When Does Medicare Start?

Published 09/18/2024

Answer
Medicare coverage generally starts on the first day of the month you turn 65. For those who have a birthday on the first day of the month, Medicare will generally start on the first day of the month prior. Your Medicare coverage start date can vary based on when you sign up. For details about when you can enroll for Medicare and how your enrollment date can impact your coverage start date, see the US Railroad Retirement Board publication, Medicare for Railroad Workers and Their Families.


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