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Your deadline

When do I need to sign up for Medicare?

The short answer

For most people, the window opens three months before the month you turn 65 and closes three months after it. If you're still working with coverage from that job, your deadline works differently — and that's where most expensive mistakes happen.

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Meet Frank

A short story. It stops before the ending.

Read the script

    Two ways your clock starts

    Everyone uses one of these. Never both.

    Turning 65 and not covered by a job — your birthday starts the clock

    3 months before
    Your birthday month
    3 months after

    7 months in all. We call it the 3-1-3.

    Still working with coverage from that job — your job ending starts the clock

    Sign up for Part B any time while you're still covered
    Job or coverage ends
    8 months to sign up for Part B

    The 8 months start when the job or the work coverage ends — whichever comes first.

    Frank used the second one.

    How it works

    Five short cards. Open "Going deeper" only if you want the detail.

    The 3-1-3

    Your window starts before your birthday, not on it

    You can sign up in the three months before the month you turn 65, the month itself, and the three months after. Seven months in all.

    Signing up early matters. Sign up in the first three months and your coverage starts the month you turn 65. Sign up later and it starts later.

    Already on Social Security?

    You're signed up automatically

    If you already get Social Security benefits, you'll be enrolled in Parts A and B without doing anything. Your Medicare card usually arrives in the mail about three months before your 65th birthday.

    Still working and want to wait on Part B? The card comes with instructions for that.

    Still working at 65?

    The size of your employer changes the answer

    20 or more employeesYour work plan generally pays first. You can usually wait on Part B without a penalty while you're covered.
    Fewer than 20 employeesMedicare usually pays first. Waiting on Part B can leave you paying bills your work plan won't.

    Most people still take Part A, because it's usually premium-free.

    Going deeper — the HSA catch

    If you put money into a health savings account (HSA), you have to stop once Part A starts. And when you sign up for Part A later, it can start up to six months earlier than the day you apply. So stop contributions up to six months before you apply.

    When the job ends

    You get 8 months to sign up for Part B

    The clock starts when your job ends or your work coverage ends, whichever comes first. Sign up inside those 8 months and there's no late penalty.

    Don't treat the 8 months as time to spend. Signing up so Part B starts the day your work coverage stops means no gap between the two.

    Going deeper — your plan has its own, shorter clock

    Medicare Advantage or a drug plan: about 2 months after your work coverage ends. Someone who uses most of their 8 months for Part B can miss this one.

    Medicare Supplement: a one-time 6-month window that opens when your Part B starts. During it, you can't be turned down or charged more for your health.

    The expensive mistake

    COBRA and retiree coverage don't count for Part B

    Both feel like your old work plan — same company, same doctors. But Medicare only counts coverage from a job someone is still working. Once the job ends, your 8 months are running, even while you're on COBRA.

    And when COBRA ends, there's no new window waiting. That's what happened to Frank.

    Find your window

    Two quick tools. Nothing you pick is saved.

    What month is your 65th birthday?

    Coverage starts your birthday month Your birthday month Coverage starts the month after you sign up

    Born on the 1st of the month? Everything moves one month earlier.

    Want your exact dates confirmed?

    A licensed support agent can confirm the window that applies to you — including what changes if you're still working or on a spouse's plan.

    No obligation. You can request help from one of our licensed support agents at any time.

    Which one sounds like you?

    Pick one above to see what applies to you.

    What happened to Frank

    The rest of the story.

    Read the script

      Frank's path, next to the one he could have taken

      What Frank did
      Work
      COBRA
      No Part B
      Part B
      What he could have done
      Work
      Part B and his plan, with no gap
      Retires in March8-month window closes (dashed line)COBRA endsPart B starts
      Work COBRA No Part B Part B 8-month window closes

      Words on this page

      Late penalty
      An extra charge added to your Part B premium.
      Medicare Advantage
      A private plan you can choose instead. It bundles coverage and has a yearly out-of-pocket limit.
      Medicare Supplement
      An add-on plan that pays some or all of what Original Medicare leaves you to pay. Also called Medigap.
      Premium
      What you pay every month to have the plan, whether you use it or not.
      Premium-free
      No monthly cost, since you paid for it while you worked.
      Next — Step 3: How does a Medicare Supplement work? →