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
- Aaron Headley, CFP®
- CA License #4042156
- (843) 231-2056
- (480) 250-9720
- Email: aaron@headleyinsurancesolutions.com
