Working for a Small Employer? You Probably Need Part B Now.

Yes. With fewer than 20 employees, Medicare is your primary payer regardless of employment status. Your employer plan only pays secondary. Enroll in Part B during your IEP to avoid penalties and large out-of-pocket costs.

When This Applies

  • You work for a small employer (under 20 employees)
  • You are turning 65 while working
  • Your employer offers health coverage but has a small workforce
  • You are wondering if your employer plan is sufficient

Frequently Asked Questions

How is employer size counted?
Based on the number of employees the employer had for each working day in the current or previous calendar year.
What if my employer grows past 20?
If the employer reaches 20+ employees, the plan becomes primary and you may be able to delay Part B going forward.
Can my small employer plan deny me?
No. The plan can't deny you coverage, but it will only pay secondary — which is much less without Part B.