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The program will still have money coming in every year through payroll taxes, estimated to be enough to pay an estimated 79 percent of currently promised benefits.


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There is no premium for Part A, and a penalty for not signing up when first eligible, unless you do not qualify for the premium-free Part A. The only drawback is if you are working and have an HSA you can no longer contribute to it. You have a 7-month window around your 65th birthday to sign up for Medicare Part A, but signing up in the three months before your birthday ensures coverage will start in your birth month. The Medicare initial enrollment period is from January 1 to March 31 each year, with coverage starting July 1. From October 15 through December 7 of each year, you can change your supplement and drug plans for the following year.

And there is an eight-month special enrollment period for Medicare Part B, which begins when you lose your job.

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You need a supplemental policy — unless you opt for the all-inclusive Medicare Advantage plan, which restricts providers. You have to pay a premium to participate. A maximum of four quarters can be awarded for any calendar year, and it makes no difference when the income is earned during that year.


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  • The older the individual, the more quarters are required. Remember the above quoted numbers for quarters of coverage to become fully insured are only minimum amounts.

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    This concept is often misunderstood. The amount of earnings required to use a trial work month is based not upon the earnings limit for blind beneficiaries, but rather upon the national average wage index.

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    If you are self-employed, you can also use a trial work month if you work more than eighty hours in your business, and this limitation will not change unless expressly adjusted. Remember this is not the TWP amount.