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Getting Started
Medicare is a federal health insurance program for people 65 or older, certain people under 65 with disabilities, and people of any age with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).
Eligibility
You may become eligible for Medicare when you turn 65 or have a qualifying medical condition. Qualifying for the program is not automatic, unless you are already receiving social security benefits.
When you turn 65, you become eligible for Medicare if you’re a:
When you are under 65, you become eligible for Medicare if:
Application
Generally, you can first sign up for Medicare Part A and/or Part B during your Medicare Initial Enrollment Period (IEP). This is a 7-month window that begins three months before your 65th birthday month, includes your birthday month and ends three months after it.
If you’re already receiving benefits from Social Security or the Railroad Retirement Board (RRB), you don’t need to take any action during your IEP. You’ll automatically be enrolled in both Medicare Part A and Part B (Original Medicare), and your coverage will begin the first day of the month you turn 65.
NOTE: If you have employer group health coverage based on current employment, you may be able to delay enrolling in Part A and/or Part B without paying a lifetime late enrollment penalty later. However, factors such as employer size, coverage type, HSA contributions and work status can affect whether delaying enrollment is appropriate for your situation.
Eligibility
If you miss your Medicare Initial Enrollment Period (IEP), you may still enroll during the Medicare General Enrollment Period (GEP), which runs from January 1 through March 31 each year.
The General Enrollment Period applies only to Original Medicare (Part A and Part B). If you want a Medicare Advantage (Part C) plan or Medicare Part D prescription drug coverage, you will need to wait until the Annual Election Period, which takes place in the fall.
Important Note:
The General Enrollment Period is not a penalty-free alternative to the Initial Enrollment Period. Enrolling during this time may result in late enrollment penalties, and your Medicare coverage will not begin until July 1 of that year.
Medicare FAQ's
You are eligible to apply for Medicare during your initial enrollment period which is a 7 month window. 3 months before turning 65, the month you turn 65 and 3 months after turning 65.
The easiest way to sign up for Medicare is online through SSA.gov or by Calling Social Security at 1-800-772-1213. You can also visit your local Social Security Office.
If you are already receiving Social Security Benefits you will be automatically enrolled into Original Medicare, otherwise you will be eligible to enroll during your initial enrollment period that starts 3 months before your 65th birthday.
If you miss your Initial Enrollment Period you can sign up during the General Enrollment period that occurs every year January 1st through March 31st. Coverage becomes effective the month following your enrollment date.
Yes, there are penalties for not signing up for Part B of Medicare and will be added to your premium.
If you need a new Medicare card you can order a replacement card by phone at 1-800-772-1213, or online at the Social Security Administration web site. Make sure you have your Medicare number ready when you call.
Guidepoint Insurance Advisors is not affiliated with or endorsed by the government or the federal Medicare program. Medicare has neither reviewed nor endorsed this information. We do not offer every plan available in your area. Currently we represent 1-10 organizations which offer 1-50 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. © Copyright 2026 Guidepoint Insurance Advisors | All rights reserved.Website created by MedicarePRO|Marketing