I know I have discussed this before, but at the end of 2018 I experienced, again the new guidelines Medicare is now using regarding enrollment.
When someone is turning 65, the Initial Enrollment Period (three months before, the month of turning 65 and the three months after) still exists as the first time of eligibility for Medicare and able to enroll. When it becomes confusing is when someone stays on active employment through their own or a spouse’s employment. This is where the new procedures take place.
Up to about two years ago, anyone turning 65 was required to enroll in Part A of Medicare. A penalty would have been assessed had someone NOT enrolled in Part A. Part A coordinates with the benefits provided by the employer whether paying first – for a small employer under 20 employees or second – after employer coverage when the employer has more than 20 employees.
Today, if an individual turning 65 has active employment coverage from their own employment or that of their spouse, they don’t need to enroll in either Medicare Parts A or B until the active employment ends. Once the individual submits paperwork requesting enrollment in Part B and also a statement by the employer that they have been covered by creditable employer sponsored coverage, the process to enroll in Medicare will begin. Part B will be effective upon requested date and Part A will begin the shorter of 6 months back or to 65th birthday. As long as there is proof of employer sponsored coverage from age 65 to the date they enroll, there will be no penalties for Parts A or B.
In addition to the enrollment process changing, the way to enroll has also changed. Now, an individual can enroll in Part B at anytime on line. Instead of making an appointment at the Social Security office, when the on line enrollment is complete, an individual can then simply go to the Social Security office during business hours and drop the supporting documents for enrollment in the drop box at the guard stand.
Change can be confusing and so can enrolling in Medicare. I am an independent insurance agent specializing in health insurance including Medicare. Let’s discuss your options.
A little more about us:
The Business Warrior group has some of the industry’s top experts in all the areas your business needs to be successful. Amongst the contributors is Janis VanAhn, owner of Health Insurance Advisor, LLC. For 19 years Janis has worked in and around the health insurance industry initially providing service to agents and employers related to employee benefits, individual healthcare and Medicare, while more recently becoming appointed as an individual agent with various quality carriers to provide this service to individuals through her own business.
Four years ago Janis was ‘blessed’ with being let go from her job at an insurance ageny. Staying within insurance was her path…but in what capacity. 2010 was the year Janis began her career as an independent insurance agent specializing in health insurance. Finding quality, cost-effective healthcare for individuals and families under age 65 as well as working with those who are Medicare eligible truly was her passion. She has made this a true specialty and positioned herself as someone to work with whether it is a financial professional or property & casualty agent with a client that needs assistance, to a group of seniors turning 65 and they keep receiving Medicare information and are confused about what to do.
Janis enjoys the one on one contact with clients as well as looking forward to speaking to groups about healthcare. Her excitement for this industry is what drives her to stay in tune with Healthcare Reform and what is currently happening and what will happen with coverage from now to past 2014.
‘Educating individual and Medicare consumers to make informed choices’ is her mission because if people are educated and understand, they will make informed choices that they are comfortable with.