Can I apply for Medicare Part A only first, then Social Security later to avoid automatic Part B enrollment?
I'm turning 65 in three months but still have good health insurance through my employer where I'll keep working until 67. I want to apply for Medicare Part A now (since it's free) but NOT Part B (since I don't need double coverage and don't want to pay for it). Here's my concern: I've read that when you start Social Security benefits, you're automatically enrolled in Medicare Part B. I was planning to start my Social Security retirement benefits at 66 (my FRA is 66 and 8 months), but I'm worried about this automatic Part B enrollment. Would it work if I apply for Medicare Part A only first, get my Medicare card, and THEN apply for Social Security benefits later? Has anyone done this two-step approach successfully? I really don't want to deal with the hassle of trying to disenroll from Part B after they automatically sign me up for it. Thanks for any advice!
16 comments
Sean Kelly
Yes, your two-step approach can work! I did exactly this last year. I applied for just Medicare Part A when I turned 65 (still working with employer coverage), and I got my Medicare card showing only Part A enrollment. Then about 8 months later, I applied for Social Security retirement benefits. They did initially try to enroll me in Part B, but because I already had an established Medicare record showing Part A only, it was easier to explain I wanted to maintain my Part A only status. Make sure you complete form CMS-L564 ("Request for Employment Information") signed by your employer when you initially decline Part B to document your employer coverage. Keep a copy of everything!
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StellarSurfer
•That's exactly what I needed to hear! Thank you so much for sharing your experience. I hadn't heard about the CMS-L564 form - is that something I need to submit with my initial Medicare application to formally decline Part B, or is simply not selecting Part B on the application sufficient?
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Zara Malik
my sister tried to do this and ended up with a huge mess!! she got part A then when she filed for SS they STILL enroled her in part B even tho she told them not to and she had to pay for 2 months of it before they fixed it!! the SSA people told her she should have gone to the office in person instead of doing it online!!
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StellarSurfer
•Oh no, that sounds like exactly what I'm trying to avoid! Did she have to pay those 2 months of premiums or did they refund her? I wonder if I should just go to the SSA office in person for both applications to make sure they understand what I want.
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Luca Greco
Your understanding is partially correct, but let me clarify a few technical points about Medicare enrollment and Social Security: 1. When you apply for Social Security benefits at or after age 65, you are automatically enrolled in BOTH Medicare Part A and Part B if you aren't already enrolled in Medicare. 2. However, if you already have an established Medicare record (Part A only in your case), the system should recognize this when you later apply for Social Security. 3. The proper way to decline Part B due to current employer coverage is using Form CMS-1763 (Medicare Part B General Enrollment) along with Form CMS-L564 (Request for Employment Information) that your employer must complete to verify your coverage. 4. When you later lose your employer coverage, you'll qualify for a Special Enrollment Period (SEP) to sign up for Part B without penalties. Your two-step approach is sound from a procedural perspective, but be prepared to clarify your situation if there's confusion in the system.
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StellarSurfer
•Thank you for the detailed explanation! I see I need to be more specific about the forms. So I should submit both the CMS-1763 AND the CMS-L564 with my initial Medicare application to formally decline Part B? I want to make sure I have all the proper documentation from the beginning.
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Nia Thompson
I think ur overthinking this tbh. Just call them and tell them what u want. Thats what I did. No big deal.
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Mateo Rodriguez
•Have you actually TRIED calling the SSA lately??? I spent 3 HOURS on hold last week and then got disconnected!!! Twice!!! They're impossible to reach by phone these days, so planning ahead like OP is doing is actually really smart.
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Aisha Hussain
I went through this exact situation last year! Your plan should work, but there's one thing to watch out for: even if you already have Medicare Part A, when you apply for Social Security benefits, the system might STILL try to automatically enroll you in Part B. The key is to immediately contact them if this happens. I had to fill out Form CMS-1763 to disenroll from Part B after they automatically enrolled me. It was annoying but fixable.
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GalacticGladiator
•This matches what I experienced too. I did the same two-step process and still had to deal with an automatic Part B enrollment. But I was able to cancel it by visiting my local Social Security office with proof of my employer coverage. They backdated the cancellation so I didn't have to pay any premiums. The most important thing is keeping documentation of your employer coverage. Whatever you do, DON'T just ignore any Part B premium bills if they show up - address it immediately!
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GalacticGladiator
If you're having trouble reaching someone at Social Security to get this sorted out, I highly recommend using the Claimyr service (claimyr.com). They can get you connected to a live SSA agent usually within 20 minutes instead of spending hours on hold. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU. I used it when I needed to deal with a similar Medicare enrollment issue and got everything sorted out in one call. Saved me so much frustration compared to my previous attempts trying to reach someone.
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StellarSurfer
•I've never heard of this service before - that sounds like it could be really helpful! The few times I've tried calling SSA I gave up after being on hold forever. I'll check out that video, thanks for the tip!
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Mateo Rodriguez
The WHOLE Medicare system is designed to TRAP you into paying for Part B!!!! I went through this NIGHTMARE last year and even though I had employer coverage they STILL forced me to pay for 3 months of Part B before they finally fixed it. And don't even get me started on how they deducted the premiums directly from my SS payment without my permission!!! The system is BROKEN!!!
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Nia Thompson
•My experience wasnt that bad. Maybe u just got unlucky with who u talked to? My rep was super helpful when I called.
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StellarSurfer
Thanks everyone for all the helpful advice! From what I'm gathering, my two-step approach could work, but I need to: 1. Get the right forms (CMS-L564 from my employer and possibly CMS-1763) when initially declining Part B 2. Keep documentation of everything 3. Be prepared to act quickly if they still try to automatically enroll me in Part B when I apply for Social Security I think I'll go ahead with applying for just Medicare Part A now, and then I'll apply for Social Security in person at my local office next year rather than doing it online. That way I can make it very clear I want to maintain my Part A only status. I appreciate all the shared experiences - it really helps to know what to expect!
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Sean Kelly
•That sounds like a solid plan. One more tip: when you go to the Social Security office for your retirement application, bring a copy of your Medicare card showing Part A only. This gives the claims representative a clear visual reminder of your current Medicare status and makes it easier for them to understand what you're trying to maintain.
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