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Approaching age 65 can feel overwhelming if you're unsure about Medicare enrollment. This article explains in clear, simple terms when and how to enroll, whether you get automatic coverage, and how to avoid costly late enrollment penalties.
📍 Key Takeaways
🗓️ Initial Enrollment Period (IEP)
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Starts 3 months before your 65th birthday, includes your birth month, and ends 3 months after — a total of 7 months of eligibility
🚀 Automatic vs. Manual Signup
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If you're already receiving Social Security or Railroad Retirement benefits at least 4 months before turning 65, you’ll be automatically enrolled in Medicare Parts A and B
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If not, or if you live outside the U.S., you'll need to sign up manually online or by phone/mail with SSA
🔁 Delaying Part B If Still Working
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If you (or your spouse) have employer group health insurance, you can delay enrolling in Part B during your IEP without penalty.
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Once employment ends, you have an 8-month Special Enrollment Period (SEP) to sign up penalty-free
⚠️ Late Enrollment Penalties
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Failing to sign up within the IEP or SEP may result in permanent penalties:
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10% extra premium for each 12-month delay on Part B and Part DBe proactive to avoid long-term costs.
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📝 Quick Enrollment Guide
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Check your Social Security status — Are you already receiving benefits?
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Determine your IEP start date — 3 months before your 65th month.
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Understand if employer coverage applies — It may allow delayed Part B enrollment.
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Enroll during IEP or SEP — Either online via SSA or by calling/mail.
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Save proof of submission — Print confirmations, get receipts, or track correspondence ⚠️ Important to prove you enrolled on time in case of disputes

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