My husband is 70 and gets premium free Medicare part A. I will be turning 65 in a couple of months. I have never worked. Will I qualify for either premium free Medicare part A based on my husband's work record, or will I have to pay a premium? Thx.
I will be 66 on February 14th. I am still working and planning to continue to do so until age 70, God willing. I did not enroll in Part A because I work for a large employer that offers a creditable medical insurance. I am planning to start receiving social security in January. Should I enroll in Part A? I live in Puerto Rico and I understand Part A does not come automatically when you start to receive SS. I think in PR we have to enroll in Part A. Am I correct?
I am retired federal civil service with FEHB Kaiser HMO health insurance. If I sign up for social security I automatically get medicare part A. Is medicare part A or Kaiser HMO insurance primary?
Born 10-2-1954. Retiring June 6th 2024. 4 months shy of my 70th. Stopped my HSA November 21st, 6 months and a few days prior to June to avoid a tax penalty. Going for the G plan. My wife has Mutual of Omaha for her supplement. Their prices seem reasonable. After the holidays I am thinking about getting the ball rolling. Any early advice you can give me to make this transition as trouble free as possible would be greatly appreciated.
Your series are so very beneficial. I watched some last night and had my "ah ha" moment and am back this morning getting much needed information to move forward with this process. Again, more "ah ha" moments. A rhetorical thought, is your youtube series so helpful it diminishes the needs of your services, or, because you come across as a very kind, helpful, informative, genuine person, you get lots of clients from them. Again, rhetorical. Long post that could have simply be said, "Thank you"
I try to offer as much free value as I can via these videos. I find that many folks call our office and choose to work with us because of this value they have received. Thanks for watching!
Why Medicare system has such a convoluted rules? I thought as people finish serving their country by working over 30 years they should have peace of mind with their retirement plans including Medicare and social security. Such an unfair system.
That helped me a lot bc even my FP has no idea about these rules and it seems to me that she should have some background on these rules so that she is better able to serve her clients. When I asked any questions she just sat there blankly and all I heard were crickets. I appreciate your knowledge!
Thank you SO much for answering many of the questions I had in such a succinct way regarding part A and my HSA. I will keep your office in mind when I DO decided to jump out of the rat race.
I am 67.5 years old and have been working for an employer with >20 employees. I have a HSA that both I and my employer have been contributing to. I am now ready to start Social Security, but I just found out about Medicare being retroactive for 6 months. What is the penalty for having contributed to the HSA for the last 6 months? Is it just to pay tax on the contributions of the last 6 months, or is there also a penalty? If there is a penalty, is there any way to avoid it?
Please do a video just on HSA and timing of enrollment, including self employed on a Marketplace plan. Ex. If dob in Aug can a self employed enroll in November and thus make HSA contribution thru May? Thank you!
If you are on a marketplace plan, you are no longer eligible for a tax credit subsidy once you are eligible for or enrolled in Medicare Parts A and/or B. Also, marketplace plans do not count as creditable coverage to delay your Medicare enrollment without penalty. For example, if you are turning 65 in August, you have until the end of November (3 months after your 65th birth month) to enroll in Medicare parts A and B to avoid penalty. If you enroll in September, October or November then your part B effective date will be delayed by up to 3 months BUT your Part A coverage will automatically be retroactive to Aug 1st. This means you would have needed to stop all HSA contributions prior to Aug 1st and you would no longer be subsidy tax credit eligible as of Aug 1st. I hope this helps!
Thank you for the information, I'm turning 65 this year, I'm still employed but do not have an HSA account so I'd like to sign up for Medicare part A only. Can you please send the link to the website that I sign up for it at. Thank you
Part A covers inpatient hospital stays where the beneficiary has been formally admitted to the hospital, including semi-private room, food, and tests. As of January 1, 2020, Medicare Part A had an inpatient hospital deductible of $1408, coinsurance per day as $352 after 61 days' confinement within one "spell of illness", coinsurance for "lifetime reserve days" (essentially, days 91-150 of one or more stay of more than 60 days) of $704 per day. The structure of coinsurance in a Skilled Nursing Facility (following a medically necessary hospital confinement of three nights in a row or more) is different: zero for days 1-20; $167.50 per day for days 21-100. Many medical services provided under Part A (e.g., some surgery in an acute care hospital, some physical therapy in a skilled nursing facility) are covered under Part B. These coverage amounts increase or decrease yearly on the first day of the year. The maximum length of stay that Medicare Part A covers in a hospital admitted inpatient stay or series of stays is typically 90 days. The first 60 days would be paid by Medicare in full, except one copay (also and more commonly referred to as a "deductible") at the beginning of the 60 days of $1340 as of 2018. Days 61-90 require a co-payment of $335 per day as of 2018. The beneficiary is also allocated "lifetime reserve days" that can be used after 90 days. These lifetime reserve days require a copayment of $670 per day as of 2018, and the beneficiary can only use a total of 60 of these days throughout their lifetime. A new pool of 90 hospital days, with new copays of $1340 in 2018 and $335 per day for days 61-90, starts only after the beneficiary has 60 days continuously with no payment from Medicare for hospital or Skilled Nursing Facility confinement. Some "hospital services" are provided as inpatient services, which would be reimbursed under Part A; or as outpatient services, which would be reimbursed, not under Part A, but under Part B instead. The "Two-Midnight Rule" decides which is which. In August 2013, the Centers for Medicare and Medicaid Services announced a final rule concerning eligibility for hospital inpatient services effective October 1, 2013. Under the new rule, if a physician admits a Medicare beneficiary as an inpatient with an expectation that the patient will require hospital care that "crosses two midnights", Medicare Part A payment is "generally appropriate". However, if it is anticipated that the patient will require hospital care for less than two midnights, Medicare Part A payment is generally not appropriate; payment such as is approved will be paid under Part B. The time a patient spends in the hospital before an inpatient admission is formally ordered is considered outpatient time. But, hospitals and physicians can take into consideration the pre-inpatient admission time when determining if a patient's care will reasonably be expected to cross two midnights to be covered under Part A. In addition to deciding which trust fund is used to pay for these various outpatient versus inpatient charges, the number of days for which a person is formally considered an admitted patient affects eligibility for Part A skilled nursing services. Medicare penalizes hospitals for readmissions. After making initial payments for hospital stays, Medicare will take back from the hospital these payments, plus a penalty of 4 to 18 times the initial payment, if an above-average number of patients from the hospital are readmitted within 30 days. These re-admission penalties apply after some of the most common treatments: pneumonia, heart failure, heart attack, COPD, knee replacement, hip replacement. A study of 18 states conducted by the Agency for Healthcare Research and Quality (AHRQ) found that 1.8 million Medicare patients aged 65 and older were readmitted within 30 days of an initial hospital stay in 2011; the conditions with the highest readmission rates were congestive heart failure, sepsis, pneumonia, and COPD and bronchiectasis. The highest penalties on hospitals are charged after knee or hip replacements, $265,000 per excess readmission. The goals are to encourage better post-hospital care and more referrals to hospice and end-of-life care in lieu of treatment, while the effect is also to reduce coverage in hospitals that treat poor and frail patients. The total penalties for above-average readmissions in 2013 are $280 million, for 7,000 excess readmissions, or $40,000 for each readmission above the US average rate. Part A fully covers brief stays for rehabilitation or convalescence in a skilled nursing facility and up to 100 days per medical necessity with a co-pay if certain criteria are met: 1.) A preceding hospital stay must be at least three days as an inpatient, three midnights, not counting the discharge date. 2.) The skilled nursing facility stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. 3.) If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision (e.g., wound management) then the nursing home stay would be covered. 4.) The care being rendered by the nursing home must be skilled. Medicare part A does not pay for stays that only provide custodial, non-skilled, or long-term care activities, including activities of daily living (ADL) such as personal hygiene, cooking, cleaning, etc. 5.) The care must be medically necessary and progress against some set plan must be made on some schedule determined by a doctor. The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment of $167.50 per day as of 2018. Many insurance group retiree, Medigap and Part C insurance plans have a provision for additional coverage of skilled nursing care in the indemnity insurance policies they sell or health plans they sponsor. If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 90-day hospital clock and 100-day nursing home clock are reset and the person qualifies for new benefit periods. Hospice benefits are also provided under Part A of Medicare for terminally ill persons with less than six months to live, as determined by the patient's physician. The terminally ill person must sign a statement that hospice care has been chosen over other Medicare-covered benefits, (e.g. assisted living or hospital care). Treatment provided includes pharmaceutical products for symptom control and pain relief as well as other services not otherwise covered by Medicare, such as grief counseling. Hospice is covered 100% with no co-pay or deductible by Medicare Part A, except that patients are responsible for a copay for outpatient drugs and respite care, if needed.
Very helpful video - thank you! One thing that I am unsure about - do supplemental insurance policies cover long-term care that is not covered by Part A, or do they just cover the deductibles, etc.? Hopefully I won't need long-term care, at least for the foreseeable future, but I want to be sure that I am fully covered (when needed) for anything that may not be covered by Medicare Parts A & B plus supplemental.
I forgot to mention I will come to you for the supplemental benefits when the time comes. Currently, I still have healthcare insurance from my work (more than 20 employees). Thank you.
Hi. Great videos. Question: is there a tax penalty if you sign up for Part A and your HSA is NOT employer funded in the tax year? That is, if I make all HSA contributions for 2021 (no employer contribution), can I sign up for Part A without a tax penalty in 2021?
Great info!!! If you qualified for Medicare Nov 2022, turning 65, do I now have to wait until open enrollment on Nov 1, 2023, missing the window? I am still working and covered via my spouse's medical insurance so I thought It was unnecessary to Get Medicare Part A and pay a premium until I found out it costs nothing and would be secondary coverage should I be hospitalized.
I’m still working at 66 yo with more than 20 employees , should I apply Medicare now ? .. we have good medical insurance from work I don’t know when I’m going to stop working , my kids still minors12 and 14 yo .. Thank you for your presention
I have Medicare part A because I receive my husband’s pension since he passes away. I live in Canada but are travelling by car to North Carolina tomorrow. If I were in an accident in the US would I be accepted into a hospital and would Medicare A pay some of the bills? Thank you in advance
If you apply for part A, why you cannot have HSA? Does Part A cover deductible,coinsurance,…etc. ? What benefit you get from part A at this stage? how much the penalty? . Thanks
Hi Stephanie, I'm still working, 62 years old and my husband turns 65 in Sept 2023. We get insurance through my work. All my friends tell me I should sign my husband up for Part A "since it doesn't cost anything". I do understand my work insurance would be primary for him and then part A secondary. Is there a downside for me enrolling him in Part A?. Are there consequences if Part An and Part B have different enrollment dates? What are the Pros and Cons if I delay Part A for him? FYI he does want to start taking his social security check between Oct-Dec this year, after he turns 65. We definitely will NOT be enrolling him in Part B until I retire, quit, or get laid off. I would go on COBRA initially for us, but I do understand then for him COBRA would be his secondary insurance. thank you.
There is no downside to have his Part A start now as long and he is not making HSA contributions. Also, you’re right - he should delay Part B. If he delays Parts A and B now, he will automatically be enrolled in Part A only when he starts drawing social security benefits. I hope this helps!
Stephanie, I am elegible to Medicare in March 17, 2023 and I do not have creditable Health Insurance plan; hence, I will have to enroll in Medicare. I am planning to enroll within the first three month prior to my birthday. I have a HSA through my employer at this point. Does it mean that I have to stop contributing as my employer on February 28 2023? I almost certain that is the case but I want to make sure I got it right. Thank you in advance for your help.
i'm turning 65 in January. I am covered through my spouse employment insurance. I want to apply for Medicare Part A but their insurance is BC/BS with HSA. Am I ok to apply for Part A?
I am 67, full time employed with health care coverage. I just enrolled in medicare part A. Waiting for card to arrive. I heard you say that benefits are retroactive 6 months prior to signing up. My question is that I have had two outpatient ultrasounds this past month which were not covered by my insurance. Will part A cover these?
Question. If i am enrolled in Medicare A and B. Then go back to full time employment after full retirement age. Would I be penalized if i get company insurance plan
Thanks for very clear information! Can you comment on FSA? I don't have an HSA, but do contribute to FSAFEDS. Will that impact applying for Medicare part A? FYI, I have a FEHB and plan to work past age 65. Thanks!
Great video, thanks Stephanie. A couple of questions: So, what is the penalty for contributing to an HSA while on Medicare? I thought I read that it was 6% of your HSA balance. Question 2: I'm still working and on company health insurance (more than 20 employees). However, I plan to retire later this year, but have a concern that I may get laid-off before officially retiring, and thus, lose my insurance. If that happens, wouldn't this create that gap in insurance coverage that could result in my getting a penalty? That is why I'm thinking that maybe I should go ahead and enroll now in both A and B in case (God forbid) so to avoid that gap were to get laid off. What do you think?
Hello. Asking on behalf of someone. She never enrolled in Medicare because she never worked in the USA. Can she do a late enrollment now and if so, what would be the penalty?
Very informative video, I do have one question, I am 64 and 8 months now and do work full time with health insurance but no HSA,. Should I now apply for Part A, I do plan to work until I'm at least 66 and 4 months
Thanks Stephanie, I'm still confused how a Medicare Provider fits into the overall picture. What's the purpose of a Medicare Provider? Great videos BTW !!!
My spouse is the one who is turning 65 in May 2024. He does not work anymore but he is under my health insurance with more than 20 employees. I have an HSA account at work, can he apply in Medicare Part A, or he can delay since I have an HSA contribution?
I am retired federal civil service with FEHB Kaiser HMO health insurance. If I sign up for social security I automatically get medicare part A. Is medicare part A or Kaiser HMO insurance primary?
If you are drawing social security benefits, then Part A is automatic for you. If not, you can enroll in Part A following the video instructions. I hope this helps!
What happens if your HSA contribution was made in the same year and six months before signing up for Part A but the contribution amount was the HSA limit? For example, say I contributed $8,200.00 to my HSA in January and signed up for Part A in October. Are there no tax implications in this scenario or are the HSA contributions pro-rated over the year?
I thought when I’m 64 whether I’m working or not, I need to at least sign up for Medicare part a to avoid penalties….. and you’re saying if you’re working not to even sign up for it I think the person would be penalized but you’re the pro so I’m super confused on that statement you said
Hello! my aunt is 66 still working and her work credits is 37 credits. In this case she passed her Initial enrollment. Is she need to get private insurance till she get 40 credits work?
Thanks Stephanie, for the clearest explanation I have seen on this topic anywhere! I expect to continue working after I turn 65 and am considering delaying my Medicare Part A application so that I can continue making HSA contributions due to its tax benefits. I want to understand a potential risk, which would be a future involuntary separation from my employer. If this happens, I would immediately apply for Parts A and B, which should normally be approved and be effective the first day of the month after I apply, after which I can apply for Part D. Can my Part A and B approvals get delayed past 63 days of my separation, resulting in my missing the SEP window for Part D and having to pay a penalty?
In general, no. Medicare may take up to 4-5 weeks to approve your Part B coverage but your coverage will be retroactive to the first date of the next month after you applied for coverage.
@@AbtInsuranceAgency Therefore, if Part B approval is delayed, do I go ahead and apply for Part D after the first day of the next month, since coverage is retroactive to that date, without waiting for Part B approval?
Thanks, what's the deal with less than 19 or 20 employees. I'am tuning 65 at end of and gonna work til end of April or may can I wait and sign up for a@b then
Hi question for anyone out there who can answer this. I will be collecting a pension from the state and also will be collecting a little from social security. I will be 66 in September. Question is how much can I work on a part time job.
Thanks for all the great info. So as far as HSA, I am 65 and on my wife's plan. I'm going to start collecting SS next month, and will remain on her insurance. She will probably be working for at least 3 more years. She has an HSA account she pays into. How does that affect my Part A since i'm not actually the one payinginto it. Thank you
@@AbtInsuranceAgency thank you, I think that is a very important point to make in the video, as it came from the point of view that the person turning 65 was contributing to the HSA. I'm in the same boat, my husband is turning 65 in 2023 but I'm younger and the one contributing to the HSA and providing insurance coverage, so I wasn't sure for example if I had to quit contributing for the 2 of us in the HSA, and just do the single limit or since it's ME NOT RETIRING, I could still fund the full $8K for the two of us. Your videos ARE AWESOME!!
@@AbtInsuranceAgency Thank you so much, so I can contribute for both myself and husband, correct? You ROCK! thank you so much. My only last question I have I'm trying to find is how to inform social security that we don't want to enroll my husband in Part A and B? He would like to start taking his retirement benefit check around Oct 1st (his 65th birthday is 9/29), but I've heard that they will automatically enroll him in Part A and we want to turn it down for now since he's covered under my insurance, so how do we deny Part A please? (and B if we have to tell them (I'm assuming not since there's a cost there). I'm going to recommend so many people to your videos!!
I apologize if someone already asked this, but there are a LOT of comments to scroll through. My husband is a retired teacher (TX) and will NOT collect SS (he did not pay in for 40 quarters). So, from what I've read and listening to this video, it seems he will have to enroll in Part A. Am I correct in that thinking?
Great video. I certainly subscribed as I just found you. Question, I'm on Medicare as a secondary as I am also covered on my wife plan and she is working so I am primary on my wife plan secondary on Medicare. My wife gets an employers one time contribution usually in February with family coverage of $3000 in one lump sum each year. Does the 6 month period before she decides to retire after age 65 start 6 months back from February or is the $3000 considered to be divided up for the entire year?? (Or is that depended on what my employers think)? I have many more questions for instance I have an MRA (Medical Retirement Account) from my previous employer paid in January of each year but divided over the year. Does that effect Medicare or any rules for this type of account?? When my wife does decides to retire I and her will enroll in my previous employer medical plan since as an Retiree I am edible. How does the timing work for me and my wife. I know I will enroll when she retires but does she enroll in Medicare A and B at the same time and my plan??? I certainly sorry for all the questions.
hi , and thank you , i have a question i have insurance through work and would like to apply for part a only and keep my work policy , i have a health care spending card i contribute in , my employer say i can keep contributing because its a fsa card ? without any penalty is this correct ? thanks David
I'm working, turned 64 in August 2023. Want to enroll Part A. Confused about when. Is there an enrollment period. Or should/can I enroll 3 months before I turn 65, or do I wait for my 65th birthday ?
If you have an HSA that you contribute to by payroll deduction (and your employer matches) and you want to continue that until you you retire at age 67, is there a way to adjust the six month retroactive period for Medicare A? Is it automatic exactly 6 months before from day of application for A? (Employers usually do annual enrollment only for benefits like health ins.)
So turning 65. Employer over 20 employees. No HSA. My group health insurance premium is under $200 month for spouse and myself. Spouse is 64. Do I just sign up for Medicare Part A only and my health insurance through employer will keep paying (for spouse and I) until I retire in 3 years?
Excellent channel. I just subscribed. My birthday is on February 12 (when I turn 65). Do I have to wait till November 12, 2020 (exactly 3 months prior to my 65th birthday) to sign up for Part A, or can I sign up on November 1?
@@AbtInsuranceAgency When I called SS in November 2020 to enroll for Part A, they said since I am still working and I have healthcare insurance from my employer, I need not enroll for Part A. They said when the time comes for me to quit work and claim for SS at FRA or age 70, I will be "automatically" enrolled for Part A. Did they give me the correct info?
I have Original Medicare parts A and B and a Medicare supplement plan. I recently received from my supplement -- in the mail -- additional insurance just for cancer. Doesn't Original Medicare parts A and B and the Medicare supplement cover cancer?
Medicare Parts A and B covers most medically necessary cancer treatments, yes. However, separate cancer insurance policies can help protect against unexpected or unforeseen costs related to a cancer diagnosis. Feel free to give us a call for more information! 888-465-9728
Stephanie, thank you for the informative information. If my spouse is collecting social security and will be turning 65 next year, however I am still actively working with good benefits, is my spouse REQUIRED to enroll in Medicare part A (since she is receiving Social Security)? I would prefer to delay both part A and B since the monthly payments are less with her on my employers plan (which is deemed creditable) and I want to fully contribute to my HSA. I'm just not sure if she can delay Part A since she is receiving Social Security.
@@AbtInsuranceAgency Thanks for the info. That's a bummer that I would no longer be able to continue to contribute the "couple" rate to the HSA and will only be able to contribute as a "single". At least she won't have to enroll in part B and we can save on that cost.
@@AbtInsuranceAgency I don't know what to think here. My wife called SS today and the individual she spoke with stated she can delay both A and B, even though she is currently receiving SS payments. Fortunately we still have some time to iron out the inconsistencies and figure out what is correct.
Stephanie, how does the contribution timing work if I have an HSA account and want to sign up for a Medicare Advantage plan (part C?) when I decide to retire.
You can only sign up for Medicare Advantage (Part C) if you have Parts A and B. You would want to discontinue HSA contributions 6 months before applying for Medicare Parts A and B since the can make Part A retroactive- although Part A will never be retroactive further back than the first day of your 65th birth month. Please call us with questions!
I am 65 already and am still not retired and I’m having to go to the hospital here in the next couple of months can I get part A and I am insured by the company
Hello Stephanie, After paying the $1408 deductible for a hospital stay, are all services provided during that stay covered under Part A Or are some services like doctors covered under Part B?
This is why you DO NOT want an Advantage plan, among many other reasons... get the Supplement G, covers everything Original medicare doesn't pickup except part B deductible. AFAIK!
Hello. I tried to apply for part A only but the site they directed me to asked only about part B. I completed the information. Will I be getting forms to fill out and return for part A?
I am turning 65 in 2 weeks. I am currently working and plan on working. A couple more years I do a employer Health plan. I was told medicare would send membership card for part a automatically automatically, but I have not received one.Possibly was thrown out as junk mail. When I go online and Enroll, in part A. Will I then receive membership card in the mail?
If you are not collecting social security benefits then you don’t get auto- enrolled in Part A. Once you go online and enroll in Part A only you will receive a card in the mail.
I start collecting SS as of my full retirement age of 66y 6m. I also contribute to an HSA. Can I collect SS at my full retirement and continue to work and not be automatically enrolled in Part A?
Question - I will still be working past 65 and plan to sign up for Medicare part A only. And will my work insurance still remains my primary or Part A becomes my primary? Or I can choose which one is my primary? Thanks.
I work for Baltimore County Public Schools, They Provide Medical insurance for me Even After I retire, I plan on working until I am 70 I turn 65 this July. My employer will give me a pension and Provides medical Insurance Even during my Retirement. I WILL GET SS at 66 and 8 months, Do I need to enroll in Medicare at all?
Thanks Stephanie! Question I am planning on working after 65 [ in June] I have a regular insurance basis plan through employer no HSA. Can I wait for medicare A or should I sign up for it only. I plan on working 5 or more years. Thank you.
@Medicare Specialist - Abt Insurance Agency Thanks Stephanie, I appreciate you're replying. I will just wait until I'm ready to retire and sign up for all all of them. Plus, whatever plan you help me to choose later!
Hello. This is Mansour Fatehi,67 years old and my wife will turn 65 on 05/14/2024. Currently I have Amazon Aetna high deductible HSA Coverage,my wife has Walmart KP DHMO coverage. KP SENIOR MEDICARE suggested 3 senior plans to us. 1) Can I switch to Medicare and which one is the most suitable to Me? 2) My wife will turn 65 almost 8 months later, so is she eligible to Enroll one of these 3 plans.
My mother has Medicare part A we were in the hospital for 3 and 1/2 hours. The lady at the emergency room I checked in showed her the lady that came to our room with the computer I showed her the card. After three and a half hours a diagnosed her with covid mild case they wanted to check her into the hospital and I said no she said no. A bill came to the house for $6,000 and on the bill it says she was in for 2 days and she was in for three and a half hours and she has no insurance and I showed Medicare part A which covers the emergency. So now I called to find out and they kept pushing one call to another call three times they hung up on me. So my question is how do I solve this for my mother.
Hi Thanks for useful information. I have question about part d deductible which is $480 for 2022. I spend about $300 on all my medicines which all generics tier 1 .never hit $480 deductible. An suggestion please
Many people fall into this category. You can use websites like goodrx.com to find additional discounts on your generics, but in your case you should be with the lowest cost Part D plan. Most Part D drug plans start at $7/month this year and by having a plan in place you are avoiding any future Part D penalties down the road.
Hi. Thanks for for info. I plan to retire. I do have Part A and insurance from my currant large employer. I was admitted in hospital for cardiac catherization. I am getting bills from Doctors who performed the procedure as inpatient. Does Part A covers the Doctors visits and procedure fee. Primary paid their part but still substantial amount is left over has been billed to me as my part as deductible and co insurance. Thanks
My question is: I’m on my wife’s insurance. She will be continuing working, and so will I. She has an HSA, but I don’t officially. Although I have used it, I have not contributed to it. When I apply for Medicare Part A, will it affect her?
Questions on Medicare Part A? Leave them below!
what happens to disability insurance when you get medicare?
My husband is 70 and gets premium free Medicare part A. I will be turning 65 in a couple of months. I have never worked. Will I qualify for either premium free Medicare part A based on my husband's work record, or will I have to pay a premium? Thx.
@@CarlosGarcia-ls4hn You should qualify for premium free Part A based on his work record.
I will be 66 on February 14th. I am still working and planning to continue to do so until age 70, God willing. I did not enroll in Part A because I work for a large employer that offers a creditable medical insurance. I am planning to start receiving social security in January. Should I enroll in Part A? I live in Puerto Rico and I understand Part A does not come automatically when you start to receive SS. I think in PR we have to enroll in Part A. Am I correct?
I am retired federal civil service with FEHB Kaiser HMO health insurance. If I sign up for social security I automatically get medicare part A. Is medicare part A or Kaiser HMO insurance primary?
This was extremely informative. I had been avoiding the subject for months. Thank you.
Thanks for this video. Sent you an email asking the Medicare A question that was answered here. Appreciate your help.
This is absolutely the video I needed. Thank you so much!
Born 10-2-1954. Retiring June 6th 2024. 4 months shy of my 70th. Stopped my HSA November 21st, 6 months and a few days prior to June to avoid a tax penalty. Going for the G plan. My wife has Mutual of Omaha for her supplement. Their prices seem reasonable. After the holidays I am thinking about getting the ball rolling. Any early advice you can give me to make this transition as trouble free as possible would be greatly appreciated.
My advice would be to give my office a call! We can help 🙂
888-465-9728
Thank you very much Stephanie. I appreciate your help. Very clear and easy to understand. God bless.
your videos have helped me get a better understanding of medicare for my Insurance Claims, Processing and Adjudication class, THANK YOU SO MUCH
Your series are so very beneficial. I watched some last night and had my "ah ha" moment and am back this morning getting much needed information to move forward with this process. Again, more "ah ha" moments. A rhetorical thought, is your youtube series so helpful it diminishes the needs of your services, or, because you come across as a very kind, helpful, informative, genuine person, you get lots of clients from them. Again, rhetorical. Long post that could have simply be said, "Thank you"
I try to offer as much free value as I can via these videos. I find that many folks call our office and choose to work with us because of this value they have received. Thanks for watching!
Why Medicare system has such a convoluted rules? I thought as people finish serving their country by working over 30 years they should have peace of mind with their retirement plans including Medicare and social security. Such an unfair system.
Nobody wants to pay the taxes necessary for this.
Very good presentation. Told me exactly what I needed to know on this somewhat tricky situation.
Thank You! That just got me over a major hurdle.Exactly where to start.❤
Hi you explained everything so well you look so professional you should be a news anchor keep it up thanks
Well done Stephanie! Lots of good very useful information among your many videos regarding Medicare.
Thank you!
That helped me a lot bc even my FP has no idea about these rules and it seems to me that she should have some background on these rules so that she is better able to serve her clients. When I asked any questions she just sat there blankly and all I heard were crickets. I appreciate your knowledge!
Thank you SO much for answering many of the questions I had in such a succinct way regarding part A and my HSA. I will keep your office in mind when I DO decided to jump out of the rat race.
Thank you so much Ms.Stephanie! Your expertise is appreciated greatly!!
Question - I will still be working past 65 and plan to sign up for Medicare part A only. Why would I be penalized for contributing to an HSA account?
Outstanding once again, thank you!!
Thanks,informative information and easy to follow.
I am 67.5 years old and have been working for an employer with >20 employees. I have a HSA that both I and my employer have been contributing to. I am now ready to start Social Security, but I just found out about Medicare being retroactive for 6 months. What is the penalty for having contributed to the HSA for the last 6 months? Is it just to pay tax on the contributions of the last 6 months, or is there also a penalty? If there is a penalty, is there any way to avoid it?
Please do a video just on HSA and timing of enrollment, including self employed on a Marketplace plan.
Ex. If dob in Aug can a self employed enroll in November and thus make HSA contribution thru May?
Thank you!
If you are on a marketplace plan, you are no longer eligible for a tax credit subsidy once you are eligible for or enrolled in Medicare Parts A and/or B. Also, marketplace plans do not count as creditable coverage to delay your Medicare enrollment without penalty.
For example, if you are turning 65 in August, you have until the end of November (3 months after your 65th birth month) to enroll in Medicare parts A and B to avoid penalty. If you enroll in September, October or November then your part B effective date will be delayed by up to 3 months BUT your Part A coverage will automatically be retroactive to Aug 1st. This means you would have needed to stop all HSA contributions prior to Aug 1st and you would no longer be subsidy tax credit eligible as of Aug 1st.
I hope this helps!
Thank you for the information, I'm turning 65 this year, I'm still employed but do not have an HSA account so I'd like to sign up for Medicare part A only. Can you please send the link to the website that I sign up for it at. Thank you
www.SSA.gov/medicare
Your videos are easy to follow and very informative. I am going to subscribe..
This was very helpful. What is I am employed and enrolled in an HSA, but it is my husband who turned 65. Should he delay signing up .
Part A covers inpatient hospital stays where the beneficiary has been formally admitted to the hospital, including semi-private room, food, and tests.
As of January 1, 2020, Medicare Part A had an inpatient hospital deductible of $1408, coinsurance per day as $352 after 61 days' confinement within one "spell of illness", coinsurance for "lifetime reserve days" (essentially, days 91-150 of one or more stay of more than 60 days) of $704 per day.
The structure of coinsurance in a Skilled Nursing Facility (following a medically necessary hospital confinement of three nights in a row or more) is different: zero for days 1-20; $167.50 per day for days 21-100.
Many medical services provided under Part A (e.g., some surgery in an acute care hospital, some physical therapy in a skilled nursing facility) are covered under Part B.
These coverage amounts increase or decrease yearly on the first day of the year.
The maximum length of stay that Medicare Part A covers in a hospital admitted inpatient stay or series of stays is typically 90 days.
The first 60 days would be paid by Medicare in full, except one copay (also and more commonly referred to as a "deductible") at the beginning of the 60 days of $1340 as of 2018.
Days 61-90 require a co-payment of $335 per day as of 2018.
The beneficiary is also allocated "lifetime reserve days" that can be used after 90 days.
These lifetime reserve days require a copayment of $670 per day as of 2018, and the beneficiary can only use a total of 60 of these days throughout their lifetime.
A new pool of 90 hospital days, with new copays of $1340 in 2018 and $335 per day for days 61-90, starts only after the beneficiary has 60 days continuously with no payment from Medicare for hospital or Skilled Nursing Facility confinement.
Some "hospital services" are provided as inpatient services, which would be reimbursed under Part A; or as outpatient services, which would be reimbursed, not under Part A, but under Part B instead.
The "Two-Midnight Rule" decides which is which.
In August 2013, the Centers for Medicare and Medicaid Services announced a final rule concerning eligibility for hospital inpatient services effective October 1, 2013.
Under the new rule, if a physician admits a Medicare beneficiary as an inpatient with an expectation that the patient will require hospital care that "crosses two midnights", Medicare Part A payment is "generally appropriate".
However, if it is anticipated that the patient will require hospital care for less than two midnights, Medicare Part A payment is generally not appropriate; payment such as is approved will be paid under Part B.
The time a patient spends in the hospital before an inpatient admission is formally ordered is considered outpatient time.
But, hospitals and physicians can take into consideration the pre-inpatient admission time when determining if a patient's care will reasonably be expected to cross two midnights to be covered under Part A.
In addition to deciding which trust fund is used to pay for these various outpatient versus inpatient charges, the number of days for which a person is formally considered an admitted patient affects eligibility for Part A skilled nursing services.
Medicare penalizes hospitals for readmissions. After making initial payments for hospital stays, Medicare will take back from the hospital these payments, plus a penalty of 4 to 18 times the initial payment, if an above-average number of patients from the hospital are readmitted within 30 days.
These re-admission penalties apply after some of the most common treatments: pneumonia, heart failure, heart attack, COPD, knee replacement, hip replacement.
A study of 18 states conducted by the Agency for Healthcare Research and Quality (AHRQ) found that 1.8 million Medicare patients aged 65 and older were readmitted within 30 days of an initial hospital stay in 2011; the conditions with the highest readmission rates were congestive heart failure, sepsis, pneumonia, and COPD and bronchiectasis.
The highest penalties on hospitals are charged after knee or hip replacements, $265,000 per excess readmission.
The goals are to encourage better post-hospital care and more referrals to hospice and end-of-life care in lieu of treatment, while the effect is also to reduce coverage in hospitals that treat poor and frail patients.
The total penalties for above-average readmissions in 2013 are $280 million, for 7,000 excess readmissions, or $40,000 for each readmission above the US average rate.
Part A fully covers brief stays for rehabilitation or convalescence in a skilled nursing facility and up to 100 days per medical necessity with a co-pay if certain criteria are met:
1.) A preceding hospital stay must be at least three days as an inpatient, three midnights, not counting the discharge date.
2.) The skilled nursing facility stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay.
3.) If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision (e.g., wound management) then the nursing home stay would be covered.
4.) The care being rendered by the nursing home must be skilled. Medicare part A does not pay for stays that only provide custodial, non-skilled, or long-term care activities, including activities of daily living (ADL) such as personal hygiene, cooking, cleaning, etc.
5.) The care must be medically necessary and progress against some set plan must be made on some schedule determined by a doctor.
The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment of $167.50 per day as of 2018.
Many insurance group retiree, Medigap and Part C insurance plans have a provision for additional coverage of skilled nursing care in the indemnity insurance policies they sell or health plans they sponsor.
If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 90-day hospital clock and 100-day nursing home clock are reset and the person qualifies for new benefit periods.
Hospice benefits are also provided under Part A of Medicare for terminally ill persons with less than six months to live, as determined by the patient's physician.
The terminally ill person must sign a statement that hospice care has been chosen over other Medicare-covered benefits, (e.g. assisted living or hospital care).
Treatment provided includes pharmaceutical products for symptom control and pain relief as well as other services not otherwise covered by Medicare, such as grief counseling.
Hospice is covered 100% with no co-pay or deductible by Medicare Part A, except that patients are responsible for a copay for outpatient drugs and respite care, if needed.
Thank you, very good information.
Very informative video, thanks.
Very helpful video - thank you! One thing that I am unsure about - do supplemental insurance policies cover long-term care that is not covered by Part A, or do they just cover the deductibles, etc.? Hopefully I won't need long-term care, at least for the foreseeable future, but I want to be sure that I am fully covered (when needed) for anything that may not be covered by Medicare Parts A & B plus supplemental.
Thank you for the video. Please advise how to get Medicare specialist license, thank you.
Well done!
Thanks for posting! 👍
I forgot to mention I will come to you for the supplemental benefits when the time comes. Currently, I still have healthcare insurance from my work (more than 20 employees). Thank you.
I am so glad you've found my channel helpful, and I look forward to speaking with you when that time comes!
@@AbtInsuranceAgency Sure, I will call you when the time comes.
Hi. Great videos. Question: is there a tax penalty if you sign up for Part A and your HSA is NOT employer funded in the tax year? That is, if I make all HSA contributions for 2021 (no employer contribution), can I sign up for Part A without a tax penalty in 2021?
Why sign up for Part A if I am still working and have credible coverage?
Great info!!! If you qualified for Medicare Nov 2022, turning 65, do I now have to wait until open enrollment on Nov 1, 2023, missing the window? I am still working and covered via my spouse's medical insurance so I thought It was unnecessary to Get Medicare Part A and pay a premium until I found out it costs nothing and would be secondary coverage should I be hospitalized.
I’m still working at 66 yo with more than 20 employees , should I apply Medicare now ? .. we have good medical insurance from work I don’t know when I’m going to stop working , my kids still minors12 and 14 yo .. Thank you for your presention
I have coverage through the VA and my wife insurance do I need part A?
I have Medicare part A because I receive my husband’s pension since he passes away. I live in Canada but are travelling by car to North Carolina tomorrow. If I were in an accident in the US would I be accepted into a hospital and would Medicare A pay some of the bills? Thank you in advance
If you apply for part A, why you cannot have HSA? Does Part A cover deductible,coinsurance,…etc. ? What benefit you get from part A at this stage? how much the penalty? . Thanks
Hi Stephanie, I'm still working, 62 years old and my husband turns 65 in Sept 2023. We get insurance through my work. All my friends tell me I should sign my husband up for Part A "since it doesn't cost anything". I do understand my work insurance would be primary for him and then part A secondary. Is there a downside for me enrolling him in Part A?. Are there consequences if Part An and Part B have different enrollment dates? What are the Pros and Cons if I delay Part A for him? FYI he does want to start taking his social security check between Oct-Dec this year, after he turns 65. We definitely will NOT be enrolling him in Part B until I retire, quit, or get laid off. I would go on COBRA initially for us, but I do understand then for him COBRA would be his secondary insurance. thank you.
There is no downside to have his Part A start now as long and he is not making HSA contributions. Also, you’re right - he should delay Part B. If he delays Parts A and B now, he will automatically be enrolled in Part A only when he starts drawing social security benefits. I hope this helps!
Stephanie, I am elegible to Medicare in March 17, 2023 and I do not have creditable Health Insurance plan; hence, I will have to enroll in Medicare. I am planning to enroll within the first three month prior to my birthday. I have a HSA through my employer at this point. Does it mean that I have to stop contributing as my employer on February 28 2023? I almost certain that is the case but I want to make sure I got it right. Thank you in advance for your help.
i'm turning 65 in January. I am covered through my spouse employment insurance. I want to apply for Medicare Part A but their insurance is BC/BS with HSA. Am I ok to apply for Part A?
I am 67, full time employed with health care coverage. I just enrolled in medicare part A. Waiting for card to arrive. I heard you say that benefits are retroactive 6 months prior to signing up. My question is that I have had two outpatient ultrasounds this past month which were not covered by my insurance. Will part A cover these?
Part A covers inpatient hospital services, not outpatient.
Question. If i am enrolled in Medicare A and B. Then go back to full time employment after full retirement age. Would I be penalized if i get company insurance plan
No, you would not be penalized
Thanks for very clear information! Can you comment on FSA? I don't have an HSA, but do contribute to FSAFEDS. Will that impact applying for Medicare part A? FYI, I have a FEHB and plan to work past age 65. Thanks!
Great video, thanks Stephanie. A couple of questions: So, what is the penalty for contributing to an HSA while on Medicare? I thought I read that it was 6% of your HSA balance. Question 2: I'm still working and on company health insurance (more than 20 employees). However, I plan to retire later this year, but have a concern that I may get laid-off before officially retiring, and thus, lose my insurance. If that happens, wouldn't this create that gap in insurance coverage that could result in my getting a penalty? That is why I'm thinking that maybe I should go ahead and enroll now in both A and B in case (God forbid) so to avoid that gap were to get laid off. What do you think?
Why she did not give any answer when she said it is free to help
Hello. Asking on behalf of someone. She never enrolled in Medicare because she never worked in the USA. Can she do a late enrollment now and if so, what would be the penalty?
Very informative video, I do have one question, I am 64 and 8 months now and do work full time with health insurance but no HSA,. Should I now apply for Part A, I do plan to work until I'm at least 66 and 4 months
Thanks Stephanie, I'm still confused how a Medicare Provider fits into the overall picture. What's the purpose of a Medicare Provider? Great videos BTW !!!
My spouse is the one who is turning 65 in May 2024. He does not work anymore but he is under my health insurance with more than 20 employees. I have an HSA account at work, can he apply in Medicare Part A, or he can delay since I have an HSA contribution?
Thanks, Indiana.
These Fkn videos are awesome for real u break it down great
I am retired federal civil service with FEHB Kaiser HMO health insurance. If I sign up for social security I automatically get medicare part A. Is medicare part A or Kaiser HMO insurance primary?
Excellent videos. I heard you say Part A enrollment is automatic at 65 and then you showed us how to enroll in Part A. Can you clarify?
If you are drawing social security benefits, then Part A is automatic for you. If not, you can enroll in Part A following the video instructions. I hope this helps!
@@AbtInsuranceAgency It does Thanks Stephanie. What hours are you available for phone calls? Mon-Fri Business hours?
@@jjyemg2397 yes, 9-5 CST!
I turned 65 in August and want to enroll in Part A does the six month retroactive apply or only when i apply for Part B?
Since you are within your IEP still, your Part A date would be 8/1/24 if you enrolled now.
I just signed up for part a today. I do have an HSA through my employer!!! Now what should I do???
You should contact social security at 1-800-772-1213
are hsa and hea the same thing when it comes to signing up for part a?
How do I check the number of quarters I've paid into medicare?
What happens if your HSA contribution was made in the same year and six months before signing up for Part A but the contribution amount was the HSA limit? For example, say I contributed $8,200.00 to my HSA in January and signed up for Part A in October. Are there no tax implications in this scenario or are the HSA contributions pro-rated over the year?
What about a flexible spending account? Is that ok with Medicare part a
I thought when I’m 64 whether I’m working or not, I need to at least sign up for Medicare part a to avoid penalties….. and you’re saying if you’re working not to even sign up for it I think the person would be penalized but you’re the pro so I’m super confused on that statement you said
Which one covers dental ?
Hello! my aunt is 66 still working and her work credits is 37 credits. In this case she passed her Initial enrollment. Is she need to get private insurance till she get 40 credits work?
I thought that you were required to enroll in Part A three months before turning 65 or 3 months afterward? Did you say that enrollment is automatic?
Enrollment is automatic if you are collecting social security benefits.
Thanks Stephanie, for the clearest explanation I have seen on this topic anywhere! I expect to continue working after I turn 65 and am considering delaying my Medicare Part A application so that I can continue making HSA contributions due to its tax benefits. I want to understand a potential risk, which would be a future involuntary separation from my employer. If this happens, I would immediately apply for Parts A and B, which should normally be approved and be effective the first day of the month after I apply, after which I can apply for Part D. Can my Part A and B approvals get delayed past 63 days of my separation, resulting in my missing the SEP window for Part D and having to pay a penalty?
In general, no. Medicare may take up to 4-5 weeks to approve your Part B coverage but your coverage will be retroactive to the first date of the next month after you applied for coverage.
@@AbtInsuranceAgency Therefore, if Part B approval is delayed, do I go ahead and apply for Part D after the first day of the next month, since coverage is retroactive to that date, without waiting for Part B approval?
@@peachaster7220 yes, you want to be sure to apply with Part D within 63 days of losing your employer/group health plan.
When is the earliest I'm turning 60 in August
Thanks, what's the deal with less than 19 or 20 employees. I'am tuning 65 at end of and gonna work til end of April or may can I wait and sign up for a@b then
March
Hi question for anyone out there who can answer this.
I will be collecting a pension from the state and also will be collecting a little from social security. I will be 66 in September. Question is how much can I work on a part time job.
what is HSA ??
Thanks for all the great info. So as far as HSA, I am 65 and on my wife's plan. I'm going to start collecting SS next month, and will remain on her insurance. She will probably be working for at least 3 more years. She has an HSA account she pays into. How does that affect my Part A since i'm not actually the one payinginto it. Thank you
If the HSA and the contributions are in her name then it should not have an impact.
@@AbtInsuranceAgency Thanks for the quichk response
@@AbtInsuranceAgency thank you, I think that is a very important point to make in the video, as it came from the point of view that the person turning 65 was contributing to the HSA. I'm in the same boat, my husband is turning 65 in 2023 but I'm younger and the one contributing to the HSA and providing insurance coverage, so I wasn't sure for example if I had to quit contributing for the 2 of us in the HSA, and just do the single limit or since it's ME NOT RETIRING, I could still fund the full $8K for the two of us. Your videos ARE AWESOME!!
@@cathypotter5840 if you are making the contributions and you are not on Medicare it’s fine!
@@AbtInsuranceAgency Thank you so much, so I can contribute for both myself and husband, correct? You ROCK! thank you so much. My only last question I have I'm trying to find is how to inform social security that we don't want to enroll my husband in Part A and B? He would like to start taking his retirement benefit check around Oct 1st (his 65th birthday is 9/29), but I've heard that they will automatically enroll him in Part A and we want to turn it down for now since he's covered under my insurance, so how do we deny Part A please? (and B if we have to tell them (I'm assuming not since there's a cost there). I'm going to recommend so many people to your videos!!
So what if you plan on enrolling in Medicare but don't have coverage currently or had private coverage but recently cancelled???
I apologize if someone already asked this, but there are a LOT of comments to scroll through. My husband is a retired teacher (TX) and will NOT collect SS (he did not pay in for 40 quarters). So, from what I've read and listening to this video, it seems he will have to enroll in Part A. Am I correct in that thinking?
Yes he will actively have to enroll in parts A and B when he is turning 65. I hope this helps!
Great video. I certainly subscribed as I just found you. Question, I'm on Medicare as a secondary as I am also covered on my wife plan and she is working so I am primary on my wife plan secondary on Medicare. My wife gets an employers one time contribution usually in February with family coverage of $3000 in one lump sum each year. Does the 6 month period before she decides to retire after age 65 start 6 months back from February or is the $3000 considered to be divided up for the entire year?? (Or is that depended on what my employers think)?
I have many more questions for instance I have an MRA (Medical Retirement Account) from my previous employer paid in January of each year but divided over the year. Does that effect Medicare or any rules for this type of account??
When my wife does decides to retire I and her will enroll in my previous employer medical plan since as an Retiree I am edible. How does the timing work for me and my wife. I know I will enroll when she retires but does she enroll in Medicare A and B at the same time and my plan???
I certainly sorry for all the questions.
This is a lot to review via a RUclips comments - please email or give us a call to review!
hi , and thank you , i have a question i have insurance through work and would like to apply for part a only and keep my work policy , i have a health care spending card i contribute in , my employer say i can keep contributing because its a fsa card ? without any penalty is this correct ? thanks David
Can you comment on insolvency crisis of Medicare?
I'm working, turned 64 in August 2023. Want to enroll Part A. Confused about when. Is there an enrollment period. Or should/can I enroll 3 months before I turn 65, or do I wait for my 65th birthday ?
You can start to enroll 3 months before your 65th birth month! Coverage is effective the first day of the month you turn 65.
I'm 64 and will be taking Social Security at 65. Do I enrol in both Social security and Medicare or just Social Security?
Thanks
You can enroll both
Hi, I turn 65 on 02/11/2024. Is it important that I get signed up before my birthday to avoid any penalties ?
You technically have until the end of your initial enrollment period, or the end of May to enroll without penalty!
If you have an HSA that you contribute to by payroll deduction (and your employer matches) and you want to continue that until you you retire at age 67, is there a way to adjust the six month retroactive period for Medicare A? Is it automatic exactly 6 months before from day of application for A? (Employers usually do annual enrollment only for benefits like health ins.)
thank you Stefanie, but i can't understand what HSA is . can you tell me?
Health savings account
So turning 65. Employer over 20 employees. No HSA. My group health insurance premium is under $200 month for spouse and myself. Spouse is 64. Do I just sign up for Medicare Part A only and my health insurance through employer will keep paying (for spouse and I) until I retire in 3 years?
That is what I would recommend!
Excellent channel. I just subscribed. My birthday is on February 12 (when I turn 65). Do I have to wait till November 12, 2020 (exactly 3 months prior to my 65th birthday) to sign up for Part A, or can I sign up on November 1?
You can begin enrolling on Nov. 1st for a Feb 1st Medicare effective date!
@@AbtInsuranceAgency Thank you so much for quick response. I will begin the Part A process on November 1.
@@AbtInsuranceAgency When I called SS in November 2020 to enroll for Part A, they said since I am still working and I have healthcare insurance from my employer, I need not enroll for Part A. They said when the time comes for me to quit work and claim for SS at FRA or age 70, I will be "automatically" enrolled for Part A. Did they give me the correct info?
I have Original Medicare parts A and B and a Medicare supplement plan. I recently received from my supplement -- in the mail -- additional insurance just for cancer. Doesn't Original Medicare parts A and B and the Medicare supplement cover cancer?
Medicare Parts A and B covers most medically necessary cancer treatments, yes. However, separate cancer insurance policies can help protect against unexpected or unforeseen costs related to a cancer diagnosis. Feel free to give us a call for more information! 888-465-9728
Stephanie, thank you for the informative information. If my spouse is collecting social security and will be turning 65 next year, however I am still actively working with good benefits, is my spouse REQUIRED to enroll in Medicare part A (since she is receiving Social Security)? I would prefer to delay both part A and B since the monthly payments are less with her on my employers plan (which is deemed creditable) and I want to fully contribute to my HSA. I'm just not sure if she can delay Part A since she is receiving Social Security.
She can't delay Part A if she is collecting social security, but Part A is premium - free.
@@AbtInsuranceAgency Thanks for the info. That's a bummer that I would no longer be able to continue to contribute the "couple" rate to the HSA and will only be able to contribute as a "single". At least she won't have to enroll in part B and we can save on that cost.
@@AbtInsuranceAgency I don't know what to think here. My wife called SS today and the individual she spoke with stated she can delay both A and B, even though she is currently receiving SS payments. Fortunately we still have some time to iron out the inconsistencies and figure out what is correct.
Stephanie, how does the contribution timing work if I have an HSA account and want to sign up for a Medicare Advantage plan (part C?) when I decide to retire.
You can only sign up for Medicare Advantage (Part C) if you have Parts A and B. You would want to discontinue HSA contributions 6 months before applying for Medicare Parts A and B since the can make Part A retroactive- although Part A will never be retroactive further back than the first day of your 65th birth month. Please call us with questions!
@@AbtInsuranceAgency Thank you, Stephanie. I have you on my list when the time comes for me to apply for Medicare.
I am 65 already and am still not retired and I’m having to go to the hospital here in the next couple of months can I get part A and I am insured by the company
Your employer plan will cover your hospital stay as primary coverage, as long as your employer has 20 + employees.
Hello Stephanie,
After paying the $1408 deductible for a hospital stay, are all services provided during that stay covered under Part A Or are some services like doctors covered under Part B?
Part A covers your inpatient hospital stay, while Part B covers things like physicians services you receive while in the hospital.
This is why you DO NOT want an Advantage plan, among many other reasons...
get the Supplement G, covers everything Original medicare doesn't pickup except part B deductible. AFAIK!
I'm turning 65 on September 2021 and working part time with no medical insurance.???
You will want to enroll in Parts A and B of Medicare to avoid penalty.
Hello. I tried to apply for part A only but the site they directed me to asked only about part B. I completed the information. Will I be getting forms to fill out and return for part A?
I am turning 65 in 2 weeks. I am currently working and plan on working. A couple more years I do a employer Health plan. I was told medicare would send membership card for part a automatically automatically, but I have not received one.Possibly was thrown out as junk mail. When I go online and Enroll, in part A. Will I then receive membership card in the mail?
If you are not collecting social security benefits then you don’t get auto- enrolled in Part A. Once you go online and enroll in Part A only you will receive a card in the mail.
I start collecting SS as of my full retirement age of 66y 6m. I also contribute to an HSA. Can I collect SS at my full retirement and continue to work and not be automatically enrolled in Part A?
Once you start collecting SS benefits, if you are age 65+, you will be automatically enrolled in Part A.
Question - I will still be working past 65 and plan to sign up for Medicare part A only. And will my work insurance still remains my primary or Part A becomes my primary? Or I can choose which one is my primary? Thanks.
If your employe has more than 20 employees, the employer insurance will always be primary.
@@AbtInsuranceAgency thanks so much.
I work for Baltimore County Public Schools, They Provide Medical insurance for me Even After I retire, I plan on working until I am 70 I turn 65 this July. My employer will give me a pension and Provides medical Insurance Even during my Retirement. I WILL GET SS at 66 and 8 months, Do I need to enroll in Medicare at all?
Thanks Stephanie!
Question I am planning on working after 65 [ in June] I have a regular insurance basis plan through employer no HSA.
Can I wait for medicare A or should I sign up for it only.
I plan on working 5 or more years.
Thank you.
You can enroll in Part A only now, or wait until you retire. You will not be penalized if you delay part A. I hope this helps!
@Medicare Specialist - Abt Insurance Agency
Thanks Stephanie, I appreciate you're replying.
I will just wait until I'm ready to retire and sign up for all all of them. Plus, whatever plan you help me to choose later!
Another question if I were to apply for part A now, can I do that on computer?
@@mickie1158 yes, online at www.Ssa.gov. Be sure to say “no” when asked if you are enrolling in part B.
Hello. This is Mansour Fatehi,67 years old and my wife will turn 65 on
05/14/2024. Currently I have Amazon Aetna high deductible HSA
Coverage,my wife has Walmart KP DHMO coverage.
KP SENIOR MEDICARE suggested 3 senior plans to us.
1) Can I switch to Medicare and which one is the most suitable to
Me?
2) My wife will turn 65 almost 8 months later, so is she eligible to
Enroll one of these 3 plans.
My mother has Medicare part A we were in the hospital for 3 and 1/2 hours. The lady at the emergency room I checked in showed her the lady that came to our room with the computer I showed her the card. After three and a half hours a diagnosed her with covid mild case they wanted to check her into the hospital and I said no she said no. A bill came to the house for $6,000 and on the bill it says she was in for 2 days and she was in for three and a half hours and she has no insurance and I showed Medicare part A which covers the emergency. So now I called to find out and they kept pushing one call to another call three times they hung up on me. So my question is how do I solve this for my mother.
Hi
Thanks for useful information. I have question about part d deductible which is $480 for 2022. I spend about $300 on all my medicines which all generics tier 1 .never hit $480 deductible. An suggestion please
Many people fall into this category. You can use websites like goodrx.com to find additional discounts on your generics, but in your case you should be with the lowest cost Part D plan. Most Part D drug plans start at $7/month this year and by having a plan in place you are avoiding any future Part D penalties down the road.
@@AbtInsuranceAgency
Thanks
Hi. Thanks for for info. I plan to retire. I do have Part A and insurance from my currant large employer. I was admitted in hospital for cardiac catherization. I am getting bills from Doctors who performed the procedure as inpatient. Does Part A covers the Doctors visits and procedure fee. Primary paid their part but still substantial amount is left over has been billed to me as my part as deductible and co insurance. Thanks
Part A covers inpatient hospital stays, Part B covers doctor/medical/surgeon fees. I hope this helps!
Thank you
My question is:
I’m on my wife’s insurance.
She will be continuing working, and so will I.
She has an HSA, but I don’t officially.
Although I have used it, I have not contributed to it.
When I apply for Medicare Part A, will it affect her?
That’s what I want to know too!