Medicare information reviewed and updated July 2026 · 2026 Part B premium: $202.90/month
Why Timing Matters
Medicare has hard deadlines. Miss the wrong one and you can pay a Part B late enrollment penalty of 10% per 12 months delayed, for the rest of your life. The Part D penalty is 1% per month delayed, also lifetime.
This checklist is built around your 65th birthday. Start at the section that matches where you are now.
Timing
6 Months Before 65
●
Gather your medical provider list
Include LMH Health, KU Med, primary care, and specialists. You'll need this when comparing plan networks.
●
List all current prescription medications
Include dosages and your preferred pharmacy. Part D plans differ widely in what they cover.
●
Read the basics on Medicare Parts A, B, C, D
Use Medicare.gov or our homepage. A 30-minute orientation makes every later decision easier.
●
If still working: ask HR if your coverage is 'creditable'
Get the answer in writing. This determines whether you can safely delay Part B.
●
Check if you're already enrolled in Social Security
If yes, Medicare Parts A and B enrollment will happen automatically.
Timing
3 Months Before 65, IEP Opens
●
If NOT on Social Security: apply for Medicare
Apply through ssa.gov, by phone at 1-800-772-1213, or in person at the Lawrence Social Security office.
●
Watch for your Medicare card in the mail
If auto-enrolled, your card arrives about 3 months before your 65th birthday.
●
Compare Medicare Advantage vs Original Medicare + Medigap
These are the two main paths. Each has different trade-offs around providers, costs, and flexibility.
●
Verify your Lawrence doctors' Medicare participation
Call each office directly. Network status can change, don't rely only on online directories.
●
Schedule a no-cost consultation with a licensed KS agent
Adam can walk you through your specific situation: (785) 843-0288
Timing
2 Months Before 65
●
Review specific Part D plans against your medication list
Match the formulary to your drugs. Check Dillons, CVS, Walgreens, or your preferred pharmacy for preferred-network status.
●
If choosing Medigap: compare Plan G, Plan N, and other standardized plans
Same benefits across carriers, different premiums. Shopping matters.
●
Decide on your coverage path with confidence
By this point you should know your direction and the specific plan you'll enroll in.
Timing
1 Month Before 65
●
Complete enrollment in your chosen plan
Submit your application. Confirmation usually arrives within a week.
●
Confirm effective date matches your Medicare Part A/B start
Coverage gaps cause real problems. Verify the start date in writing.
●
Set up payment method for monthly premiums
Most carriers offer auto-pay, monthly billing, or quarterly billing options.
Timing
Birthday Month
●
Coverage begins (if enrolled in prior months)
Welcome to Medicare. Your card and plan card go in your wallet.
●
Carry your Medicare card and plan card with you
Doctor's offices need to see both at every visit until they update their files.
●
Notify your doctors of your new coverage
Bring your cards to your next appointment so the office can update billing information.
Timing
Within 3 Months After 65
●
IEP closes, final chance to enroll without late penalties
If you haven't enrolled yet, do not wait past the end of Month +3.
●
Review first medical bills to confirm coverage is working correctly
Catch billing errors early. If something doesn't look right, call your plan.
Timing
First October After 65
●
Annual Enrollment Period opens Oct 15, Dec 7
Every Medicare beneficiary can review and change plans during this window each year.
●
Review whether your current plan still fits
Plans change every year. Drug formularies, networks, and premiums all shift.
●
Switch if needed for coverage effective Jan 1
Changes made during AEP take effect on January 1 of the following year.
Want To Avoid Common Mistakes Too?
We've seen the same enrollment mistakes cost Lawrence seniors thousands. Here are the seven biggest ones
Missing the Initial Enrollment Period - waiting past your 65th birthday without enrolling leads to penalties.
Not checking if your employer coverage is creditable - assuming it is can cause a late‑enrollment penalty for Part B.
Choosing a Medicare Advantage plan without confirming doctor participation - you may lose access to your preferred providers.
Skipping the Part D formulary review - your medications might not be covered, resulting in higher out‑of‑pocket costs.
Delaying the Medigap decision - waiting too long can limit your options and increase premiums.
Failing to set up automatic premium payments - missed payments can cause a lapse in coverage.
Ignoring the Annual Enrollment Period - you miss the chance to switch to a better plan each year.
I grew up in Lawrence, graduated from Free State High School, and earned a BS in Finance from the University of Kansas. Most of the people I help are turning 65 or reviewing their current Medicare coverage.
No pressure, no sales pitch. Just clear answers when you're ready to talk.