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Medicare guidance for your situation

Working past 65? Medicare timing may be different.

The real question is whether your current coverage lets Part B wait without creating a problem later.

Do not assume that having health insurance automatically means Medicare can be delayed.
Employer coverage check

Separate the questions before you delay Part B.

01

Current employment

Confirm whose current job supports the group coverage.

02

Part B timing

Ask how Medicare coordinates with the employer plan.

03

Prescription coverage

Keep the creditable coverage notice and confirm your dates.

Current employment coverage, employer size, and creditable prescription coverage are different details to verify.

First decide whether your coverage qualifies

Coverage through your current job or your spouse’s current job may support delaying Part B. Retiree insurance, COBRA, and individual Marketplace coverage are different. Confirm that the coverage meets the requirements for the enrollment period you expect to use.

Ask before relying on your employer plan

  • Is coverage based on current employment, and whose employment is it?
  • How large is the employer, and which coverage pays first?
  • Does the employer plan require Medicare at 65?
  • Is the prescription coverage creditable for Part D?
  • When will employment and group coverage each end?
  • Will COBRA or retiree coverage be offered?

Do not confuse employer size with drug coverage

Employer size helps determine which insurance pays first. Creditable prescription coverage means drug coverage expected to pay, on average, at least as much as standard Medicare drug coverage. A creditable drug notice alone does not establish that Part B can be delayed.

Check your HSA before Medicare starts

Medicare enrollment affects eligibility to contribute to an HSA. Part A can be retroactive when someone enrolls after 65. Review the application date, possible retroactive months, and contributions with Social Security and your tax advisor before taking action. Tell us if Social Security has already started.

Map the sequence before changing coverage

Bring your employer plan information, proposed retirement date, and any Medicare notices. We identify which questions need answers from your employer or Social Security, then map enrollment and coverage dates.

Common questions

Does COBRA extend my time to enroll in Part B?

COBRA does not extend the Part B enrollment window based on current employment coverage. Review your dates before relying on COBRA.

Official sourcesMedicare.gov: Working past 65 ↗Medicare.gov: COBRA coverage ↗Medicare.gov: How to sign up ↗

Educational content reviewed September 7, 2026. Confirm current rules and specific plan details before enrolling.

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