Thursday, May 19, 2022

Can I Take Medicare Without Social Security

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Contact Social Security To Sign Up For Medicare

How to Apply for Medicare Without Claiming Social Security

You can either:

Know when to sign up for Part BYou can only sign up for Part B at certain times. If you dont sign up for Part B when you turn 65, you might have to wait to sign up and pay a monthly late enrollment penalty. Find out when you can sign up. How much is the Part B late enrollment penalty?

Special Circumstances: Medicare With Als Or End

Medicare eligibility rules for people with ALS or end-stage renal disease are different. Individuals who qualify for Medicare with ALS or ESRD do not have to wait for your 25th month of disability to be eligible for Medicare.

If you qualify with ALS: You will automatically get Medicare Part A and Part B the month your disability benefits begin. 7

If you qualify with ESRD:8

  • For most people, Medicare coverage will start on the 1st day of the 4th month of dialysis treatment.
  • If you have an employer group health plan, Medicare will begin on the fourth month of dialysis.
  • Treatments if you have employer coverage.
  • If you participate in an at-home dialysis training program, your coverage may begin the first month of a regular course of dialysis provided the following are true:
  • You participated in training from a Medicare-approved training facility for the first three months of your regular dialysis
  • Your doctor expects you to finish training and be able to do your dialysis treatments yourself

Note, according to Medicare in order to qualify with ESRD all of the below must apply:9

For further information related to ALS and Medicare, visit

For further information related to ESRD and Medicare, visit

Should I Sign Up For Medicare Part A

Most people who have worked and paid Medicare taxes for 10 years can get Medicare Part A with no monthly premium. Because of this, many people choose to sign up for Medicare Part A even if they have health insurance through work.

Medicare Part A covers things like hospice care and skilled nursing facility care that your health plan through work might not cover.

When youre getting Social Security benefits, youre automatically signed up for Part A. If youre not getting Social Security, you should sign up directly through Social Security. Find out how to sign up in our Help Center.

Tip: Always talk to your company’s human resources department before you make the decision to sign up for Medicare. Your health insurance plan might work differently for you after you sign up for Medicare.

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Do I Have To Take Part B

You are not required to take Part B, and some people choose to delay. Deciding to opt out of Part B at this time is a personal choice and depends on your unique situation. about whether or not you should take Part B when you qualify for Medicare with a disability. Some people who qualify for Medicare under age 65 due to disability but are covered under an employers plan or a spouses employer plan, may opt to delay.2

Medicaid Eligibility And Ssi Program Rules

Can You Get Medicare Without Social Security?

SSI program rules form the foundation of Medicaid categorical and financial eligibility criteria for older adults and individuals with disabilities. Medicaid generally uses SSI categorical criteria to define the ABD populations.24 In addition, Medicaid often uses or adapts SSIs financial standards and counting methodologies to specify the financial eligibility requirements applicable to the SSI-Related Pathways and the Other ABD Pathways.25 Thus, understanding SSI program rules is important to understanding Medicaid eligibility rules for older adults and individuals with disabilities.

SSI is a federal assistance program authorized under Title XVI of the SSA that provides monthly cash payments to aged, blind, or disabled individuals who have limited income and resources. SSI is intended to provide a guaranteed minimum income to adults who have difficulty covering their basic living expenses due to age or disability and who have little or no Social Security or other income. It is also designed to supplement the support and maintenance of needy children under the age of 18 who have severe disabilities. Unlike Medicaid, SSI eligibility requirements and benefit levels are based on nationally uniform standards. SSI is administered by the Social Security Administration but is not part of the Old Age, Survivors, and Disability Insurance program, commonly known as Social Security.

SSI Categorical Eligibility Criteria

SSI Financial Eligibility Criteria

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At What Age Do I Qualify For Medicare

Medicare eligibility for seniors begins at age 65 . Your initial enrollment period for Medicare begins three months before the month of your 65th birthday, and ends three months after the month you turn 65.

If you miss your initial Medicare enrollment window, you can sign up during the general enrollment period of January 1 through March 31 of each year. But holding off too long could cost you. If you wait too long to sign up for Medicare Part B, youll face a 10 percent increase in your Part B premiums for every year-long period you were eligible to enroll but didnt. There are also financial implications associated with waiting too long to sign up for a Part D drug plan.

That said, if youre still working and have coverage under a group health plan during the seven-month period surrounding your 65th birthday, youll get a special enrollment period that begins when you separate from your employer or your group coverage ends. As such, you wont have to worry about the aforementioned penalties provided you sign up during your special enrollment period.

Understanding Supplemental Security Income Ssi And Other Government Programs


Many people who are potentially eligible for SSI benefits do not know how receiving SSI affects their benefits or payments from other government and State programs.


In most States, if you are an SSI recipient, you may be automatically eligible for Medicaid an SSI application is also an application for Medicaid. In other States, you must apply for and establish your eligibility for Medicaid with another agency. In these States, we will direct you to the office where you can apply for Medicaid.

Please see the Medicaid website at for consumer information.


The Supplemental Nutrition Assistance Program provides help for low-income households to buy the food needed for good health. If you receive SSI, you may be eligible to receive SNAP assistance to purchase food.

If you are applying for or receiving SSI, you are able to get SNAP information and an application form at your local Social Security office.

If all other members of your household apply for or receive SSI, and you apply for or receive SSI, we will help you complete a SNAP application. If you and all other members of your household already receive SSI and SNAP, you may be able to complete the SNAP forms for a recertification at your local Social Security office. SSI benefits count in computing SNAP eligibility.

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How Does Medicare Get Confused With Social Security

But some of the confusion stems from the fact that the Social Security Administration is responsible for determining eligibility for Medicare and handling many of the programs administrative functions, including enrollment. The SSA also handles the administration of Social Security benefits.

Since eligibility for both Medicare and Social Security benefits are managed by the SSA, people who begin receiving Social Security retiree benefits prior to age 65 will be automatically enrolled in Medicare once they turn 65.

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Can I Decline Medicare Altogether

How to Sign Up for Medicare when your on Social Security

Medicare isnt exactly mandatory, but it can be complicated to decline. Late enrollment comes with penalties, and some parts of the program are optional to add, like Medicare parts C and D. Medicare parts A and B are the foundation of Medicare, though, and to decline these comes with consequences.

The Social Security Administration oversees the Medicare program, and recommends signing up for Medicare when you are initially eligible, even if you dont plan to retire or use your benefits right away. The exception is when you are still participating in an employer-based health plan, in which case you can sign up for Medicare late, usually without penalty.

While you can decline Medicare altogether, Part A at the very least is premium-free for most people, and wont cost you anything if you elect not to use it. Declining your Medicare Part A and Part B benefits completely is possible, but you are required to withdraw from all of your monthly benefits to do so. This means you can no longer receive Social Security or RRB benefits, and must repay anything you have already received when you withdraw from the program.

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When To Start Your Social Security

Here in America, you are eligible to begin taking Social Security benefits as early as age 62 if you have earned enough credits. The latest that you can start your benefits is at age 70.

If you begin your Social Security benefits at age 62, your benefits will be reduced based on the number of months that you receive your benefits before you have reached your full retirement age.

Your full retirement age in terms of Social Security is generally considered to be at age 66 and a half. However, this varies based on the year that you were born. Visit this page on the Social Security website for more specifics.

In very simple terms, taking income benefits earlier than your full retirement ages means that your monthly benefit amount will be lower. Waiting and taking those benefits later, up to age 70, means you will have a larger monthly benefit check.

Delaying your Social Security income benefits does not affect your eligibility for Medicare at age 65 either.

Beneficiaries Who Work Can Avoid The Late Enrollment Penalty

If you or your spouse are working and covered by a group health insurance plan, you can avoid Medicare’s late enrollment penalties if you sign up for benefits within eight months of leaving the job or the coverage ending. However, retiree health insurance and COBRA coverage through a former employer do not qualify as coverage that allows you to avoid the penalty. And if your group health plan coverage ends during the seven-month period around your 65th birthday, you will not qualify for the extra eight-month extension to sign up for Medicare.

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Medicare Vs Social Security

Health insurance is offered through the Center for Medicare and Medicaid Services . Social Security provides people with a monthly stipend.

Medicare Part A is free for most recipients and Part B is usually deducted from your monthly social security check.

When beneficiaries enroll in Medicare at full retirement age, they may enroll through one of the online options. However, be careful if you do not want to activate your Social Security Income, or SSI benefit.

Follow the options that allow you to enroll in Medicare separate from your Social Security benefit.

How To Get A Social Security Card

Medicare Coverage &  Social Security Disability (SSDI ...
  • Gather your documents. Learn what documents youll need to get a card. Select your situation:
  • Adult or child
  • Original, replacement, or corrected card
  • U.S. born citizen, foreign born U.S. citizen, or noncitizen
  • Apply online for a replacement card. Apply online if youre not changing anything on your card and you are eligible. This option is available in most states. You will need to make a my Social Security account first. Or complete an application. If you can not apply online, fill out an application and return it to the SSA. Find out where to take it in person or mail it.
  • Recommended Reading: Www Socialsecurity Gov Retireonline Continue Application

    Eligibility For The Two Programs

    For people who are aging into Social Security and Medicare , eligibility ages vary between the two programs. Beneficiaries qualify for Medicare when they turn 65, with a seven-month enrollment window that straddles the month they turn 65.

    But theres significantly more flexibility in terms of eligibility for Social Security. You can elect to begin receiving Social Security payments as early as age 62, but the earlier you begin collecting benefits, the lower your monthly check will be. Waiting to claim Social Security benefits until age 70 results in the highest monthly income payments.

    Both Social Security and Medicare are available regardless of income, so benefits are provided to wealthy Americans as well as those with lower incomes. Thats in contrast with Medicaid, which is only available to low-income Americans.

    Reasons To Delay Medicare

    If youre thinking about deferring Medicare, discuss the pros and cons with your current insurer, union representative, or employer. Its important to know how or if your current plan will work with Medicare, so you can choose the most comprehensive overage possible.

    Some of the common reasons you may want to consider deferring Medicare include:

    • You have a plan through an employer that you want to keep.

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    You Automatically Get Medicare

    • You should already have Part A and Part B , because you have ALS and youre 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.

    • Well mail you a welcome package with your Medicare card 3 months before your Medicare coverage starts.

    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 dont 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.

    • Well mail you a welcome package with your Medicare card 3 months before your Medicare coverage starts.

    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 dont sign up for Part B within 3 months of turning 65, you might have to wait to sign up and pay a monthly late enrollment penalty.

    Who Is Eligible For Social Security Retirement Benefits

    How Social Security Benefits Works With Medicare Payments

    As mentioned, youll need to meet a few requirements to be eligible for Social Security retirement benefits. Just like with Medicare, youll need to be a United States citizen or permanent resident. You might also need to have worked and earned credits. The amount of credits you need depends on your circumstances and the type of benefit youre applying for.

    Youll need at least 40 credits in order to apply for retirement benefits. Since you can earn up to four credits a year, youll earn 40 credits after 10 years of work. This rule applies to anyone born after 1929.

    The amount youll receive per month will depend on your income throughout your working life. You can use the calculator on the Social Security website to estimate your retirement benefits.

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    Sign Up For Medicare On Time

    You first become eligible to sign up for Medicare during the seven-month period that begins three months before your 65th birthday. If you don’t sign up for Medicare during this Initial Enrollment Period, you could be charged a late enrollment penalty for as long as you have Medicare. “Those who are not automatically enrolled because they did not receive Social Security retirement will have to be proactive and apply for Medicare,” Santana says.

    Medicare Parts B and D both have late enrollment penalties. Monthly Part B premiums increase by 10% for each 12-month period you delay enrolling in Medicare Part B after becoming eligible for it. The Medicare Part D late enrollment penalty kicks in if you go as little as 63 days without credible prescription drug coverage and increases the longer you go without insurance. Both late enrollment penalties could be added to your premiums for as long as you have Medicare if you don’t sign up during the seven-month enrollment period around your 65th birthday.

    Why Waiting On Social Security Pays

    Though you’re allowed to start collecting Social Security at age 62, you’re not entitled to your full monthly benefit based on your work record until you reach full retirement age. That age is a function of your year of birth, as follows:

    Year of Birth


    If you file for Social Security before your 65th birthday so that you’re already getting benefits by the time Medicare eligibility kicks in, you’ll end up reducing those benefits in the process, and most likely for the rest of your life. That’s why it often pays to wait on Social Security, and enroll in Medicare once you’re able. Though your Medicare coverage won’t kick in until you turn 65, you actually get a seven-month initial enrollment window to sign up that begins three months before the month of your 65th birthday and ends three months after the month you turn 65.

    It pays to sign up for Medicare when you’re supposed to, because if you don’t, you’ll risk getting hit with a surcharge on your Part B premiums for life. Therefore, if you’re not already collecting Social Security as age 65 nears, there’s no need to rush to sign up for it. What you should do, however, is make sure to enroll in Medicare, unless you’re already covered by a group health plan through a job, in which case the rules regarding enrollment and penalties differ.

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