Signing up for Medicare

  • Some people get Part A and Part B automatically
  • If you’re already getting benefits from Social Security or the Railroad
  • Retirement Board (RRB), you’ll automatically get Part A and Part B starting
  • the first day of the month you turn 65. (If your birthday is on the first day of
  • the month, Part A and Part B will start the first day of the prior month.)
  • If you’re under 65 and have a disability, you’ll automatically get Part A
  • and Part B after you get disability benefits from Social Security or certain
  • disability benefits from the RRB for 24 months.
  • If you live in Puerto Rico, you don’t automatically get Part B. You
  • must sign up for it. See page 16 for more information

  • If you have ALS (amyotrophic lateral sclerosis, also called Lou Gehrig’s
  • disease), you’ll get Part A and Part B automatically the month your Social
  • Security disability benefits begin.
  • If you’re automatically enrolled, you’ll get your red, white, and blue Medicare
  • card in the mail 3 months before your 65th birthday or 25th month of
  • disability benefits. If you do nothing, you’ll keep Part B and will have to pay
  • Part B premiums. You can choose not to keep Part B, but if you decide you
  • want Part B later, you may have to wait to enroll and pay a penalty for as
  • long as you have Part B. See page 22.
  • Note: If you don’t get your card in the mail, call Social Security at
  • 1-800-772-1213 and let them know. TTY users can call 1-800-325-0778. If you
  • get RRB benefits, call 1-877-772-5772. TTY users can call 1-312-751-4701
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