How to Apply for Medicare in Virginia


When you sign up for Medicare in Virginia, you must meet all eligibility standards. The Medicare application process itself is not complicated, but you must apply for Medicare during a certain timeframe and carefully follow all application steps and instructions.

If you miss the initial enrollment period for Medicare, you will most likely pay a late enrollment penalty and may not have access to medical services when you need them. Before you apply for benefits, it is important that you learn about Medicare Part A and other Medicare coverage options to make sure you are eligible for benefits. Keep reading for tips on how to apply for Medicare online, learn about general application requirements and discover the penalties for late Medicare enrollment.

Medicare Application Requirements in Virginia

Your Medicare health insurance application process begins with deciding on your level of coverage. An Original Medicare enrollment includes receiving Medicare Part A (hospital insurance) and Part B (medical insurance). Your Medicare enrollment application should also include Part D, prescription drug coverage. Although you can sign up for Part D later, you may have to pay a penalty for waiting. If you choose to register for Medicare Part C, or a Medicare Advantage Plan, you will receive all services included in Part A and Part B. When you enroll in Medicare Part C, the Part D prescription drug plan is usually included. Part B Medicare enrollment is optional during your initial enrollment period for Medicare, because Part A alone meets the legal requirement to have health insurance. Plan B usually comes with a monthly premium payment, but it may be worth it to sign up for Part B initially because you will avoid paying a late enrollment penalty later.

Once you decide to sign up for Medicare, your Medicare application will require you to have certain documents and personal information on hand. Most people who enroll in Medicare find that the process requires fewer supporting documents than other government benefit applications. Information required on a Medicare application in Virginia includes documentation of the applicant’s birth, Social Security number and current health insurance information. After submitting your Medicare health insurance application, you may be contacted to provide additional information before your enrollment can begin. Learn specific Medicare enrollment information by downloading our comprehensive guide.

How to Enroll in Medicare in Virginia

Applicants wondering how to enroll in Medicare in Virginia can choose from several different application methods. If you are wondering how to apply for Medicare online, you may apply through the Social Security Administration. If you prefer, you may apply for Medicare in person at your local Social Security Administration (SSA) office. If you choose to sign up for Medicare in person, avoid long wait times by calling the SSA first to set an appointment. Many Virginians sign up for Medicare supplemental benefits via the state’s CommonHelp organization online, by phone or in person, if applicable.

Automatic Medicare Enrollment in Virginia

Some individuals can enroll in Medicare without going through the application process. Candidates for automatic Medicare enrollment include the following individuals:

  • Those receiving benefits from Social Security or the Railroad Retirement Board (RRB)
  • People under age 65 who have been receiving SSA disability benefits for at least 24 months
  • Individuals diagnosed with Amyotrophic Lateral Sclerosis (ALS, or Lou Gehrig’s Disease) and have applied for disability benefits

The automatic enrollment process typically covers Parts A and B, which offers basic Medicare coverage options for all eligible Virginia residents. If you believe that you are qualified for automatic Medicare enrollment but are not receiving benefits, you may need to contact the Medicare helps desk for the next step.

Medicare Enrollment Periods in Virginia

The initial enrollment period for Medicare (IEP) is open for seven months. The IEP allows you to sign up for Medicare as early as three months before the month of your 65th birthday, and remains open for three months after your birthday month. If you do not apply for Medicare during your IEP, you can register for Medicare during a special enrollment period. Special Medicare enrollment periods are open to specific applicants who meet certain work-related qualifications, detailed in our helpful online guide to Virginia Medicare benefits. An annual Medicare enrollment period opens at the beginning of each year. During this time, you may sign up for Medicare Part B or other missing parts of your Medicare coverage.

Penalties for Late Medicare Enrollment in Virginia

If you did not enroll in Medicare during your IEP or during a special Medicare enrollment period, the Centers for Medicare and Medicaid Services (CMS) will likely issue a penalty for late enrollment. Medicare enrollment late penalties are calculated according to the type of coverage you are applying for after the deadline. For example, late Part A Medicare enrollment will result in paying a higher monthly premium for a certain number of years. If you apply for Medicare Part B late, your penalty might be a permanent addition to your monthly premium, lasting the entire time that you have Medicare coverage. The same is true if you enroll in Medicare Part D after a certain number of days going without prescription drug coverage. The Medicare enrollment late fee for Part D will be added to your monthly premium for the entire period of your prescription drug coverage. There are certain ways to avoid paying a penalty, but they only apply to certain situations. Learning about the Medicare enrollment process can help you make on-time submissions to make the most of your benefits and avoid late fees.

Virginia Department of Social Services