Working at 65? Coverage Choices Matter

Still working at 65? Employer size drives timing: 20+ employees may allow delaying doctor/outpatient and prescription coverage without penalties later with creditable workplace coverage.
With fewer than 20 employees, federal coverage generally becomes primary at 65. Enroll in hospital and doctor/outpatient coverage to avoid gaps and penalties.
Hospital coverage is usually premium-free after 10 yr of payroll taxes. But any federal enrollment ends future HSA contributions for account holders.
Confirm workplace coverage is creditable for both doctor/outpatient and prescription benefits. Written confirmation from benefits administrators helps protect enrollment options and penalty timing.
After retirement or lost workplace coverage, timing matters: 8-mo window for doctor/outpatient coverage; 2-mo window for prescription coverage to avoid permanent late penalties.