Medicare Part B Eligibility 

Medicare Part B helps cover medical services like doctor visits and outpatient care. It's a key part of your healthcare coverage. Find out if you're eligible for Medicare Part B, how to enroll, and learn more about what you need to know to get started.

What are the eligibility requirements for Medicare Part B?

Generally, you’re eligible for Parte B de Medicare  if you meet 1 or more of the following qualifications:

  • You are 65 or older and either you or your spouse worked and paid Medicare taxes for at least 10 years.
  • You are a U.S. citizen or a lawfully present resident who’s lived in the United States for at least 5 years.
  • You’re under 65 but you’ve been receiving Social Security Disability Insurance (SSDI) for at least 24 months. 
  • You’re under 65 and have ALS (Lou Gehrig’s disease) or end-stage renal disease (ESRD). 

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When can I sign up for Medicare Part B?

There are 3 main opportunities to enroll in Medicare Part B:

  • Período de inscripción inicial (IEP) : This is a 7-month window around your 65th birthday (3 months before, your birthday month, and 3 months after).
  • Período de inscripción especial (SEP) : If you're still working and have health insurance through your job, you can wait to sign up for Part B without penalty. Once you stop working, you'll have 8 months to enroll.
  • General Enrollment Period (GEP): Missed the other windows? You can sign up between Jan. 1 and March 31 each year, but your coverage won’t start until July—and you might have to pay a late fee.

¿Cuánto cuesta la cobertura de Medicare Parte B?

Most people pay a monthly premium for Part B. The standard amount changes each year, and if you have a higher income, you might have to pay a bit more. For 2025, the standard Medicare Part B premium is $185.

What is the late enrollment penalty for Medicare Part B?

If you don't sign up for Part B when you're first eligible and you don't have other qualifying health coverage-like coverage through a current employer-you'll pay a penalty for every year you delayed enrollment. And you'll pay this extra amount every month for as long as you have Part B.

Understanding Medicare Part B eligibility is an important step in getting the healthcare coverage you need. If you're ready to take the next step, be sure to review your options and enroll in Part B on time to avoid any late enrollment penalties.

Preguntas frecuentes

1- What happens if you miss Medicare Part B enrollment deadlines?

Medicare Part B may charge you a late enrollment penalty if you wait too long to enroll. This penalty is an additional 10% added to your monthly premium for every 12-month period you were eligible but didn't enroll. This penalty is typically permanent.

2- How do I get rid of a Part B late enrollment penalty?

Unfortunately, the penalty is typically permanent. That's why it's important to enroll as soon as you're eligible. If you believe the penalty was applied in error, you can submit a request for reconsideration  to Medicare. 

3- What does Medicare Part B cover?

Medicare Part B offers valuable coverage for doctor visits, outpatient care, durable medical equipment, and preventive care like screenings and vaccinations. Conozca más sobre what Part B covers .

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