All retiree members and dependents enrolled in SFHSS medical coverage must also be enrolled in Medicare, if eligible due to age or disability. SFHSS requires enrollment in Medicare Part A and Part B (some people will only be eligible for Part B). Check with the Social Security Administration if you have questions about eligibility for Medicare.
If you and/or your Medicare-eligible dependent is not yet enrolled in Medicare, SFHSS will complete the Social Security Request for Employment Information form. You must bring this form back to the Social Security office to complete Medicare enrollment. Please note that there is a monthly premium paid to the federal government for Medicare Part B. When you meet with Social Security, request a letter confirming your Medicare enrollment and the date your Medicare coverage will begin.
Individuals who are not eligible for non-contributory (free) Medicare Part A are not required to enroll in Medicare Part A. In that case, you must obtain a letter from Social Security documenting ineligibility for Part A, and submit the letter to SFHSS. Individuals who are ineligible for Part A must still enroll in, and pay premiums for, Part B. SFHSS requires proof of enrollment in Medicare Part B, and the date Part B takes effect.
SFHSS cannot cover a Medicare eligible spouse or partner on your retiree medical coverage without proof of that dependent’s Medicare enrollment. If you have questions about Medicare enrollment for your spouse or domestic partner, contact the Social Security Administration - (800) 772-1213 or visit ssa.gov for office locations.
If you and/or your spouse or partner are under age 65 and do not have a Social Security-qualified disability, skip to step 4. If you are not yet eligible, you do not need to enroll in Medicare at the time of your retirement. However, you will need to provide proof of enrollment in Medicare to SFHSS whenever you (or your dependent) becomes eligible: upon age 65, or sooner due to disability.
