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I turn 65 this month. I live in AZ.Do I have to apply for Medicare? Do I have to apply for my Social Security monthly income at this time even though I'm not at full retirement age? Do I have to pay any benefits back?

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Pea - ok Medicare & SS very different animals.

So I'm guessing that "cost containment" is your state's version of the affordable care act or your states version of whatever is offered to those who are low income or disabled? ACA is designed for those who need health insurance and cannot get the coverage they need either on their own or through employer or other insurance is too limiting. Now once you qualify for Medicare & become enrolled then you can forget about the cost-containment one as Medicare becomes your primary health insurer. (Medicaid would be your secondary). You have been paying into Medicare through your FICA all these years and it is a benefit you are fully entitled too. You should apply for Medicare when you are 3 months before reaching 65. If you wait to apply for Medicare after your turn 65, they can charge higher premiums too and coverage can be delayed. Medicare application is super time-sensitive, just remember do it 3 months before turning 65 to apply. If your current coverage is tied into your job and you can continue stay on it & it works for you, you can keep using it and not use Medicare too. So you are enrolled in Medicare but not using it. BTW you likely will be flooded with all sort of Medicare supplement plans too, most of these do NOT at all work in tandem with those on Medicaid. Yep, All this can be quite confusing too. There may be a workshop done by AARP or your local Agency on Aging that goes into what's what on all this. Google or call about to see what's out there.

For SS, full retirement age is 66. What that means is that whatever you can draw from SS is benchmarked on what your work history income is or will be to that point in time. YOU DO NOT HAVE TO DRAW SS @ 66. In general, every year you wait to start SS you gain 6 - 8 % in monthly income to a maximum amount at age 70. 6 - 8% is a lot of $$ over time…..

So if you wait till age 70, you have increased your SS check by a maximum of 32%. That's a huge amount, just think what your life today would be like if you got paid 32% more each day. Imagine that you live to age 85, so having 32% more income each month will be just so important. Personally I would wait as long as you can to make the age 70 benchmark if you can afford to do so & your health history is such that it is reasonable to assume you will live to your 80's or 90's.

Your probability of making 70 and not needing the SS $ to me is the key to making the decision as to when to apply for SS. You know you have been paying into SS since the first time you every worked and had FICA taken out. So look into your situation - income, expenses, your health, your job - to see if you can reasonably work another couple of years & reasonably be OK to pay on everything another couple of years without the SS income and reasonably live to 78 or beyond. If everything says yes, then waiting till age 68, 69 or 70 and getting up to 32% more in retirement makes very good sense.

SSA puts out a 2 page document called "When To Start Receiving Retirement Benefits" SSA Publication # 05-10147 that is pretty good on how SS can work.
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Contact your Medicaid case worker. He or she can walk you through the entire process and explain any options to you.
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You don't have to apply for your Social Security now. You probably should get Medicare as it pays first, before Medicaid. Sorry, don't know what the other insurance letters refer to. However, the Medicare has to be paid for to get Part B, the doctor part, as opposed to Part A, the hospital part. Depending on your state Medicaid rules and your income, it is possible that the state Medicaid will pay your Medicare premium. The idea is that it's cheaper for the state to pay that monthly premium costs and thus have Medicare pick up whatever it covers than to not pay the Medicare premium and have to cover all your costs. Call Social Security and ask them about the interaction between Medicare and Medicaid. Also tell them about your other insurance and ask how that cones into play. Ask them to send you this year's Medicate book so you can read all about it.
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