Medicare Blog

how do i sign up for medicare in the state of washington

by Rosalind Huels II Published 2 years ago Updated 1 year ago
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How do I sign up for Medicare Parts A and B?

  • Apply online at Social Security (www.ssa.gov).
  • Visit your local Social Security (www.ssa.gov) office.
  • Call Social Security at 800-772-1213. TTY users should call 800-325-0778.
  • If you worked for a railroad, call the Railroad Retirement Board (RRB) at 877-772-5772.
  • Complete an Application for Enrollment in Part B (CMS-40B). Remember, you must already have Part A to apply for Part B. Application in English (www.cms.gov) Application in Spanish (www.cms.gov)

Full Answer

How do I sign up for Medicare?

Contact Social Security to sign up for Medicare. 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 to apply for Medicaid in Washington State?

How to Apply for Medicaid 1 Apply in person or by mail. Call or visit your local HCS office to get a Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage (18-005). 2 Apply on-line. ... 3 Information you will need. ... 4 Additional support. ...

How do I apply for long-term care insurance in Washington State?

Apply in person or by mail. Call or visit your local HCS office to get a Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage (18-005). This form can also be downloaded from the Health Care Authority website.

Who is eligible for Medicare Advantage in Washington State?

In Washington, 14 percent of Medicare beneficiaries are eligible due to disability rather than age, and are under the age of 65. Private Medicare Advantage plans are an alternative to Original Medicare, and are available in most areas of the United States.

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What do I need in order to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

What is the first thing to do to sign up for Medicare?

Apply online (at Social Security) – This is the easiest and fastest way to sign up and get any financial help you may need. You'll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.

How do you qualify for Medicare in Washington?

Most people are eligible to receive Medicare benefits if they meet one of the following requirements:are at least 65 years old.are under 65 years old and living with a disability.are any age with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

When can I apply for Medicare in Washington state?

Medicare is health insurance for people 65 or older. You're first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig's disease).

What are the three steps of the Medicare application process?

Step 1: Find out if you need to sign up for Medicare Part A or B. Step 2: Decide if you want Medicare Part B benefits. Step 3: Decide if you want extra coverage with Medicare.

Do I automatically get Medicare when I turn 65?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

What is the monthly income limit for Medicaid in Washington state?

What is the most I can make per month to qualify?ProgramSingle person3-person householdApple Health for Adults (age 19 through 64 years of age)$1,563 monthly$2,649 monthly

What is Medicare called in Washington state?

Medicare information from the Washington State Office of the Insurance Commissioner (includes information on the different types of Medicare, Medicare supplement (called Medi-GAP) plans in Washington and Medicare C Advantage Plans in Washington along with the SHIBA help line.

How do you qualify for Medicare and Medicaid in Washington state?

EligibilityIndividual adults.Parents/Caretakers.Pregnant individuals. After-Pregnancy Coverage. Family Planning Only.Children.Noncitizens.Aged, blind, or disabled.Age 65 and older or Medicare eligible.Foster Care.More items...

What is the maximum income to qualify for free health care Washington State?

Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2022 that translated to about $18,754 for a single person or $38,295 for a family of four.

Where do I go to apply for Medicare?

Social SecurityOnline (at Social Security) – It's the easiest and fastest way to sign up and get any financial help you may need. (You'll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.) Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.

What is the deadline for Medicare?

From October 15 – December 7 each year, you can join, switch, or drop a plan. Your coverage will begin on January 1 (as long as the plan gets your request by December 7). Medicare Advantage Open Enrollment Period.

When do you get a letter from Medicare?

Individuals are mailed a letter generated by barcode around the 20th of the month asking for proof of application for Medicare. The letter is provided in the individual's primary language and in English to the individual and to the individual's authorized representative. Only the English version is stored in DMS.

How old do you have to be to get Medicare on Apple Health?

Every month Apple Health eligible individuals age 65 and older who are not already receiving Medicare are asked to provide proof of application for Medicare through an automated BarCode process.

What age do you have to be to be inpatient for mental health?

If you are age twenty-one or younger or age sixty-five or older and are a patient in an institution for mental disease (see WAC 182-513-1317 (5)); or. You receive inpatient hospital services outside of the public institution or correctional facility.

Does Apple Health have Medicare?

Application for and enrollment into Medicare is a condition of eligibility for individuals who apply for Apple Health coverage, as long as the agency is able to pick up the cost of the premiums on the individual's behalf. Every month Apple Health eligible individuals age 65 and older who are not already receiving Medicare are asked ...

Does Apple Health require proof of Medicare?

Every month Apple Health eligible individuals age 65 and older not already receiving Medicare are asked to provide proof of application for Medicare. The Medicare Buy-in unit in Olympia (call 1-800-562-3022) manages this workload.

How long does it take for Social Security to enroll in Medicare?

Also, if you're already receiving Social Security Disability benefits, Social Security will automatically enroll you in Medicare after 24 months. If you're not sure if you need to enroll yourself, contact Social Security to find out. Apply online at Social Security (www.ssa.gov).

How to contact Social Security at age 65?

Important: If you're within three months of turning age 65, contact your local Social Security office or SHIBA at 800-562-6900 for more information.

Check when to sign up

Answer a few questions to find out when you can sign up for Part A and Part B based on your situation.

When coverage starts

The date your Part A and Part B coverage will start depends on when you sign up.

Apply in person or by mail

Call or visit your local HCS office to get a Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage (18-005).

Apply on-line

All Washington residents can apply for Health Care Coverage including institutional Medicaid through the wahealthplanfinder.org For long-term care services you may apply online through the health plan finder. Indicate you are applying for long term care services.

Additional support

If you need help filling out your application, call your local HCS office or the Senior Information and Assistance office.

What percent of Washington state has Medicare?

Thirty-one percent of Washington’s Medicare beneficiaries had Medicare Advantage plans as of 2018, which was quite similar to the nationwide average of 34 percent. As of July 2020, 511,554 enrollees were in Washington Medicare Advantage plans, which amounted to almost 37 percent of the state’s Medicare population.

How many people are on Medicare in Washington?

Nearly 1.4 million people are enrolled in Medicare in Washington. More than a third of Washington’s Medicare beneficiaries have Medicare Advantage plans. But in seven of the state’s 39 counties, there are no Medicare Advantage plans available in 2020. In Washington, 20 insurers offer Medigap plans but only two offer plans to people under age 65.

What percentage of Medicare beneficiaries are under 65?

Nationwide, 15 percent of Medicare beneficiaries are under the age of 65. In Washington, 14 percent of Medicare beneficiaries are eligible due to disability rather than age, and are under the age of 65.

How much is WSHIP 2020?

WSHIP’s Medicare supplement plan is $360/month in 2020 for beneficiaries under 65, and $286 for those age 65+ (a person who missed their initial enrollment period for Medigap and tried to enroll at a later time, without a guaranteed-issue right, could be declined by the insurer; WSHIP then becomes an option).

What is Medicare Advantage?

Medicare Advantage includes all of the benefits of Original Medicare, and the plans usually also have additional benefits and programs, such as integrated Part D prescription drug coverage, dental and vision coverage, and extras like nurse hotlines and gym memberships.

Does Washington require Medicare to cover people under 65?

But although Washington has gone beyond federal regulations in terms of rating requirements and allowing Medigap enrollees to switch plans on a guaranteed-issue basis, the state does not require Medigap insurers to offer coverage to people under the age of 65 who are enrolled in Medicare due to a disability.

Does Medicare cover out of pocket costs?

Original Medicare does not limit out-of-pocket costs (ie, the deductibles and coinsurance that Medicare beneficiaries have to pay for hospital and outpatient care), so most enrollees maintain some form of supplemental coverage. More than half of Original Medicare beneficiaries get their supplemental coverage through an employer-sponsored plan or Medicaid. But for those who don’t, Medigap plans (also known as Medicare supplement plans) will pay some or all of the out-of-pocket costs they would otherwise have to pay if they had only Original Medicare (Medigap plans cannot be used with Medicare Advantage coverage). A

How to contact Apple Health in Washington?

Online: Visit the SHIBA webpage. Health Care Authority. For questions about Washington Apple Health: Phone: 1-800-562-3022. Washington Healthplanfinder.

How to contact DSHS?

For help applying for health coverage : Phone: 1-877-501-2233. DSHS Home and Community Services. For questions about long-term services and supports (if you need nursing home or help with personal care needs): Phone: 1-800-422-3263.

What is Apple Health eligibility?

Apple Health eligibility is determined by income and resource limits . You may have other private coverage options such as Medicare Supplemental insurance, Tri-Care, or insurance from a former employer. For help deciding on options that may work for you, contact SHIBA at the number below.

Does Apple Health work with Medicare?

Check with your provider to see if they accept your new Medicare coverage. Some providers may not accept your new coverage. Any Apple Health coverage you are approved for when you are receiving Medicare will work as a secondary insurance to Medicare.

Can I apply for medical leave if I don't have a social security number?

A paper application is available if you do not have a Social Security number. If you are experiencing pregnancy complications or plan to take medical leave due to pregnancy or birth, you will fill out both a medical and family leave application: First submit the medical leave application and documentation. Once you have received a determination on ...

Can I upload documents to my account?

Upload documents. All applications require some kind of documentation. You can upload your documents to your account when you complete the application, or you can log in to your account later and add them. Get instructions for uploading your documents in the Help Center.

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