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September 1, 2025 6 mins

Welcome to Mistake Monday on Real Easy Medicare with Al Kushner! In this episode, Al uncovers one of the most expensive errors seniors make: postponing Medicare Part B without creditable coverage.

  1. Creditable Coverage Defined
    • Works: employer-sponsored insurance (you or spouse) from companies with 20+ employees
    • Doesn’t count: individual market plans, ACA marketplace, short-term policies, COBRA (<20 employees), most retiree plans, VA benefits
  2. Penalty Details
    • 10% premium increase for each 12-month gap, permanent
    • 2025 base premium $185/month; two-year delay → $222/month (+$444/year); five-year delay → $278/month (+$1,116/year)
  3. Real-Life Examples
    • Mark’s individual plan delay led to a 20% penalty
    • David’s ACA delay also triggered a 20% lifetime surcharge
  4. Prevention Strategies
    • When in doubt, enroll in Part B during your Initial Enrollment Period
    • Obtain written proof of creditable coverage
    • If coverage ends, use your 8-month Special Enrollment Period

Next Up: True Story Tuesday—real beneficiary tales about unexpected Medicare traps and savings opportunities.

Mark as Played

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