When should federal employees apply for Medicare coverage?

By Jeff Gill

Alright, let’s dive into something every federal employee has to think about eventually—Medicare. I know, it’s not the most exciting topic. But if you play your cards right, it can save you a ton of stress (and money) down the road. So, let’s chat about when to apply and how to keep things simple.



When Should You Start Thinking About Medicare?


Honestly? Sooner than you think. You’re eligible for Medicare when you hit 65. That’s your cue to start figuring out what you need, especially if you’ve been relying on the Federal Employees Health Benefits (FEHB) program for years. Medicare doesn’t replace FEHB—it works alongside it, kind of like Batman and Robin. Except in this case, you’re Batman. Medicare’s just there to back you up.



The Golden Rule: Don’t Miss Your Enrollment Window


Medicare has this thing called the Initial Enrollment Period (IEP). It starts three months before your 65th birthday, includes the month you turn 65, and lasts three months after. So, you’ve got a 7-month window to sign up. Miss it, and you could end up paying penalties for life. And no one wants to shell out extra cash because they forgot a deadline.



Should You Sign Up for Medicare Part A?


Part A is hospital insurance, and here’s the good news—it’s usually free. If you’ve worked long enough (10 years or more) and paid Medicare taxes, you’re good to go. Most federal employees sign up for Part A right away because, hey, why not? It’s free, and it can help cover hospital costs if you ever need it.



What About Medicare Part B?


Ah, the big question: To B or not to B? Part B covers things like doctor visits, outpatient care, and some preventative services. But it’s not free—you’ll pay a monthly premium.


Here’s where it gets a little tricky. If you’re still working and have FEHB coverage, you might not need Part B right away. FEHB is usually enough to handle your healthcare needs. But once you retire, pairing Part B with FEHB can help minimize out-of-pocket costs. Think fewer copays, deductibles, and unexpected bills.



How Do Medicare and FEHB Work Together?


Here’s the cool part: If you’re a retired federal employee, Medicare becomes your primary insurance, and FEHB steps in as secondary coverage. This tag-team approach can save you a lot of money, especially for things like hospital stays and specialist visits. Plus, with both programs working together, you’re pretty much covered from every angle.



What If You’re Still Working Past 65?


If you’re planning to keep working after 65 (go you!), you can delay Part B without penalties as long as you’re covered under your federal employee health plan. Just make sure you enroll in Part B during the Special Enrollment Period once you retire.



Real Talk: Don’t Overthink It


I know Medicare can feel like this big, overwhelming decision. But it doesn’t have to be. Think of it as adding another layer of protection to your healthcare plan. Start by signing up for Part A when you turn 65—it’s free, so there’s no downside. Then, figure out if Part B makes sense based on whether you’re still working or retired.


And if you’re still unsure? Call someone who knows their stuff. The folks at Medicare or your HR department can walk you through the details.



Final Thoughts


At the end of the day, Medicare is just another tool to help you stay healthy and financially secure in retirement. The key is to know your options and not miss those important deadlines.


So, set a reminder, mark your calendar, or stick a Post-it on your fridge. Whatever works for you. Future-you will be grateful you took the time to figure this out. You’ve got this!

Jeff Gill