Does social security automatically enroll you in medicare

Do you get benefits from Social Security (or the Railroad Retirement Board) now?

Do you get benefits from Social Security (or the Railroad Retirement Board) because of a disability or ALS (also called Lou Gehrig's disease)?

Do you have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig's disease)?

Did you start getting benefits from Social Security (or the Railroad Retirement Board) at least 4 months before you turned 65?

Select which best describes you:

Do you plan to start getting benefits from Social Security (or the Railroad Retirement Board) at least 4 months before you turn 65?

Select your situation:

Your answer

You automatically get Medicare

  • You should already have  Part A (Hospital Insurance)  and  Part B (Medical Insurance) , because you have ALS (Amyotrophic Lateral Sclerosis) and you’re already getting disability benefits.
  • We mailed you a welcome package with your Medicare card.

Sign up for Part B if you live in Puerto Rico or outside the U.S.
You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months after your Part A starts, you might have to wait to sign up and pay a monthly late enrollment penalty.
 

What can I do next? 

See Coverage Options

Generally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application. However, because you must pay a premium for Part B coverage, you have the option of turning it down.  You will receive a Medicare card about two months before age 65. (Note: Residents of Puerto Rico or foreign countries will not receive Part B automatically. They must elect this benefit.)

If you would like to file for Medicare only, you can apply by calling 1-800-772-1213. Our representatives there can make an appointment for you at any convenient Social Security office and advise you what to bring with you.  When you apply for Medicare, we often also take an application for monthly benefits.  You can apply for retirement benefits online.

If you didn’t sign up when you were first eligible for Medicare, you can sign up during the General Enrollment Period between January 1 and March 31 each year, unless you are eligible for a Special Enrollment Period.

Content created by Digital Communications Division (DCD)
Content last reviewed October 10, 2014

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If you become eligible for Medicare because of a disability and have been receiving Social Security Disability Insurance (SSDI) or railroad disability annuity checks for 24 months, you should automatically be enrolled in both Medicare Parts A and B at the start of your 25th month.

You should not have to contact anyone. You should receive a package in the mail three months before your coverage starts with your new Medicare card. There will also be a letter explaining how Medicare works and that you were automatically enrolled in both Parts A and B. If you get Social Security retirement benefits, your package and card will come from the Social Security Administration (SSA). If you get railroad disability annuity checks, your package and card will come from the Railroad Retirement Board.

The letter also explains that your monthly Part B premium will be automatically deducted from your Social Security check or railroad disability annuity check beginning the month your coverage begins.

Typically, you should not turn down Part B unless you have insurance based on your or your spouse’s current work (job-based insurance). If you do not have job-based insurance and you turn down Part B, you may incur a premium penalty if you need to sign up for Medicare coverage in the future. Also, if your job-based insurance will pay secondary after you become eligible for Medicare, you should consider enrolling in Medicare in order to have primary coverage and pay less for your care.

If you were not automatically enrolled or have other enrollment questions, contact your local Social Security office or Railroad Retirement Board field office.