If you’re 65 years or older in the United States, you may be eligible for Medicare coverage.
Medicare is primarily for people who meet the following eligibility requirements:
Payroll taxes will only guarantee that you won’t have to pay a premium on Part A. There are no work requirements for Part B or Part D coverage.
Medicare and Social Security
The Centers for Medicare and Medicaid Services (CMS) manages Medicare. The Social Security Administration works alongside with the CMS by enrolling certain people in Medicare. If you’re disabled and have been approved or you receive Social Security Disability Insurance benefits, you’ll also receive Medicare.
However, if you’re approved for Supplemental Security Income, you’ll receive Medicaid benefits. SSI Medicare eligibility does not start until you reach the age of 65.
If you’re under the age of 65 and diagnosed with End-Stage Renal Disease (ESRD) you may also be eligible for Medicare benefits.
If you are under the age of 65 and have ESRD, the beginning date of your SSDI is when you should apply for Medicare.
Generally, your Medicare eligibility age is the month you turn 65. At this time, Part A and Part B will become available to you the first day of the month of your 65th birthday.
You may also be eligible for Medicare as long as your spouse has worked and paid Medicare taxes for a minimum of 10 years and one of the following statements is true for you:
If you receive Social Security and Medicare, you could be eligible for automatic enrollment for Part A as well as Part B.
Automatic enrollment will not apply to those who haven’t worked enough time to receive automatic enrollment for Medicare benefits. If you are one of these individuals, you will be required to file an application through the Social Security Administration. Once enrolled through the SSA, you may enroll in Part A and Part B at a monthly premium rate, during an allowed Medicare enrollment period
Many people in the United States receive Medicare disability coverage.
You may qualify for Medicare Disability Eligibility under Part A and Part B coverage if you’re:
For those with ESRD, your application for Medicare benefits is required. Medicare disability eligibility will be determined based on several factors.
When you receive both Medicare and Medicaid, you become “dual eligible”.
You’ll have enhanced benefits, and here’s how it works:
Medicare supplements, as well as Medicare Advantage plans, will be your secondary insurer.
Although Medicare does cover skilled nursing care, coverage is generally for a short-term stay. Many limitations come with Medicare Eligibility for Nursing Home Care.
However, you may qualify for coverage if you meet the following Medicare eligibility rules:
The Medicare Savings Program helps with some out-of-pocket expenses, such as Part A and Part B. One of these programs can help you pay for your premiums, deductibles, copayments as well as coinsurances associated with Medicare.
Medicare Savings Programs has 4 Types:
Aside from the QDWI Program, all these programs will help pay for your Part B premiums.
Medicare Savings Program eligibility automatically qualifies you for Extra Help. The Extra Help program helps you cover the costs of prescriptions. However, if you qualify for Extra Help, that does not mean you also qualify for the Medicare Savings Program.
If you want to know how to check Medicare eligibility, contact us! (Link)
First, make sure you have the following information in order to determine your Medicare eligibility verification:
Options for checking Medicare Eligibility:
When you receive both Medicare and Medicaid, you become “dual eligible”.
You’ll have enhanced benefits, and here’s how it works:
Medicare supplements, as well as Medicare Advantage plans, will be your secondary insurer.
If I’m Eligible, How Much Will My Medicare Premium Be?
Not all Medicare premiums are the same; your situation is different than the next persons and therefore the premium won’t be the same.
If you have any questions or concerns regarding your eligibility, please contact a Medicare expert. You can reach a licensed Medicare expert by calling the phone number above or by filling out the online rate form.