Since we frequently see those nearing retirement get confused about Medicare, I thought it would be a good idea to cover what it is and isn’t. In addition, we are holding a complimentary seminar with a Medicare specialist on Thursday, Sept. 25, at 5:30 p.m. You can register for the seminar at www.reichassetmanagement.com/events.
Let’s start at the beginning. Medicare was created in 1965 for people ages 65 and over. In the years that followed, new coverage was added for those with certain disabilities and end-stage renal/kidney failure. Medicare is broken down into the following four parts:
Part A
This covers hospital care, including inpatient services and surgery.
Part B
This covers medical care or doctor services.
Part C
Also known as Medicare Advantage, Part C is still a part of the Medicare program. However, it is offered through private insurance companies and combines plan A, plan B, and often plan D into a single insurance plan.
Part D
Finally, this provides coverage for prescription drugs.
In addition to the four Medicare plan options, there is also a supplement to these plans that covers many of the things that these plans don’t. This is known as Medigap insurance.
When you turn 65, you are eligible to sign up for Medicare. You can actually sign up three months before the month you turn 65 and the three months after the month you turn 65, so that means you have seven months in total to enroll. However, it won’t be effective until you’re 65. People often get confused here, because while you can elect to take Social Security early at age 62, you still have to wait until age 65 to enroll in Medicare unless you meet one of the disability qualifiers. There has been a lot of talk in recent years about lowering the Medicare eligibility age to age 62 or even age 60 in order to help those who retire early without having health insurance other than the healthcare marketplace (often referred to as Obamacare).
If you are still working, you can enroll in Part A but can elect to defer taking Part B until you retire. The reason people choose to do this is because you pay more for Medicare Part B than you do for Part A. Be careful, though. If you don’t sign up for Part B when you are supposed to, you can be subject to a penalty. This penalty can be very expensive: up to a 10% penalty, which is added to your monthly cost for every year you were eligible but didn’t sign up. Worse, this penalty is forever. If you are still working when you turn 65 and covered by your employer, then you won’t be subject to the penalty when you turn 65, only if you retire and don’t sign up when you’re supposed to. The standard premium for 2024 for Medicare Part B is $185 per month but can go up as high as $628.90, depending on your income. By comparison, Medicare Part A is free if you or your spouse has paid into the system enough. If you don’t get premium-free Part A, you can pay up to $518 each month.
It is also very important to know what Medicare does not cover. The standard Part A and B do not cover prescription drugs. You must elect Part D (for an additional cost) or a Medicare Advantage plan for this. It also does not cover long-term care, such as a nursing home or assisted living. This is extremely important to understand, and, unfortunately, most people don’t realize this. Medicare also does not include dental coverage, eye exams or hearing aids. There are also deductibles and co-pays, just like regular insurance under Medicare. Lastly, Medicare typically will not cover you for travel outside the U.S., though some Medigap plans will provide limited coverage. A great resource for understanding what Medicare will and won’t cover is Medicare.gov/coverage.
If you decide you want to make changes to the Medicare plan you have chosen, you can do that each year during the open enrollment period, which typically runs from Oct. 15 until Dec. 7 each year.
It’s not hard to see why people get confused about Medicare and all its options. I always suggest speaking to a Medicare specialist before making any decisions about what you want to sign up for or the supplements you want to buy. While we do not work in this area, we are always happy to provide referrals to those who do.
Securities offered through Kestra Investment Services, LLC (Kestra IS), member FINRA/SIPC. Investment advisory services offered through Kestra Advisory Services, LLC (Kestra AS), an affiliate of Kestra IS. Reich Asset Management, LLC is not affiliated with Kestra IS or Kestra AS. The opinions expressed in this commentary are those of the author and may not necessarily reflect those held by Kestra Investment Services, LLC or Kestra Advisory Services, LLC. This is for general information only and is not intended to provide specific investment advice or recommendations for any individual. It is suggested that you consult your financial professional, attorney, or tax advisor with regard to your individual situation. To view form CRS visit https://bit.ly/KF-Disclosures.
