Do Other Parts Of Medicare Cover Spouses
Can a non-working spouse also become eligible for other types of Medicare coverage?
The answer is yes. Enrolling in Medicare Part C , Medicare Part D or Medicare Supplement Insurance only requires enrollment in Medicare Part A and Part B in order to apply .
Once your spouse enrolls in both Medicare Part A and Part B, they may be eligible to enroll in other types of Medicare coverage.
Is Your Medicare Cost Plan Ending
If youre enrolled in a Medicare Cost Plan, you may need to start looking into other coverage options. As of December 31, 2018, these plans have mainly been discontinued, and are only available to consumers in 11 states.1,2 Medicare Cost Plans are hybrid Medicare plans that share features from Medicare Advantage and Medigap supplemental insurance
Joint Coverage For Medicare And Spouse
Every now and then we speak to beneficiaries looking for a joint Medicare plan with their spouse. No matter who you are or what plan you choose, your Medicare will always be an individual plan. This means you will have your own Medicare claim numbers and your Part B premium will be paid separately.
With that said, there are some Medigap plans that will offer you significant savings on your monthly premium through a Spousal Discount even when you have separate Medicare claim numbers.
Our software at Boomer Benefits helps us to find the best discounts for you and your spouse when we are quoting Medigap policies.
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Does Beneficiary Pay Taxes On Annuities
The beneficiary of an annuity death benefit is required to pay taxes on the money they receive. It is possible to defer the payment or taxation of the money received if the recipient is a surviving spouse. It is important to note that in cases when the beneficiary is not a spouse, he or she would have to pay taxes on the annuity money.
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Medicare After Death Of A Spouse

The death of a spouse can change many aspects of your life, including health policies. If you get benefits under your spouses retirement plan coverage may change after they pass away. If you lose Medicare coverage due to the death of a spouse, you become eligible for a Special Election Period but, that period doesnt last forever.
Social Security surplus helps fund the deficit to help those in need of survivor benefits or those on disability.
Its your responsibility to enroll in a new policy as soon as possible to ensure eligibility. If you recently lost a spouse and your Medicare policy, please call an agent at the number above to start discussing your options.
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How Medicare Works For Pastors Who Have Opted Out Of Social Security
Most pastors who have opted out of Social Security understand that they are on their own for their retirement savings. That part is fairly straightforward. But what about Medicare? How does opting out of Social Security affect eligibility? What are the options available?
There is a lot less clarity surrounding Medicare for pastors who have opted out of Social Security. Allow me to sort things out for you so that you understand how Medicare works and how it will be affected by opting out of Social Security.
How Long Do Medicare Benefits Last For People With Disabilities
As long as youre receiving Social Security disability benefits, your Medicare coverage will continue. In some cases, your Medicare coverage can extend beyond your disability payments.
For example, if you return to work and become ineligible for SSDI, you could stay on Medicare for another eight and a half years93 monthsas long as your disability persists. However, you have to opt in to your employers health plan if they offer one.
In this case, your employers health plan would become the primary payer, and Medicare would pay secondary . Unfortunately, if your employer offers only an HSA plan, you wont be able to use Medicare since HSAs and Medicare dont mix.
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Spouses Are Exempt From Annuity Death Benefit Tax
If you are a spouse who receives an annuity contract, you are not obligated to pay the tax on the death benefit. You can transfer ownership of the contract to your name and keep it tax-deferred. Spouses can also opt to receive an immediate lump sum instead of the death benefit if they choose. If you choose to receive an immediate lump sum, you must note that you will owe tax on the difference between the death benefit and the cost of the annuity.
However, if you choose to transfer the annuity to your spouse, you must ensure that the recipient will receive the inherited money. If the surviving spouse doesnt inherit the annuity, then the inherited money is taxed as ordinary income. You can transfer the inherited annuity to another person or roll the funds into an IRA instead.
See also: Non-Qualified Annuity Death Benefit Taxation
A spouse who receives an annuity is exempt from the annuity death benefit tax if the deceased spouse was married at the time of his/her death. The spouse can then roll over the deceased spouses IRA to their own IRA, but cannot make any additional contributions to the account. In addition, the spouse cannot use the marital deduction or increase the estate tax under Code Sec. 4980A.
If a deceased employees annuity is worth more than $36,000, the surviving spouse may elect to receive a lump sum that is $2,500 more than the single sum. The surviving spouse may also choose a $5,000 lump sum payment instead of the annuity.
Medicare For Divorced Spouse
The Social Security Administration requires you to meet specific criteria to qualify for Medicare benefits from a divorce. Qualifying for Medicare is different than Social Security benefits. You can be eligible for your spouse/ex-spouse Social Security benefits at age 62, and you wont qualify for Medicare until age 65. Of course, you may be eligible for Medicare sooner if you have End-Stage Renal Disease or disability for at least two years.
If youre 62 and your spouse or ex-spouse is 65, you CANNOT use their Medicare benefits for eligibility. You must wait until the age of 65 to qualify unless youre eligible through disability.
If the following situations apply, you may qualify for Medicare after divorce:
- Your ex-spouse is at least 62 years old and eligible for Social Security.
- You must be currently unmarried.
- Youre at least 65 years old.
- You were married for 10+ years.
Medicare Part A benefits are free when you, a current or former spouse, have at least 40 calendar quarters of work or ten years of work history paying into Social Security.
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How Much You Pay For Medicare Part A
Those who do have to pay a premium for Medicare Part A will pay up to $411 in 2016 each month. As mentioned above, 10 years or 40 quarters results in premium-free Part A for most beneficiaries, but those who havent worked 40 quarters may need to pay out of pocket for their Part A premiums.
- People with 30 to 39 quarters of Medicare-covered employment pay a monthly premium of $226 in 2016.
- Those with less than 30 quarters of Medicare-covered employment and who are not eligible for free or reduced Medicare premiums for any other reason pay a monthly premium of $411 in 2016.
Can You Take An Annuity In A Lump Sum
They can take the annuity in a lump sum, at which point they would be required to pay taxes on the appreciation as ordinary income. Instead of that lump sum, though, they can choose to take it over a five-year period, which will avoid the hefty tax, plus keep them from moving into a higher tax bracket.
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How Much Will Your Divorced Spouse Receive
If you have not applied for retirement benefits, but can qualify for them, your ex-spouse can receive benefits on your record if you have been divorced for at least two continuous years.
If your ex-spouse is eligible for retirement benefits on their own record, we will pay that amount first. If the benefit on your record is higher, they will get an additional amount on your record so that the combination of benefits equals that higher amount.
If your ex-spouse was born before January 2, 1954, and has already reached full retirement age, they can choose to receive only the divorced spouses benefit and delay receiving their own retirement benefit until a later date.
If your ex-spouses birthday is January 2, 1954 or later, the option to take only one benefit at full retirement age no longer exists. If your ex-spouse files for one benefit, they will be effectively filing for all retirement or spousal benefits.
Taxable Death Benefits: Non

Non-Qualified Annuities: Uncle Sam doesnt want to let the proceeds sit in a tax-deferred account forever. The rules are that annuity death benefits must be distributed at the death of the owner. If you are a surviving spouse, you can take ownership of the annuity, including any riders and death benefits within one year of your spouses death. There is no income tax due until distributions begin.
Other options for beneficiaries are:
Five-year deferral: Take up to five years from the owners death to withdraw the inheritance. Taxes are not due until withdrawals are taken. The money will continue to accumulate tax deferred.
Lump-sum distribution: Taxes are due in the year taken.
Stretch distribution: The distribution is taken as a percentage over time. Taxes are due as you receive the payments. The distributions may be partially or fully taxable.
Annuitization: The assets are converted into income. The payments will be partially taxable according to exclusion ratio.
Your beneficiary can decide what option to take based on their immediate needs and tax situation.
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How Medicare Works With Other Insurance
If you have
and other health insurance , each type of coverage is called a “payer.” When there’s more than one payer, “coordination of benefits” rules decide who pays first. The “primary payer” pays what it owes on your bills first, and then sends the rest to the “secondary payer” to pay. In some rare cases, there may also be a third payer.
The Reasons You Cant Share Medicare Coverage With A Spouse
Why cant two people share the same Medicare coverage? The biggest reason is because everyones eligibility for Medicare is unique. Your qualifications for Medicare, as well as how much you will pay for Medicare, depend on things like your birthday and work history. For example, your Initial Enrollment Period is directly linked to your 65th birthday.
Plus, the way Medicare works, each beneficiarys coverage is tracked to the individual. Your number of office visits, how much you spend on premiums and deductibles, your dollar limits on services all of this is linked to you and only you.
This is different from how private health insurance works. The plans that youve likely had in the past had a policyholder and dependents . However, for Medicare it all comes down to the individual one member per plan, one person receiving care under their plan.
So, even though you and your spouse might be eligible for Medicare at the same time and even have similar Medicare plans, things like your eligibility and what you pay are tied directly to you, not you and your spouse together.
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Options For Coverage Of A Younger Spouse
If A Nonworking Spouse Is Older Than You And You Meet The 40 Quarters Requirement
Now lets look at when your spouse is older than you and your spouse didnt meet the 40 quarters requirement, but you do.
When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits.
Until youre age 62, your spouse can receive Medicare Part A, but will have to pay the premiums if they dont meet the 40 quarters of work requirement.
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The Parts Of Medicare
Social Security enrolls you in Original Medicare .
- Medicare Part A helps pay for inpatient care in a hospital or limited time at a skilled nursing facility . Part A also pays for some home health care and hospice care.
- Medicare Part B helps pay for services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, and some preventive services.
Other parts of Medicare are run by private insurance companies that follow rules set by Medicare.
- Supplemental policies help pay Medicare out-of-pocket copayments, coinsurance, and deductible expenses.
- Medicare Advantage Plan includes all benefits and services covered under Part A and Part B prescription drugs and additional benefits such as vision, hearing, and dental bundled together in one plan.
- Medicare Part D helps cover the cost of prescription drugs.
Most people age 65 or older are eligible for free Medicare hospital insurance if they have worked and paid Medicare taxes long enough. You can sign up for Medicare medical insurance by paying a monthly premium. Some beneficiaries with higher incomes will pay a higher monthly Part B premium. To learn more, read Medicare Premiums: Rules For Higher-Income Beneficiaries.
Is There Medicare For A Spouse Under 65
Medicare for a spouse under 65 is possible as long as the other partner is at least 62 years old and has satisfied Medicares work requirements.
For example, John is 65 years old and has never worked or paid Medicare taxes. His wife, Cathy, is 62 years old and has worked and paid Medicare taxes for more than 10 years.
In this scenario, John is eligible for premium-free Medicare Part A based on Cathys work history. He may enroll in Medicare Part A and Part B now, at age 65, even though Cathy must wait until she turns 65 to enroll in Medicare herself.
Now lets say Cathy is only 61 years old. In this scenario, John may still enroll in Medicare Part A and Part B, but he wont be entitled to premium-free Part A until Cathy turns 62.
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The Beneficiary Is A Minor
If an annuity owner names a child the primary or contingent beneficiary, under that owners states Uniform Transfers to Minors Act, the childs money will be placed in a custodial account for that childs benefit to a certain age.
Suppose a person dies and leaves money to a child directly or names that child as a beneficiary of a life insurance policy or a retirement account . In that case, a court must appoint a property guardian to manage that childs money at age eighteen.
Every state has its own set of rules, so please check with the state.
Spouse Coverage And Social Security Work Credits

For a person or their spouse to qualify for Medicare, they will need to have built up enough Social Security credits throughout their employment history.
Medicare credits link to Social Security work credits. In 2020, a worker receives one work credit per $1,410 they earn. They can earn up to four credits annually.
Self-employed individuals also receive up to four annual work credits per $1,410 of net earnings.
Anyone born after 1929 must have a minimum of 40 work credits, or have 10 years worth of credits, to become eligible for Medicare. People born before this require fewer credits.
The number of qualifying credits for people who have a disability varies according to the age at which they developed the disability.
A person who develops a disability between 3142 years of age will require 20 work credits for Social Security disability benefits.
A person who develops a disability at age 62, will require the full 40 credits to qualify for Social Security disability benefits.
Not every type of employment counts toward Social Security work credits. If the spouse works for a local or state government that does not participate in Social Security, they will not earn credits.
Those with more than 10 years of service working on the railroads do not pay into Social Security. Instead, the Railroad Retirement Board benefits cover Medicare plans.
The RBB deducts Medicare payments from their employees paychecks, and railroad workers receive the same benefits as anyone else.
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