![]() Read our Medicare publication for more information. Your coverage begins on July 1 of the year you enroll. If you don’t enroll in Medicare Part B during your initial enrollment period, you have another chance each year to sign up during a “general enrollment period” from January 1 through March 31. Your monthly premium will go up 10 percent for each 12-month period you were eligible for Part B, but didn’t sign up for it, unless you qualify for a " Special Enrollment Period" (SEP). If you choose not to enroll in Medicare Part B and then decide to do so later, your coverage could be delayed and you may have to pay a higher monthly premium for as long as you have Part B. If you’re eligible at age 65, your initial enrollment period begins three months before your 65th birthday, includes the month you turn age 65, and ends three months after that birthday. Because you must pay a premium for Part B coverage, you can turn it down. With our online application, you can sign up for Medicare Part A (hospital insurance) and Part B (medical insurance). Should I Sign Up For Medical Insurance (Part B)? To learn more, read Medicare Premiums: Rules For Higher-Income Beneficiaries. Some beneficiaries with higher incomes will pay a higher monthly Part B premium. You can enroll in Medicare medical insurance (Part B) by paying a monthly premium. Most people age 65 or older are eligible for free Medical hospital insurance (Part A) if they have worked and paid Medicare taxes long enough.
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