{"id":3869,"date":"2021-09-24T13:12:33","date_gmt":"2021-09-24T17:12:33","guid":{"rendered":"https:\/\/yourcarerep.com\/?p=3869"},"modified":"2021-09-24T13:12:33","modified_gmt":"2021-09-24T17:12:33","slug":"enrolling-in-part-b-after-tunring-65","status":"publish","type":"post","link":"https:\/\/yourcarerep.com\/agent-clone-template\/enrolling-in-part-b-after-tunring-65\/","title":{"rendered":"Enrolling in Part B After Turning 65? 2 Things You Must Know: Especially Veterans"},"content":{"rendered":"<p>Becoming a Medicare Advantage agent and a veteran\u2019s specialist has taught me quite a bit about how Medicare works and the mistakes to avoid as a veteran on either VA benefits or TRICARE For Life. \u00a0As I speak with them, I am learning those who have not taken Part-B (the medical insurance portion of your Medicare benefits that Social Security deducts $148.50 in 2021, per month, from your check) and now realized they need it, are having a hard time getting it in a timely manner.<\/p>\n<p>This is troublesome, because (as in one instance with a vet that has already accrued 50% lifetime penalties), the longer it takes to get it, the <a href=\"https:\/\/yourcarerep.com\/new-to-medicare\/#penalties\" target=\"_blank\" rel=\"noopener\">higher the penalties<\/a> continue to accrue (<a href=\"https:\/\/yourcarerep.com\/new-to-medicare\/#penalties\" target=\"_blank\" rel=\"noopener\">to learn more about penalties, click here<\/a>).<\/p>\n<p>So, let\u2019s take a look at what you must do in order to receive your Medicare Part-B enrollment, if you did not take it when you should have, during your initial enrollment period (IEP).<\/p>\n<h2>Part-B Enrollment during your IEP<\/h2>\n<p>Medicare gives you seven (7) months for your IEP. It starts three (3) months before your birthday month, plus your birthday month, and ends three months after your birthday month on the last day of the month. For example: If your birthday were December 15<sup>th<\/sup>, your IEP would start on September 1<sup>st<\/sup> and end after March 31<sup>st<\/sup>.<\/p>\n<p><strong>Special note: If your birthday is the first day of the month, like December 1<sup>st<\/sup>, your effective date will be the month prior to your birthday. Instead of a December 1 effective date, your Medicare benefits will start one month early on November 1<sup>st<\/sup>.<\/strong><\/p>\n<p>Now why is this important when it comes to Part B? Some people get enrolled automatically, due to their circumstances. However, many have to enroll themselves. Why? Well, if you are still working and receiving health insurance from a group of 20+, you don\u2019t need to take it right away. If you receive health insurance from your spouse\u2019s job, with the same criterion, you don\u2019t need to take it right away. Therefore, the onus is on you to make sure you are enrolled.<\/p>\n<p>If you procrastinate and decide to enroll on your birthday month, it won\u2019t be effective until the following month. But here\u2019s where it gets tricky.<\/p>\n<ul>\n<li>If you enroll the month after your birthday month, you will wait two (2) months for it to be effective. Which means your effective date will start the first day after your IEP ends.<\/li>\n<li>If you waited to enroll two (2) months after your birthday month (still in IEP), it will not be effective until three (3) months after enrollment (putting you two months past the end of your IEP).<\/li>\n<li>And if you wait until the last month of your IEP, it will also take 3 months to be effective.<\/li>\n<\/ul>\n<p>This table was part of the <em>Medicare and You<\/em> handbook for 2012. In the <em><a href=\"https:\/\/www.medicare.gov\/media\/10991\" target=\"_blank\" rel=\"noopener\">Medicare and You 2022<\/a><\/em> handbook, it only states that if you enroll in Part B in the last three months of your IEP, it will be delayed. So, beware!<\/p>\n<p>While this has not triggered any Part-B premium penalties (because you are under 8 months past your birthday, it has triggered Part-D penalties (if you\u2019re not a veteran on VA benefits) for your prescription drug plan.<\/p>\n<h2>Enrolling for Part B After Turning 65 with a Break in Coverage<\/h2>\n<p><strong>This is where most veterans fall<\/strong>. Since we have VA benefits (for those who do), often the mistaken belief is, \u201dI don\u2019t need Medicare; I have VA for my insurance.\u201d The problem with that statement is that <strong>your VA benefit is NOT insurance; it\u2019s a benefit<\/strong>. Therefore, it does not meet the threshold of creditable coverage (insurance provided by an employer group with 20 or more beneficiaries), because you are not employed by the VA. Since it doesn\u2019t meet the criterion, the vet starts to accrue penalties each year for Part B.<\/p>\n<p>If you are in this category, you must wait for the Open Enrollment Period, which runs January 1 through March 31, in order to enroll. To enroll, you must submit <a href=\"https:\/\/www.cms.gov\/Medicare\/CMS-Forms\/CMS-Forms\/Downloads\/CMS40B-E.pdf\" target=\"_blank\" rel=\"noopener\">CMS Form-40B, which you can download here<\/a>. <strong>Once your enrollment has been approved, it will not be effective until July 1<sup>st<\/sup><\/strong>.<\/p>\n<h2>Enrolling for Part B After Turning 65 with Creditable Coverage<\/h2>\n<p>If you have creditable coverage, you get a special election period (SEP) to enroll in Part-B when you get ready to lose your group coverage. You will have 8 months in which to enroll, and it will be effective the following month. You will want to enroll no later than the last month of your group coverage, so that you won\u2019t have any break in coverage.<\/p>\n<p>In order to enroll in Part B, you will need to submit the two following forms:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.cms.gov\/Medicare\/CMS-Forms\/CMS-Forms\/Downloads\/CMS40B-E.pdf\" target=\"_blank\" rel=\"noopener\">CMS Form-40B<\/a><\/li>\n<li>And <a href=\"https:\/\/www.cms.gov\/Medicare\/CMS-Forms\/CMS-Forms\/Downloads\/CMSL564-E.pdf\" target=\"_blank\" rel=\"noopener\">CMS Form-L564<\/a><\/li>\n<\/ul>\n<p>This will make it that you don\u2019t have to wait the extended periods for your Part B to be effective.<\/p>\n<p>If you\u2019re a veteran and are trying to get your Part B, keep in mind these timeframes. Not only may it add to your penalties, it may also delay you receiving whatever care you need that\u2019s not being provided by the VA. Make sure you download the forms and read them carefully. Understand what you need to do and provide in order to not slow down the process with a denial and having to resubmit.<\/p>\n<p>If you\u2019re a veteran who is turning 65 soon, make sure to get your Part B on time. Remember, even the VA says you should take it. And, when in doubt, reach out to us to answer any questions you may have. We are your advocate.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Becoming a Medicare Advantage agent and a veteran\u2019s specialist has taught me quite a bit about how Medicare works and the mistakes to avoid as a veteran on either VA [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12769,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[9],"tags":[],"class_list":["post-3869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/posts\/3869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/comments?post=3869"}],"version-history":[{"count":0,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/posts\/3869\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/media\/12769"}],"wp:attachment":[{"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/media?parent=3869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/categories?post=3869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yourcarerep.com\/agent-clone-template\/wp-json\/wp\/v2\/tags?post=3869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}