If you're enrolled automatically
People who already get Social Security or Railroad Retirement benefits are enrolled in Part A and Part B starting the first day of the month they turn 65. Your red, white and blue Medicare card comes in the mail. You can keep Part B or follow the card's instructions to turn it down, for example if you're still covered by an employer plan from current work.
If you need to sign up
- Pick your timing. Your Initial Enrollment Period runs 7 months: the 3 months before your 65th birthday month, that month and the 3 months after. Sign up in the months before your birthday month so coverage starts on time.
- Apply with Social Security. Online at ssa.gov/medicare/sign-up, by phone at 1-800-772-1213 (TTY 1-800-325-0778), or at a local office. Have your Social Security number and any current health coverage details ready.
- Using a Special Enrollment Period? If you're leaving employer coverage after 65, send form CMS-40B (application for Part B) and CMS-L564 (proof of employer coverage), which your employer completes.
- Watch for your card. Once approved, you get your Medicare card and number. Keep them handy for the next step.
- Choose how you get your coverage. Stay with Original Medicare and add a Part D drug plan and, if you want, a Medigap policy; or join a Medicare Advantage plan. You can join a plan during the same 7-month window.
Oregon details
- Medigap: your 6-month Medigap open enrollment starts the month your Part B begins and you're 65 or older. During it, companies selling in Oregon can't turn you down or charge more for health reasons (OAR 836-052-0138).
- Oregon Health Plan members: you still sign up for Medicare. OHP keeps helping with costs Medicare doesn't cover, and you may qualify for a Medicare Savings Program. Report changes through ONE Oregon at one.oregon.gov or 1-800-699-9075.
- State retirees: PEBB and OEBB retiree medical coverage ends when you become eligible for Medicare. See PEBB and Medicare and OEBB and Medicare.
Plan choices depend on your county: see Medicare in your Oregon county. For help choosing, you can request a call from a licensed insurance agent, or call 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). Our turning 65 in Oregon guide walks through the whole year before your birthday.
Related questions
When should I sign up if I'm turning 65?
Timing so coverage starts on your birthday month.
Do I need Part B if I'm still working?
When it's safe to wait.
What happens if I miss Medicare enrollment?
Penalties and the next window.
Can I get Medicare under 65 on disability?
The 24-month rule and exceptions.
Sources
- Social Security — Sign up for Medicare
- Medicare.gov — How do I sign up for Medicare?
- Medicare.gov — When does Medicare coverage start?
- OAR 836-052-0138 — Medicare supplement open enrollment (Oregon)
- OAR 101-050-0010 — PEBB retiree eligibility
More questions in this guide
- Can I get Medicare before 65 if I'm on disability in Oregon?
- Do I need Medicare Part B if I'm still working at 65 in Oregon?
- What happens if I miss Medicare enrollment in Oregon?
- What happens to my Medicare plan if I move to Oregon?
- What happens to my Medicare if I move out of Oregon?
- When should I sign up for Medicare if I'm turning 65 in Oregon?
Part of the guide: Medicare enrollment periods in Oregon · All questions
Frequently asked questions
Am I enrolled automatically at 65?
Yes, if you've been getting Social Security or Railroad Retirement Board benefits for at least 4 months before you turn 65. Your card usually arrives about 3 months before your birthday. If you're not getting benefits yet, you have to sign up.
Can I sign up for Medicare online?
Yes. At ssa.gov you can apply for Medicare alone, without starting Social Security retirement benefits. If you're signing up for Part B later because job-based coverage is ending, you can also submit those forms online.
How do I sign up if I worked for a railroad?
Contact the Railroad Retirement Board at 1-877-772-5772 instead of Social Security.
Medicare in your Oregon county
Plans, local agents and help, county by county: Multnomah · Washington · Clackamas · Lane · Marion · Jackson · Deschutes · Linn · Douglas · Yamhill · Benton · Polk · Josephine · Umatilla · Klamath · Coos · Columbia · Lincoln · Clatsop · Malheur · All 36 counties →