If you are currently working for, or have retired from, service in the federal or state government, you have special considerations regarding your Medicare coverage options.

The date on which you started your service may affect the receipt of Part A and Social Security benefits. For people who began their federal/state careers prior to 1983, you were exempt from paying the Federal Insurance Contributions Tax (FICA) and therefore not subject to mandatory Medicare coverage.

Our fact sheet helps you to understand your enrollment decisions when you first become Medicare-eligible, as well as when you retire from actively working. You'll also learn how Medicare coordinates with other coverage, such as FEHBPs, TRICARE, and veterans' benefits.