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HomeMedicare 2026IndianaPortageStill on the Job in Portage? Your 8-Month Medicare Clock

Medicare 2026

Still on the Job in Portage? Your 8-Month Medicare Clock

Still on the Job in Portage? Your 8-Month Medicare Clock — plain-language Medicare information for Portage, Indiana.

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Older couple talking with advisor in Portage — illustrating this Medicare guide
Photo: Zach Reiner Photo by Zach Reiner on Unsplash

Key takeaways

  • If your employer has fewer than 20 employees, Medicare usually becomes your primary coverage at 65 — enrolling on time matters.
  • If your employer has 20 or more employees, you can often delay Part B without penalty and use a Special Enrollment Period later.
  • After job-based coverage ends, you have 8 months to sign up for Part B without a late penalty.
  • HSA contributions must stop once you enroll in any part of Medicare, including Part A.

PORTAGE, Ind. — If you're approaching 65 and still clocking in at a job that offers health insurance, you're facing one of the trickiest decisions in Medicare: sign up now, or wait? The answer depends on the size of your employer, the type of coverage you have, and a handful of deadlines that can quietly turn into lifelong penalties if you miss them.

Here's what Portage-area workers need to know before their birthday month arrives.

The size of your employer changes everything

The single most important question is how many people work at your (or your spouse's) employer. Medicare treats large and small employers very differently.

If the company has fewer than 20 employees, Medicare is generally the primary payer once you turn 65. That means your job-based plan expects Medicare to pay first, and if you don't enroll, you could be left with big bills. In this case, most people should sign up for Part A and Part B during their Initial Enrollment Period — the seven-month window around their 65th birthday.

If the company has 20 or more employees, your employer plan usually stays primary. You can often delay Part B without a late penalty and pick it up later through a Special Enrollment Period when you leave the job or lose the coverage.

Part A is usually a smart yes

Most people qualify for premium-free Part A because they (or a spouse) paid Medicare taxes for at least 10 years. If that's you, enrolling in Part A at 65 is often a straightforward decision — it can help cover hospital costs your job plan doesn't.

One big exception: if you contribute to a Health Savings Account (HSA), you must stop those contributions the month your Medicare coverage begins. Enrolling in Part A — even by itself — ends your HSA eligibility. Some workers choose to delay Part A for that reason.

The 8-month rule after your job ends

When you (or your spouse) stop working, or your employer coverage ends, the clock starts. You get an 8-month Special Enrollment Period to sign up for Part B without a late penalty. This window begins the month after employment ends or the month after the group coverage ends — whichever comes first.

Miss it, and you could face a lifetime Part B late enrollment penalty of 10% for every 12 months you were eligible but didn't sign up. That penalty stays with you for as long as you have Part B.

Important note: COBRA and retiree coverage do not count as active employer coverage for Medicare purposes. If you leave your job and stay on COBRA, the 8-month window still starts when your job ends — not when COBRA ends.

What about Part D and prescription drugs?

If your employer plan includes drug coverage that Medicare considers "creditable" (as good as or better than Part D), you can delay signing up for a Part D plan without a penalty. Your employer or plan administrator should send you a notice each year confirming whether the drug coverage is creditable — keep those letters.

Part D includes a $2,100 out-of-pocket cap on covered drugs in 2026 and $2,400 in 2027. The maximum deductible is $615 in 2026 and $700 in 2027. The optional Medicare Prescription Payment Plan lets you spread drug costs across the year in monthly installments.

Portage-area plan availability

Portage is in Porter County, where a range of Medicare Advantage and stand-alone Part D plans are offered each year. When you're ready to compare options — whether now or after you retire — the plan finder at medicare.gov lets you enter your ZIP code to see what's available in your area. Plan choices refresh every year during the Annual Enrollment Period, October 15 through December 7.

A quick timeline to keep on your fridge

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Porter County

40% are on Medicare Advantage
(MA penetration in Porter County)
40%
60%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

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Medicare Advantage companies in Porter County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
Elevance Health (Anthem)National—Yes
HumanaNational—Yes
UnitedHealthcareNational—Yes
Aetna (CVS Health)National—Yes
Devoted Health IncRegional—Yes
Centene (WellCare)National—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

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The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Do I have to sign up for Medicare at 65 if I'm still working?
Not always. If your employer has 20 or more employees and offers group health coverage, you can usually delay Part B without a penalty. But if your employer has fewer than 20 employees, Medicare typically becomes primary at 65 and delaying can leave you with gaps and penalties. Talk with your benefits administrator to be sure.
Will I get a late penalty if I delay Part B while still working?
If you have qualifying employer coverage based on current employment, you generally will not owe a Part B late enrollment penalty when you sign up later during your Special Enrollment Period. COBRA and retiree coverage do not count, so plan carefully.
Can I keep contributing to my HSA after I enroll in Medicare?
No. Once you enroll in any part of Medicare — including premium-free Part A — you can no longer contribute to a Health Savings Account. You can still spend the money already in your HSA on qualified medical expenses.
Where can I get free, unbiased help in Indiana?
Indiana's State Health Insurance Assistance Program (SHIP) offers free one-on-one Medicare counseling. You can also call 1-800-MEDICARE (1-800-633-4227) or visit medicare.gov for official information. --- Choosing when to start Medicare while you're still working is a personal decision that depends on your job, your family, and your health. For personalized guidance, visit **medicare.gov**, call **1-800-MEDICARE**, or reach out to Indiana **SHIP** for free counseling before you make the call.
Sources & further reading
  • CMS — Medicare basics (medicare.gov)

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Also for Portage

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This page was last updated: September 29, 2026.

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