Should I Enroll in Part A Now and Delay Part B?

Part A only makes sense if you have qualifying employer coverage (20+ employees) and want to delay Part B. But if you have an HSA, enrolling in Part A means you must stop contributions — and Part A can be retroactive up to 6 months.

When This Applies

  • You have employer coverage and want to delay Part B
  • You want hospital coverage without paying Part B premiums
  • You are deciding whether Part A affects your HSA
  • You were auto-enrolled and are considering keeping only Part A

Frequently Asked Questions

Is Part A retroactive?
Yes. When you apply for Part A (or Social Security) after 65, Part A can be backdated up to 6 months. This affects HSA contribution timing.
Can I add Part B later?
Yes. If you have qualifying employer coverage, you'll get an 8-month SEP when it ends. Otherwise, you must wait for the GEP (January–March).
Does Part A cost anything?
Part A is premium-free if you or your spouse has 40+ Social Security work credits. Otherwise, you may pay up to $505/month.