Enrollment: Individuals, not meeting certain exceptions, failing to enroll during the initial enrollment period may find their Part B premium increased up to 10% for each 12 month period that the person could have enrolled but did not. This penalty may be considered draconian because it remains throughout life. If you believe you fall under an exception, a prudent person should consult with your local Social Security office or call 1-800 772-1213 for information and help.
If you do not enroll during the initial enrollment period and do not qualify for an exception, you will have to wait until the next general enrollment period. Prior to 2011 open enrollment period was from January 1st to March 31st. Starting in 2011 the open enrollment period begins October 15th and ends December 7th.
While true you have 7 months (initial enrollment period) to enroll (manual) in Medicare A or B without penalty, there are exceptions:
1.During the initial enrollment period if you do not fall under an exception there is a penalty, not financial, for not enrolling prior to the month you turn 65.
a.Depending on the month you actually enroll your effective date may be delayed up to as much as 3 months.
2.Employer provided group insurance.
a.If you or your spouse (Family member if you are disabled) is still working and they/you have health coverage through an employer or union you may have an exception. However, you are well advised to contact your employer or union benefits administrator to determine if and how your coverage works with Medicare.
b.It is very possible it may be to your advantage both financially and medically to delay enrolling.
c.If your employer has 20 or more employees you may not need to enroll in Part B, but if the employer has less than 100 employees you should determine exactly how your plan works with Medicare.
( If your employer has more than 20 employees or even a few more, before declining to obtain Part B you should insure your health plan qualifies you for the exception.)
Employer provided group health insurance: As discussed in a prior post, individuals covered by Health Saving Qualified Plans may be best served by not enrolling in Medicare coverage (Part A, B &D).
1.If you like your plan.
2.Your employer is paying most if not all the premium.
3.You have and are taking advantage of having and contributing to a Health Savings Account.
However, even if you meet these three items it may or may not be in your best interest to remain in the plan. I would strongly recommend you discuss remaining with the plan with your HR department and even an agent qualified to discuss your current plan and Medicare considering not only the coverage provided, but out of pocket cost and the effect of coverage for your family.
For questions concerning Social Security you should contact your local Social Security office. For questions concerning Medicare Supplement Policies or your current health insurance please call (888 270 9870) or email ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it. ).