Medicare Blog

how do i make sure parents have medicare coverage

by Arlene Padberg III Published 2 years ago Updated 1 year ago
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Go to Medicare’s Check Enrollment Tool to determine which type of coverage your parents have in place now, or call 1-800-MEDICARE to have a representative look up their coverage. Understand the Two Options Medicare supplements generally have higher premiums but more predictable spending on the back end.

If your parents are receiving Social Security benefits, they should automatically be enrolled in Medicare Part A and receive their Medicare card in the mail around their 65th birthday. However, they may have to sign up if they are 65 (or almost 65) and not receiving Social Security.

Full Answer

Does Medicare cover your family?

Summary: Medicare is individual insurance, not family insurance, and coverage usually does not include spouses and children. Unlike other types of insurance, Medicare is not offered to your family or dependents once you enroll. To get Medicare, each person must qualify on their own.

How do I know if my dad has Medicare?

You will know if you have Original Medicare or a Medicare Advantage plan by checking your enrollment status. Your enrollment status shows the name of your plan, what type of coverage you have, and how long you've had it. You can check your status online at www.mymedicare.gov or call Medicare at 1-800-633-4227.

Are Medicare Beneficiaries automatically enrolled?

You'll be automatically enrolled in a Medicare drug plan unless you decline coverage or join a plan yourself.

How can a parent help with Medicare?

4 Tips to Help Your Parents Prepare for MedicareComplete an “Authorization to Disclose Personal Health Information” form. ... Know how it works. ... Ask specific questions about your parent's needs. ... Contact an expert.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

How do I know if my mom has Medicare Part D?

Call the Medicare help line at 1-800-633-4227, explain the situation, and ask them to check whether she is currently enrolled in Part D and, if so, obtain the name and contact information of her plan.

Who gets Medicare automatically?

You automatically get Medicare when you turn 65 Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

How can you find out if someone is on Medicare?

Lastly, you can check your status on the Medicare enrollment page, by logging in with the following information at hand:ZIP code.Medicare number.last name.date of birth.Medicare Part A effective date.

Are you automatically signed up for Medicare at 65?

Medicare will automatically start when you turn 65 if you've received Social Security Benefits or Railroad Retirement Benefits for at least 4 months prior to your 65th birthday. You'll automatically be enrolled in both Medicare Part A and Part B at 65 if you get benefit checks.

Can I call Medicare on behalf of someone else?

You can either give verbal permission over the phone for the customer service representative to speak with someone else on your behalf, or fill out an authorization form in advance.

Who qualifies for free Medicare Part A?

age 65 or olderYou are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

Who qualifies for Medicaid?

To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups (PDF, 177.87 KB).

What is the phone number for Medicare?

Call (888) 815-3313 – TTY 711 to speak with a Medicare.org licensed sales agent and get help with answers to your Medicare-related questions. Standard call center hours of operation are Monday – Friday 5:00 am to 6:00 pm PT. During AEP, our extended hours are Monday – Saturday 5:00 am to 8:00 pm PT.

Is Medicare confusing?

Medicare can be confusing at first, and it’s not uncommon to find yourself up to the ears and knee-deep in information about Medicare. But you certainly don’t have to go about it alone. There are a number of great resources to help save you a lot of time and frustration.

Does Medicare cover outpatients?

Original Medicare has two parts: Part A hospital benefits and Part B outpatient benefits. However, Medicare doesn’t cover everything. Each beneficiary will have cost-sharing at the time of service, such as deductibles and copays.

Is Medicare confusing at 65?

Learning about Medicare options is confusing enough when someone turns 65. It can be even more trying for caregivers who have to pick up the pieces where their parents left off.

Can I get Medicare on behalf of my parent?

Navigating the world of Medicare requires quality guidance. This is true whether you are the person receiving Medicare benefits, or a child helping your parents get the benefits that they need.

How do people get Medicare?

Before applying for Medicare, it’s important to understand how people usually get on Medicare to begin with. People who already receive benefits from Social Security for at least 4 months prior to turning 65 can begin to receive Medicare Part A and Part B (a.k.a Original Medicare) as soon as they are eligible.

How do I begin enrolling my parents in Medicare?

Enrolling your elderly parent in Medicare is not as difficult as it may seem. You can start by asking your parents if they have taken any steps to set up their Medicare coverage in the past or if they have spoken to a Medicare insurance agent in the past.

How do the different parts of Medicare affect the process of enrolling my parents?

Medicare health insurance consists of several different parts, each of which are responsible for the coverage of various healthcare treatments, services, and supplies. Read on to learn more about how the different parts of Medicare work together and how this process may affect your parents’ enrollment process.

Retiree health benefits from your former employer

If your former employer offers retiree health benefits that include family coverage, that may be a good option for your family. You’ll want to consider the cost and the benefits and compare them with the cost and benefits of plans that are available in your state’s individual/family marketplace.

Temporary coverage through COBRA

If COBRA or state continuation is an option, it may work well as temporary coverage for your family members once you transition to Medicare. COBRA coverage is normally available for up to 18 months, although state continuation rules vary from one state to another.

Medicaid or CHIP

Depending on your household’s income, your family members may be eligible for Medicaid or CHIP.

What to do if your parents plan won't cover you?

What you need to know is that you have the RIGHT to ask your parent’s plan to provide or pay for services you think should be covered or continued. And, if the plan won’t cover what you ask for, there’s a four step appeals process, you can pursue, you know… with all your extra leisure time.

When is the open season for Medicare?

If you want to sign up for Medicare Advantage, change plans, or change back from Medicare Advantage to traditional Medicare, the general time to do that is during the annual open season, which runs from mid-October to early December.

Is Medicare Advantage a good program?

Medicare Advantage can be a simpler and more streamlined way to deal with Medicare. You get everything — usually including drug coverage — in one big package. That can be nice because traditional Medicare is a complicated alphabet soup of different parts that Congress keeps tacking onto the program.

Can you change your insurance if you don't like your parents?

Know the Rules for Making Changes in Coverage. You can make changes if you don’t like your parent’s plan or situation. But you need to just know the general rules about when and how to do it because there are restrictions. Here’s the way it works.

Does Medicare Advantage cover vision?

Medicare Advantage plans often fill the gaps in traditional Medicare coverage — like vision or dental coverage– and often at a lower price than the supplemental “Medigap” policies older adults typically buy to get these benefits and cover Medicare cost-sharing.

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Complete An “Authorization to Disclose Personal Health Information” Form.

  • If you’re calling Medicare on your parents’ behalf, they will need to fill out a Medicare “Authorization to Disclose Personal Information” form so that a Medicare representative can speak to you directly.
See more on medicare.org

Know How It Works.

  • To help your parents navigate their Medicare options, it’s important to understand how Medicare works. Get started by clicking here to download or order the official U.S. government Medicare Handbook Medicare & You. Browse Medicare.org, a Medicare resource for helping Medicare beneficiaries, seniors, caregivers, and family members understand Medicare-related topics suc…
See more on medicare.org

Ask Specific Questions About Your Parent’s needs.

  • What types of benefits are needed? Does your parent need prescription drug coverage? What can be afforded? Have a conversation with your parents about their specific health insurance needs and take notes so you can communicate that information to a licensed sales agent. For help considering which questions to ask when having the conversation with your parents about Medi…
See more on medicare.org

Contact An Expert.

  • At any point, you may call a licensed sales agent to help you answer all of your Medicare-related questions. Their insurance expertise and access to multiple providers can help save you time, money, and your sanity when trying to navigate Medicare. Licensed sales agents are a useful – and free – resource. Click here to learn more about the benefits of using a licensed Medicare ag…
See more on medicare.org

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