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Civics Hub·How-To·Benefits

Benefits

How to apply for Medicare

Medicare is the federal health insurance program for Americans 65 and older and certain younger people with disabilities. Most people are auto-enrolled if they're already receiving Social Security — but if not, you must actively sign up to avoid lifetime premium penalties.

15–30 minutes to apply online; coverage begins the month you turn 65 (if enrolled on time)
$Part A is free for most people; Part B standard premium adjusts each January — approximately $185/month in 2025 (higher for higher incomes; check medicare.gov for the current rate)
Federal

Last reviewed: June 5, 2026

Steps

1

Understand the parts of Medicare

Medicare has four parts with different coverage and costs.

  • Part A: Hospital insurance — covers inpatient hospital stays, skilled nursing, and hospice. Free for most people who paid Medicare taxes for 10+ years.
  • Part B: Medical insurance — covers doctor visits, outpatient care, and preventive services. Monthly premium required.
  • Part C (Medicare Advantage): Private insurance alternative that bundles Parts A and B, often with extras.
  • Part D: Prescription drug coverage. Offered through private insurers.
2

Determine if you're automatically enrolled

If you are already receiving Social Security or Railroad Retirement Board benefits when you turn 65, you are automatically enrolled in Parts A and B. You'll receive your Medicare card in the mail 3 months before your 65th birthday. If you're not yet receiving Social Security, you must enroll yourself.

3

Sign up during your Initial Enrollment Period

Your Initial Enrollment Period (IEP) is a 7-month window: 3 months before the month you turn 65, the month of your birthday, and 3 months after. Enrolling during the first 3 months means coverage starts the month you turn 65. Enrolling later delays coverage and may trigger late enrollment penalties.

Tip: If you have employer health insurance through your current employer (or a spouse's employer), you may qualify for a Special Enrollment Period and can delay Part B without penalty until that coverage ends.

4

Apply online, by phone, or in person

Apply at ssa.gov/medicare, by calling 1-800-772-1213, or at your local Social Security office. You can apply up to 3 months before you want coverage to begin.

5

Consider adding Part D (prescription drug coverage)

If you don't have prescription coverage from another source, enroll in a Part D plan during your Initial Enrollment Period. Delaying Part D when you don't have other creditable coverage results in a permanent premium penalty.

6

Review supplemental coverage options (Medigap or Medicare Advantage)

Original Medicare has deductibles and co-pays with no out-of-pocket maximum. Many people buy a Medigap supplemental policy or switch to a Medicare Advantage plan to cap their costs. Compare options at medicare.gov.