What do I need to do if I didn't take Medicare at 65 and am now retiring?
Answered by 109 licensed agents
Answered by Charles Wheeler on February 11, 2025
Broker Licensed in MA, CT, FL & 7 other states
Answered by Gary Church on July 18, 2025
Broker Licensed in Ca, AZ, NV & TX
Use an advisor who will help you with the application, to avoid ant penality
Answered by Mike Alexander on October 20, 2025
Broker Licensed in TX, AL, AR & 16 other states
So the question is, what do I need to do if you didn't take Medicare at 65 and you're now retiring? Well, hopefully you had coverage at your employer once you turned 65, and hopefully it was a company with more than 20 employees. Under 20 employees, you need to take Medicare, no matter if you're on the group health plan or not. But what you need to do is find an independent Medicare broker that only does Medicare, because as most people know, you can't be an expert at everything. You need to pick which way you're going to go and stick with it as far as being an agent. I couldn't do life insurance and all these other different lines of insurance and be an expert in Medicare. There's just not enough hours in the day.
Answered by Steve and Sue Brauer on July 30, 2025
Broker Licensed in AZ & CA
Form CMS-40B
Form CMS-L564
You must have your employer complete the CMS-L564 acknowledging you had creditable coverage since you turned 65. Both forms must be submitted to the SS office nearest you. You are unable to do these forms online.
Answered by Mark Bilgere on November 29, 2025
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Answered by Daniel Brechin on July 25, 2025
Agent Licensed in AL, FL, KY, MS & TN
You are now in what is known as a SEP (Special Enrollment Period). You want to go to Social Security and file to receive your benefits now, and submit that you are ready for your Medicare!
Next, you need to decide on how your Health Insurance will be taken care of in the retirement years. You may have many choices! Are you covered through a School, government, or military plan? Did you work for the Railroad? But if a member of the private sector who doesn't have those choices, you will choose from the 3 elements of Original Medicare only, with a supplement plan, or exchange your Medicare to accept a Medicare Advantage Plan.
But you want to take your Part A, even if you have permanent coverage through your employer. That could have been done when you turned 65. If you deferred your Part B when you turned 65, you need to let them know you are accepting that now. Also, you will need to choose a Part D provider, unless you are accepting a Medicare Advantage plan that includes a Prescription plan. Don't miss this, as you can end up with permanently attached penalties moving forward.
I would always recommend speaking with a Medicare professional face-to-face, and get the assistance to make this time easier and with more confidence.
Answered by Norman Smith on March 31, 2025
Agent Licensed in FL, AL, NJ & PA
Bill Lawler
Answered by William Lawler on June 26, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Larry Dalton on March 26, 2025
Broker Licensed in OK & TX
Answered by Terri Reagin on August 18, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Voss Speros on April 27, 2026
Broker Licensed in AZ, CA, CO & 20 other states
Answered by Edward Smith, ChFC, CRPS, AIF on June 22, 2025
Broker Licensed in OH, GA, IN, KY & TN
Answered by Lynn C Shurtleff on August 27, 2025
Broker Licensed in TN, AR, CO & 6 other states
Answered by Ronnie Robinson Jr on October 7, 2025
Broker Licensed in FL, AL, GA & 9 other states
Answered by Ray McCauley on April 1, 2025
Broker Licensed in CA, AZ, FL & ID, NV, SC & TN
Answered by Gregg Matheny on March 26, 2025
Agent Licensed in AZ & UT
Enroll during the Special Enrollment Period – You have up to 8 months after your employment ends (or your employer coverage ends, whichever happens first) to sign up for Medicare Part A and/or Part B without facing a late enrollment penalty.
Get proof of your employer coverage – You’ll need to show that you had creditable health insurance coverage since turning 65. To do that, your employer must fill out Form CMS-L564 (Request for Employment Information).
Apply for Medicare – You’ll need to submit two forms:
Form CMS-40B (Application for Enrollment in Medicare Part B), and
Form CMS-L564 from your employer.
You can send these to your local Social Security office by mail, fax, or in person. In some cases, you can also apply online through the Social Security website
Think about additional coverage – Depending on your healthcare needs, you might want to look into a Medicare Advantage plan (Part C), a Part D prescription drug plan, or a Medigap policy to help with out-of-pocket costs.
Can help people living in Texas, California, or Florida.
Contact us.
Answered by Steven Graves on September 18, 2025
Agent Licensed in TX
Answered by Melonie Wood on March 25, 2025
Agent Licensed in FL & AL
If you had qaulifying coverage you will need to submit Form CMS L564/R297 (09/23) to get the penalty removed before you apply for Part A, B, and D.
William
Answered by William Gray on May 20, 2025
Broker Licensed in FL, GA, ID & 9 other states
Answered by Kerwyn Jones on October 4, 2025
Broker Licensed in FL, AL, AZ & 21 other states
To start, you will need a letter of creditable coverage through your employer which you can get through your Human Resources or Benefits Administrator. You would need this to complete the CMS-L564 form through social security to reflect proof of employment and that you had employer coverage. Most people sign up through the social security website at ssa.gov which is the gatekeeper for Medicare whether you are taking social security or not. You can also call or visit the local social security office.
Once you get your Part A (Hospital) and Part B (Medical) set up, you will be granted a special election period to identify the options that make sense for you.
Answered by Steven Whetstine on June 21, 2025
Agent Licensed in AZ, AL, AR & 29 other states
Answered by Carly Cusack on September 15, 2025
Broker Licensed in OR & WA
Answered by Lilyana Uzdenova-Gomez on March 23, 2026
Broker Licensed in FL
Answered by Justin Scheiner on September 15, 2025
Agent Licensed in FL, CO, CT & 5 other states
Answered by Marc Rheingold on November 12, 2025
Broker Licensed in FL, MI, NC & SC
Answered by Mark Sannes on March 5, 2026
Broker Licensed in WA, AK, AZ & 11 other states
Once you have an effective A&B date, you are then ready to consider whether you want to enroll in a Medicare Advantage Plan or a Medicare Supplement Plan to help defray the expenses that Medicare does not cover.
Answered by Rose Cahill on April 28, 2025
Broker Licensed in MA
Answered by Derek Rogers on February 2, 2026
Broker Licensed in FL
Answered by Jennifer Sigman on February 23, 2026
Broker Licensed in OH, AL, IA & 12 other states
Answered by Michelle de Guzman on April 8, 2026
Broker Licensed in TX, AZ, CA & 10 other states
Answered by Jennifer Whitworth on October 5, 2025
Broker Licensed in MA, CT, FL & 5 other states
Step 2: Provide proof of credible coverage this keeps you from being penalized.
Step 3: Choose Your Coverage
Once Part B is active, you can enroll in a Medicare Supplement + Part D or a Medicare Advantage Plan.
Your employer coverage usually ends at the end of the month, so you should start this process 2–3 months before retirement to avoid a gap in coverage.
If for some reason you did not have credible coverage and you are over 65 then you could be subject to a penalty. This is where working with an Agent is important, he or she can guide you through the process and help make the experience as easy as possible
Answered by Timothy Baggett on February 17, 2026
Broker Licensed in FL
Answered by Guillermo Gonzalez on July 22, 2025
Agent Licensed in TX, AL, CA & MS
Then you should schedule a custom appointment to get an individualized plan with myself or one of our Medicare Coaches.
Answered by Joshua Cooper on May 26, 2025
Broker Licensed in GA, AL, FL & 10 other states
Answered by Nichole Wright on August 18, 2025
Broker Licensed in CO
Answered by Christopher Dewey on May 18, 2026
Agent Licensed in SC, AL, AR & 43 other states
How to Apply for Medicare - Special Enrollment
Period (SEP) - Part B Only
Who is this for?:
➢ Enrolling in Part B after the initial enrollment period/after 65 (already enrolled in Part A)
When?
➢ When you’re ending an employer group health plan - If you’ve been covered by an active employer group
health plan (either yours or your spouse's) since turning 65, and it ended within the last 8 months, you can enroll
in Part B without any penalty. This is considered a “Special Enrollment Period.”
➢ It’s Recommended to enroll in Part B up to 3 months prior to when you want coverage to begin (always the 1st
day of the month). For example, if you want Part B coverage to begin August 1st, then you will want to start the
process as early as May.
Enrollment options:
Option 1: Online at https://secure.ssa.gov/mpboa/medicare-part-b-online-application/ - You can also go to
https://www.ssa.gov/ and click on “Sign up for Medicare” and then Sign Up for Part B Only
Option 2: Enroll in-person at the local Social Security Office
Option 3: Fax or Mail - Find locations and fax info here: https://secure.ssa.gov/ICON/main.jsp
Information you will need to provide:
➢ Application for enrollment in Medicare Part B (form CMS-40B)
○ This form is only used if enrolling by fax, mail, or at the local Social Security Office
➢ Request for Employment Information (form CMS-L565)
○ This form is needed for all enrollment options
○ This form is to be filled out by the employer where you have group health coverage
What happens next?:
You will receive a new Medicare card in the mail. You will also be able to print a benefit verification letter from your
online account within Social Security. This can take approximately 1-3 months.
If you do not have Part A active yet - Enroll for both Part A & B through your online social security account. You will still need to provide the "Request for Employment Information" form (CMS-L565).
Answered by David Brown on July 7, 2025
Broker Licensed in KS, IA, MO, NE & TX
Answered by Steven Bleicher on June 14, 2025
Broker Licensed in AZ
Answered by Andrew Zurbuch, MBA on June 27, 2025
Broker Licensed in IN, FL, KY, MO, OH & TN
You'll likely have an 8-month SEP starting when your employer coverage ends or you lose access to your employer's health plan (or your spouse's).
If you miss this SEP, you can enroll during the GEP (January 1 - March 31), but you may face late enrollment penalties.
Answered by Diana Garner on June 26, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Steve Houchens on September 27, 2025
Agent Licensed in KY & TN
Answered by Kristen Skinner on December 29, 2025
Broker Licensed in OK
Usually your employer insurance require you sign up for part A, but defer signing up for part B until your employer insurance ends.
When your decide to retire and stop your employer insurance, call Medicare and activate your part b so it starts when your employer insurance ends.
Answered by Ron Cronwell on November 6, 2025
Agent Licensed in TN
Answered by Hannah Skinner on July 31, 2025
Agent Licensed in SC, AL, AR & 44 other states
First, you qualify for a Special Enrollment Period (SEP). This period typically lasts 8 months starting the month after your employer coverage ends. During the SEP, you can enroll in Part A(hospital) and/or Part B (medical) without paying the late enrollment penalty, as long as you had creditable employer coverage while working.
Next, consider whether you need Part D (prescription drug coverage) and/or a Medigap/Medicare Supplement plan to help with out-of-pocket costs. Enrollment in these can also occur during your SEP. Make sure to gather information about your employer coverage, retirement date, and any current insurance so you can provide proof that you had creditable coverage — this helps avoid penalties and ensures continuous protection.
Answered by Gus Karigan on March 4, 2026
Broker Licensed in IL, GA & MI
Answered by Barbara Patterson, CFP on January 26, 2026
Agent Licensed in TX
Answered by Frank Woerner on December 8, 2025
Broker Licensed in IN & IL
To get started, you’ll need your employer to complete CMS Form L564, which verifies to the Social Security office that you had creditable coverage through your job. This helps you avoid a late enrollment penalty for Medicare.
This form will also include your current coverage end date, which determines when your Medicare will begin. For example, if your employer coverage ends on 07/31, your Medicare coverage should begin on 08/01, ensuring there’s no gap in coverage.
It’s also a good idea to speak with a licensed local agent to explore your options for covering:
*The 20% coinsurance for Medicare Part B
*Part A deductibles
*Prescription drug coverage
Remember: Medicare does not cover everything. That 20% coinsurance under Part B has no out-of-pocket limit, which could expose you to unexpected financial risk.
So be careful—get the right coverage, and enjoy peace of mind as you enter this exciting new chapter of your life!
Answered by Anna Davis CIC-RSSA on July 25, 2025
Broker Licensed in CA
Answered by Lea Vollmer on May 13, 2026
Broker Licensed in IL, AL, AZ & 7 other states
Answered by Celeste McGrath on January 21, 2026
Broker Licensed in GA, FL, NC & SC
Answered by Brian Kulis on August 8, 2025
Broker Licensed in AR, AZ, LA & MO, OK, TN & TX
Answered by Valentina Gatewood on April 21, 2025
Broker Licensed in CA, AZ, ID & NJ
Answered by Christopher Orr on May 21, 2025
Broker Licensed in TN, KY, NC & VA
Answered by Lou Ann Pyatt on November 24, 2025
Agent Licensed in SC
Also, understanding your coverage options and which options best fit your needs is essential. Consult an independent broker for assistance in determining the best fit for your circumstances. The consultation should be free of charge to you.
Answered by Brandon Grzywa on June 23, 2025
Broker Licensed in NE, IA & SD
Answered by Kilolo Thomas on May 25, 2025
Agent Licensed in NJ, MS, NY, PA, SC & TX
Answered by Vachik Chakhbazian on June 14, 2025
Agent Licensed in CA, AL, AR & 22 other states
You can contact me. Gary Henderson with Medicare genius
Answered by Gary Henderson on June 3, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Andrew Kramer on October 15, 2025
Agent Licensed in FL
Answered by Meghan Blankenship on November 14, 2025
Broker Licensed in FL, MD & OH
Answered by Carol Thompson on October 8, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Start your application for Medicare now. There will be no penalties as long as you have maintained credible coverage through your job.
Go to ssa.gov to create an account and apply for social security and Medicare.
Once you have your Medicare number which takes about 3 weeks. Contact a licensed professional like myself to find coverage that's right for you
Answered by Marcie Barnes on June 21, 2025
Agent Licensed in TX, AK, AL & 48 other states
Answered by Dean Chiapetto on November 23, 2025
Broker Licensed in VA, MD, NC, TN & WV
Answered by Mike Henry on April 18, 2025
Agent Licensed in TX
Answered by Jack Mayer on January 19, 2026
Agent Licensed in CA & NV
Answered by Deborah Webster on August 25, 2025
Broker Licensed in Ia & SC
Answered by Jennifer Kalbach on December 29, 2025
Agent Licensed in KY
Answered by Mel Stevens on April 2, 2025
Broker Licensed in AZ
Answered by Joseph Peck on March 26, 2025
Agent Licensed in MI, AL, CO, KS & TN
Answered by Antonio Rodriguez on November 12, 2025
Broker Licensed in OR
Answered by Ben Washington on July 28, 2025
Broker Licensed in IL, FL, MN, SC, TX & WI
Here are the typical steps:
1. Apply for Medicare Part A and Part B
* You qualify for a Special Enrollment Period (SEP) if you had coverage through your employer (or your spouse’s employer).
* The SEP allows you to enroll in Part B without a late enrollment penalty.
2. Get proof of employer coverage
* You’ll generally need your employer to complete Medicare Form CMS-L564 (Request for Employment Information).
* You’ll also complete Form CMS-40B (Application for Enrollment in Medicare Part B).
3. Enroll promptly after retirement
* Your Special Enrollment Period lasts for 8 months after employment ends or employer coverage ends (whichever comes first).
* Don’t wait, as delaying beyond the SEP could result in penalties and coverage gaps.
4. Choose additional coverage
Once Medicare Parts A and B are active, you’ll need to decide whether to enroll in:
* A Medicare Supplement (Medigap) plan plus a Part D prescription drug plan, or
* A Medicare Advantage plan that may include drug coverage.
Important exception
If your employer had fewer than 20 employees, Medicare may have been expected to be your primary coverage at age 65. In that situation, different rules can apply, and penalties may be possible.
For personalized guidance, you can contact the Social Security Administration or visit Medicare.gov
Answered by Cheryl Lyons on June 8, 2026
Agent Licensed in IN, AR, AZ & 12 other states
Answered by Julie Thompson on October 5, 2025
Agent Licensed in CA, AZ, KY, NV & TN
Answered by John Motsinger on August 4, 2025
Agent Licensed in KY, CO, FL & 9 other states
If you didn't sign up for Medicare at age 65 because you were still working, you worked for an employer with more than 20 employees, and you had creditable Rx coverage through them, the only thing you'll need to do is go to your local Social Security office and register for Medicare Parts A&B. You can also register online at: www.ssa.gov
You will also need a Certificate of Creditable Coverage from your work plan stating that you had creditable Rx coverage from the time you turned 65 until you started your Medicare.
Answered by Mark Murphy on April 6, 2026
Agent Licensed in NJ, AL, CO & 9 other states
Answered by Adam Paul on October 26, 2025
Broker Licensed in CA, NV, OK & OR
Answered by Natalee Nimmo on May 18, 2026
Broker Licensed in SC, FL, GA & KY, MO, NC & TX
Answered by Nora Alishahi on September 30, 2025
Broker Licensed in FL, CA, GA & 9 other states
Answered by Mark Walker on September 8, 2025
Agent Licensed in FL
Answered by Ray Rios on November 2, 2025
Agent Licensed in AZ, CO, FL & KY, MO, NM & TX
Answered by Jose Felix Arevalo on November 24, 2025
Broker Licensed in TX
Answered by Cynthia Allen on June 16, 2025
Agent Licensed in CA, GA, ID & 6 other states
1. Understand your coverage status
If you had creditable employer group health coverage (e.g., from a company with 20+ employees) when you turned 65, you can delay Medicare Part B enrollment until you lose that coverage.
*In most cases, you should have already enrolled in Medicare Part A, as for the majority of people, it is a $0 premium.
2. Apply for Medicare Part B during your Special Enrollment Period (SEP)
You have an 8‑month SEP after you stop working (or lose your employer health insurance, whichever comes first) to sign up for Medicare Part B without penalty.
If you miss the SEP, you’ll face a life‑long 10% penalty on your Part B premium for each year you could have enrolled but didn’t.
Complete the required forms:
Form CMS‑40B: Your application for Medicare Part B.
Form CMS‑L564: Employer‑completed form explaining you had creditable coverage and are now retiring
Submit both to Social Security, preferably sooner rather than later, within your SEP.
4. Plan coverage timing
You can choose to start Medicare Part B the day after your employer coverage ends if you submit the application before you lose coverage.
After enrolling in Part B, you have a 63‑day Special Enrollment Period to add Medigap, Medicare Advantage, or Part D drug coverage.
Answered by Julia Alves on June 2, 2026
Broker Licensed in FL, AZ, GA & 5 other states
Answered by Albert Smith on August 18, 2025
Broker Licensed in IL, FL, GA & 6 other states
Answered by Donald Baker on June 30, 2025
Agent Licensed in MN
Answered by Rick Balistreri on May 13, 2025
Agent Licensed in MO, AZ, FL & 7 other states
To avoid a coverage gap, it’s best to apply a month or two before your employer coverage ends, since Medicare usually starts the first of the month after you apply.
You can enroll in Medicare Part A and Part B through Social Security (either online, by phone, or in person). I often assist my clients with their Part A and Part B enrollment online.
We may also need to submit form CMS-L564 – this verifies you had employer coverage and protects you from late-enrollment penalties.
Once A and B are active, you can decide which coverage path you would like to take: 1. Medicare Supplement with a Drug Plan or 2. A Medicare Advantage Plan.
Answered by Angela Wainright on September 8, 2025
Broker Licensed in MN, AZ & ND
Please apply online through your SSA.gov account (Social Security Account). If you are also expecting to apply for your Social Security Retirement Income, please do not apply at the same time as Medicare. For some reason, this causes major delays in getting your Medicare card. Apply for your Medicare A & B first, get your Medicare card, and then apply for Social Security, if that is possible for you.
Once you have received your Medicare card, you can then speak with an agent about "additional" insurance coverage options. I hope this answer is helpful.
Answered by Sandy Hammond on July 20, 2025
Agent Licensed in OH, IN & KY
Answered by Debbi Wallace on December 29, 2025
Agent Licensed in KS
The best is to contact Social Security office and check where you stand.
Did you delay Part B while still working after turning 65?
Was/ is the coverage you had / have still working credible?
Before you retire contact SSA to make sure your transition goes smoothly.
Answered by Ana V. Magalhaes on May 11, 2026
Broker Licensed in MA, AZ, CA & 7 other states
Answered by Jessie Rhodes on July 27, 2025
Agent Licensed in TX, AL, AR & 24 other states
Answered by Martha Lopez-Elkind on September 29, 2025
Agent Licensed in NV
Answered by Maurice Ellis on April 23, 2025
Agent Licensed in MS, AL, AR & 17 other states
Answered by Brian Williams on September 29, 2025
Agent Licensed in FL, AR, CA & 16 other states
If you missed your enrollment window, you will have to apply through Social Security to activate your account, and may have to wait for an enrollment window...
If you have been covered on a credible group health plan, you will most likely be losing that coverage at retirement. (Some companies allow continuing coverage to their retirees). If you lose that coverage, you are granted a special election opportunity called 'Loss of Coverage" and you have 2 months (63 days) to apply for coverage.
Talk with your HR to see what options you have.
Answered by Gene Page on October 6, 2025
Broker Licensed in UT
Answered by Gina Pranzitelli on February 16, 2026
Agent Licensed in TX, AZ, CA & 22 other states
Answered by Linda Bolan on March 12, 2025
Agent Licensed in IN
Two ways in doing this. 1. Set up your SS account on SSA.gov when you do this you can get your SS started and apply for part B. 2. You can go to Medicare.gov and print the application off. You will need Form CMS-40B this is the request for enrollment in Medicare part B. Also you will need Form CMS-L564 Medicare request for employment information. The reason for this is to prove that you had health coverage past 65. This is very important, so you do not get fined for not having part B. Then you can turn these forms into your local SS office.
Answered by Glenn Virga on January 27, 2026
Agent Licensed in PA, AL, AR & 35 other states
If you don’t qualify for SEP, you may face late enrollment penalties:
* Part B: 10% extra for each year you delayed, added for life.
* Part A: Usually free, but if not, a 10% penalty applies for twice the years delayed.
Next steps: ✔ Check your coverage history. ✔ Contact Social Security to confirm your enrollment options. ✔ Enroll as soon as possible. ✔ Consider extra coverage like Medigap or Part D.
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Pregunta de un Adulto 65+: “¿Qué debo hacer si no me inscribí en Medicare a los 65 años y ahora me estoy jubilando?”
Respuesta: Si tenías seguro médico por tu trabajo o el de tu cónyuge, puedes calificar para un Período Especial de Inscripción (SEP). Tienes 8 meses desde que termina tu empleo o cobertura para inscribirte en Medicare Parte A y/o Parte B sin multas.
Si no calificas para SEP, pueden aplicarte multas por inscripción tardía:
* Parte B: 10% extra por cada año de retraso, de por vida.
* Parte A: Usualmente gratis, pero si no lo es, se aplica una multa del 10% por el doble de los años de demora.
Próximos pasos: ✔ Revisa tu historial de cobertura. ✔ Contacta al Seguro Social para confirmar tus opciones. ✔ Inscríbete lo antes posible. ✔ Considera cobertura adicional como Medigap o Parte D.
Answered by Pedro Rodriguez on September 5, 2025
Agent Licensed in FL, CO, TN & TX
Answered by Alisa Mathis on November 26, 2025
Broker Licensed in PA, IA, ME & 5 other states
Tags: New To Medicare Retirement
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