I'm still working at 67, and I don't know if I need Part B. Why is something so basic so hard to figure out?
Answered by 25 licensed agents
Here’s the quick rule about employer insurance after age 65: if your employer has 20 or more employees and you are covered by the employer’s insurance and still working, you can delay part B as long as you want with no concern about having a penalty later. The moment that you stop working for that employer or discontinue that insurance, that’s the time that you need to enroll into Medicare part B in order to avoid a penalty.
I always advise my clients to compare the costs and coverage of the employer plan versus Medicare so they can make an informed decision.
Answered by John Stagner on April 16, 2025
Broker Licensed in MO & TX
Now the smart thing was you signed in for your Part A as a backup to your existing coverage. It’s what you put money into your whole working career, so take it, it costs you zero.
Now depending on coverage and financial considerations, you simply need to do a total cost comparison. But keep in mind the government dropped the “F” plan after 1/1/2020, and your best option is a “G” now. How long before they drop that and make the “N” plan the best option for you? So you may want to consider that in your planning as well.
If in FL or PA, I can help you.
Answered by Norman Smith on May 16, 2025
Agent Licensed in FL & PA
If you work for a company with 20 or more employees you can stay on that work plan until you retire and then get Part B! Work with someone like me-who works with Medicare Planning every day for clients! We give great information so folks can make good decisions!
Answered by Tony Capraro III on May 5, 2025
Agent Licensed in NH & ME
Answered by Tasha Riggs on June 12, 2025
Broker Licensed in CO, AZ, HI & 10 other states
1) Your employer has less that 20 employees. Medicare becomes the primary payer, and you may be required to enroll in Medicare Part A and Part B, Your employer's health plan becomes the secondary coverage. Employer Health group plans may not be able to provide you the same level of coverage as Medicare.
2) Employers with 20 or more employees, your employer's group health plan is considered primary payer. This means you can generally delay enrolling in Part B until after you lose that coverage.
3) If you have health insurance coverage through a spouse's employer, you may also delay enrolling in Part B until you lose that coverage.
Coverage based on current employment does not include COBRA, retiree health coverage, VA benefits or individual coverage through the health insurance Marketplace.
Answered by Pamela Camey on May 12, 2025
Broker Licensed in IL, FL, IA & 7 other states
What's "too expensive"? The least expensive thing in Medicare is going to be Medicare Advantage plans with a $0 premium. Keep in mind you will still have to pay your Part B premium which is $185 here in 2025. That's the "low end" of Medicare coverage.
The high end is the Part B premium ($185), Plus a G supplement (ballpark $150...prices can vary widely around the nation), a drug plan (PDP=Prescription Drug Plan) (ballpark $20...again prices can vary widely), and a dental plan (ballpark $40). That gives you total monthly costs of $395.
The high end is very good coverage with very little out of pocket when you get care each year. It's the "Cadillac Plan" so to speak.
If your company plan is more than $395 for you then you should really consider Medicare. IF you have a spouse that relies on your company plan for good coverage at a reasonable monthly cost you may need to stay where you are at.
Answered by Andrew Bennett on June 19, 2025
Broker Licensed in TN, GA & VA
Answered by Christopher Soto on June 4, 2025
Broker Licensed in CA, AL, AZ & 29 other states
Answered by Timothy Brown on April 13, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Daintee Hurst Dietz on June 21, 2025
Agent Licensed in TX
Answered by Deb Haley on June 2, 2025
Broker Licensed in MA, CT, FL & 10 other states
Answered by Bill Zeky on May 19, 2025
Broker Licensed in PA, AL, CO & 10 other states
Answered by Jeremy Purse on May 13, 2025
Broker Licensed in CA, AL, AZ & 5 other states
Answered by Jennifer Stark on April 7, 2025
Broker Licensed in WI, CO & FL
Answered by Garrett Ball on April 16, 2025
Broker Licensed in NC, AL, AR & 38 other states
Here's why it can be confusing:
It's not mandatory at 65:
Many people assume Medicare Part B is mandatory at 65, but that's not the case for those who have employer-sponsored health insurance.
Late enrollment penalties:
If you delay enrollment beyond certain periods, you may face late enrollment penalties.
Complexity of employer plans:
Determining whether your employer's health plan is "creditable" (meaning it provides at least the same coverage as Medicare) can be tricky.
Impact on other insurance:
Your decision to enroll in Part B can affect other insurance you might have, like Medigap or COBRA.
To clarify your situation:
Check your Initial Enrollment Period (IEP): This is a 7-month period around your 65th birthday when you can enroll in Medicare.
Talk to your employer: Ask your employer's benefits administrator if your plan is considered creditable and what happens if you sign up for Part B.
Contact Medicare: The Social Security Administration (.gov) can provide guidance on your specific situation.
Consider the costs: Part B has a monthly premium, so weigh the cost against the benefits.
Understand the penalties: Medicare (.gov) can explain the penalties for late enrollment.
Answered by Fred Manas on May 13, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on April 14, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Marcie Barnes on April 11, 2025
Agent Licensed in TX, AK, AL & 48 other states
Answered by Suzanne Lamperti on May 2, 2025
Broker Licensed in MD
Answered by Mary Salmon on April 9, 2025
Broker Licensed in TX & OK
Answered by Charles Borg on June 9, 2025
Agent Licensed in FL & NY
Answered by Tony Merwin on June 7, 2025
Agent Licensed in TX, AR, AZ & 28 other states
Answered by Daniel Young on April 8, 2025
Agent Licensed in NE & IA
Answered by Lorrie Scully on April 28, 2025
Broker Licensed in IA, CO, IL, NE & SD
Answered by Brian MacInnis on June 19, 2025
Agent Licensed in PA, DE, MD & VA
Answered by Eric Knipp on June 6, 2025
Agent Licensed in MO & KS
Tags: Medicare Part B New To Medicare Retirement
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