I'm still working at 65. Do I need Medicare?

When you have employer coverage from current work, the size of the employer decides who pays first. With 20+ employees, the group plan usually pays first and Medicare second, so many people keep their work coverage and delay Part B. With fewer than 20 employees, Medicare usually pays first, and your employer plan may pay very little if you don't have Medicare. Many people still take premium-free Part A at 65, but if you contribute to an HSA, enrolling in any part of Medicare means your HSA contributions have to stop.[LIZ REVIEW]

Employer size, how good your employer's drug coverage is (it needs to be 'creditable' to avoid a Part D penalty), whether you have an HSA, and when you plan to retire.

1. 1
   Ask HR: "How many employees do we have, and how does our plan coordinate with Medicare?"
2. 2
   Ask HR for a creditable coverage notice for your drug plan.
3. 3
   If you have an HSA, read the HSA answer before enrolling in anything.Read the HSA answer
4. 4
   Talk it through with us.

• Turning 65I'm covered by my spouse's employer. Do I need Medicare?
• Retiring After 65When should I stop contributing to my HSA before starting Medicare?
• Retiring After 65I'm retiring after 65. How do I sign up for Medicare?

Every situation is a little different. Call us at 719-358-6696 — we actually answer the phone — or book a no-cost appointment.