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Turning 65? Here is your calm Medicare plan

Find your exact enrollment window, avoid lifelong penalties and choose coverage with a local advisor beside you.

Smiling woman in her sixties outdoors on a bright Arizona day
01

Initial Enrollment Period calculator

Your IEP is the three months before your 65th birthday month, the month itself, and the three months after. Choose your birthday to see your dates.

    • Sign up in the first 3 months and coverage starts .
    • Your 6-month Medigap Open Enrollment starts when Part B begins.
    • Missing this window without other coverage can mean a lifelong Part B penalty.

    This tool gives general guidance. Special situations, such as employer coverage or disability, can change your dates. We are happy to confirm yours.

    02

    Your month-by-month checklist

    Print it, stick it on the fridge, and tick things off as you go.

    1. 6 months before

      Gather the facts

      • Ask HR if your employer coverage is creditable and how many employees the company has
      • Create a my Social Security account
      • List your doctors and prescriptions with doses
      • Stop HSA contributions if you plan to enroll in Part A
    2. 3 months before

      Your window opens

      • Apply for Parts A and B if you are not collecting Social Security
      • Book a free plan comparison with an advisor
      • Compare Medigap plus Part D against Medicare Advantage
    3. Birthday month

      Coverage begins

      • Watch for your Medicare card and plan ID cards
      • Give your pharmacy the new card before your next refill
      • Keep employer coverage until Medicare is confirmed in writing
    4. Within 12 months

      Settle in

      • Book your free Welcome to Medicare preventive visit
      • Save every plan letter in one folder
      • Mark October 1 for your first annual review
    03

    Still working, or leaving a job soon?

    This is where most turning-65 mistakes happen. The rules depend on your employer's size and the kind of coverage you have, not on how good that coverage feels.

    Couple reviewing employer benefit paperwork together at a kitchen table

    20 or more employees

    Creditable. You can usually delay Part B with no penalty, and your group plan pays first.

    Fewer than 20 employees

    Medicare usually pays first, so enroll in Parts A and B on time or your claims may be denied.

    COBRA or a retiree plan

    Not creditable for delaying Part B. Enroll during your IEP even if the coverage looks generous.

    Read the full turning 65 guide
    04

    Turning 65 questions

    If your employer has 20 or more employees and you have group coverage through active work, you can usually delay Part B without a penalty. Many people still take premium-free Part A. When you leave that job, you get an 8-month Special Enrollment Period.

    Only if you already receive Social Security or Railroad Retirement benefits at least 4 months before turning 65. Otherwise you need to apply through Social Security.

    If you delay Part B without creditable coverage, your premium increases 10% for each full 12-month period you could have had Part B, for as long as you have it.

    Yes. Medicare treats you as turning 65 the day before your birthday, so your enrollment window and coverage start one month earlier. Tick the box in the calculator above.

    Each person enrolls based on their own 65th birthday. A younger spouse can stay on employer or marketplace coverage until they qualify.

    Turning 65 soon? Let us plan it

    A licensed Sagebrook advisor will compare the plans we offer against your doctors and prescriptions. No cost, no pressure.

    Free, independent helpEnglish y españolTTY 711

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