Turning 64? – What you need to know

When you turn 64, it’s a great time to start learning about Medicare so you’re ready to make informed decisions when you become eligible at age 65. Here’s a breakdown of what you need to know and start thinking about:

🧠 1. Understand What Medicare Is

Medicare is a federal health insurance program for:

  • People 65 or older
  • People under 65 with certain disabilities
  • People with End-Stage Renal Disease (ESRD)

🗓️ 2. Know When You Can Enroll

You become eligible for Medicare at 65. Your Initial Enrollment Period (IEP) is:

  • 7 months total:
    • Starts 3 months before your 65th birthday
    • Includes your birthday month
    • Ends 3 months after

✅ Tip: Enroll early (in the first 3 months) to avoid delays in coverage.

📋 3. Learn the Parts of Medicare

Medicare has four main parts:

Part

What it Covers

Cost

Part A

Hospital insurance (inpatient care, skilled nursing, hospice)

Usually free if you or your spouse paid Medicare taxes

Part B

Medical insurance (doctor visits, outpatient care)

Monthly premium (standard is around $175.40/month in 2025)

Part C

Medicare Advantage (bundled plans from private insurers)

Varies by plan

Part D

Prescription drug coverage

Varies by plan

💳 4. Decide Between Original Medicare and Medicare Advantage

You can choose one of two paths:

Option 1: Original Medicare

  • Part A + Part B
  • Add Part D (drug coverage)
  • Optional: Add Medigap (supplemental insurance to cover costs like deductibles)

Option 2: Medicare Advantage (Part C)

  • All-in-one plan from private insurer
  • Includes Part A, Part B, often Part D
  • May offer dental, vision, hearing

💰 5. Consider the Costs

Even though Medicare helps with costs, it’s not free:

  • Part B premium (required)
  • Part D premiums
  • Deductibles, copays, and coinsurance
  • Medigap or Advantage premiums (if you choose them)

🧾 6. Check If You Need to Sign Up

You must sign up for Medicare unless you:

  • Have credible coverage through an employer (yours or your spouse’s) with more than 20 employees

If not, delaying enrollment can result in:

  • Late enrollment penalties
  • Gaps in coverage

🏥 7. See How Medicare Works with Employer Coverage (if still working)

  • If you’re still working at 65, you can sometimes delay Part B and Part D without penalty.
  • Check with your employer benefits office.

📑 8. Start Comparing Plans

Use the Medicare Plan Finder on medicare.gov to compare:

  • Drug coverage (Part D)
  • Medicare Advantage plans
  • Medigap policies

🛠️ 9. Gather Documents & Information

Get ready by collecting:

  • Your Social Security number
  • Employment and health insurance info
  • Records of any current coverage

📞 10. Where to Get Help

  • Call Aaron Headley Insurance Solutions:
  • Medicare.gov or 1-800-MEDICARE
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