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Turning 65 Medicare Checklist

A step-by-step checklist for everything you need to do in the months before and after your 65th birthday to get Medicare right the first time.

Last updated: January 2026 | Sources: Medicare.gov, CMS.gov, SSA.gov

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Your Medicare Enrollment Timeline

6 months before your 65th birthday

  • Check whether you will be automatically enrolled (if you receive Social Security or RRB benefits)
  • Understand your Initial Enrollment Period (7-month window: 3 months before, your birthday month, 3 months after)
  • Review your current health insurance and whether it is creditable coverage
  • Talk to your employer's HR if you have employer-sponsored coverage
  • Begin researching Medicare options: Original Medicare vs Medicare Advantage, Medigap plans, Part D

3 months before your 65th birthday

  • Apply for Medicare Part A and Part B at ssa.gov/medicare/apply (if not automatically enrolled)
  • Decide whether to enroll in Part B or delay (only delay if you have qualifying employer coverage)
  • Begin comparing Medigap plans if you plan to use Original Medicare
  • Begin comparing Medicare Advantage plans if you prefer that route
  • Begin comparing Part D drug plans at Medicare.gov/plan-compare
  • Check that your doctors accept Medicare

Your 65th birthday month

  • Confirm your Medicare card has arrived (or track your application)
  • Enroll in Medigap during your Open Enrollment Period (guaranteed issue — no medical underwriting)
  • Enroll in a Part D drug plan
  • Or enroll in a Medicare Advantage plan (if you chose that route)
  • Notify your current insurance company of your Medicare enrollment

After your Medicare starts

  • Verify your Medicare card and coverage effective dates
  • Confirm your doctors accept Medicare
  • Review your Explanation of Benefits (EOB) statements
  • Set a reminder to review your Part D plan during Annual Enrollment Period (Oct 15 – Dec 7)
  • Keep your Medicare card in a safe place — do not carry it in your wallet

The 3 Key Decisions When Turning 65

1

Original Medicare or Medicare Advantage?

This is the foundational decision. Original Medicare gives you freedom to see any Medicare provider nationwide. Medicare Advantage replaces Original Medicare with a private plan that usually has networks, lower premiums, and extra benefits.

Compare Medigap vs Medicare Advantage →
2

If Original Medicare: Which Medigap Plan?

If you choose Original Medicare, you will likely want a Medigap plan to cover your cost-sharing. Plan G and Plan N are the most popular for new enrollees. This is the best time to enroll — during your Medigap Open Enrollment Period, you have guaranteed issue rights and cannot be denied or charged more for pre-existing conditions.

3

Part D Drug Coverage

Even if you take no medications, consider joining a low-premium Part D plan to avoid the permanent late enrollment penalty. The penalty is 1% of the national base beneficiary premium ($38.99/month in 2026) for each month you go without creditable drug coverage.

Learn About Part D →

Common Mistakes When Turning 65

Missing your Initial Enrollment Period — you only get one IEP
Assuming VA coverage protects you from Part B penalties — it does not
Skipping Part D because you take no medications — you may face a permanent penalty later
Waiting too long to enroll in Medigap — after your Open Enrollment Period, you may face medical underwriting
Not checking if your doctors accept Medicare before enrolling in a Medicare Advantage plan
Enrolling in Medicare Advantage without checking the drug formulary for your medications

Turning 65 Soon?

Darin can walk you through every step — from enrollment to choosing the right supplemental coverage. Free, no-obligation consultation.

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