Medicare Blog

how to apply for medicare in ri

by Prof. June Sipes PhD Published 2 years ago Updated 1 year ago
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How do I apply for Medicare in Rhode Island?

  • Call GoHealth to speak with a licensed insurance agent.
  • Visit the Social Security website and use their online application.
  • Apply over the phone using the Social Security administration’s toll-free number at 1-800-772-1213 (TTY 1-800-325-0778).
  • Apply in person at your nearest Social Security office during business hours.

Full Answer

How do I apply for Medicare and Social Security?

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. . Apply to get benefits from Social Security (or the Railroad Retirement Board).

What eligibility system does HealthSource RI use?

Our staff use a state-of-the-art eligibility system known as RIBridges to determine eligibility for our programs and Medicaid, which is administered by the Executive Office of Health and Human Services. The web-based system is also used to get other affordable healthcare coverage options offered by HealthSource RI (HSRI) .

How do I sign up for Medicare if I worked for railroad?

If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772. About 2 weeks after you sign up, we’ll mail you a welcome package with your Medicare card. What can I do next? Print this page. Getting Medicare is your choice. If you want to sign up, contact Social Security.

How do I contact HealthSource RI (HSRI)?

The web-based system is also used to get other affordable healthcare coverage options offered by HealthSource RI (HSRI) . HSRI is available to answer health coverage questions Monday through Friday 8AM to 6PM through their contact center, 1-855-840-4774. The three state agencies designed RIBridges together.

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Who is eligible for Medicare in RI?

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 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 easiest way to apply 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.

When should I start my application for Medicare?

Generally, you're first eligible starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don't sign up for Part B when you're first eligible, you might have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B.

Is Medicare free at age 65?

You 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.

How long does it take for Medicare enrollment?

We'll process your application. It may take up to 8 weeks to process your application if you apply between July and November. This is because we get a lot of applications at that time.

Do you automatically get Medicare with Social Security?

If you are already getting benefits from Social Security or the RRB, you will automatically get Part A and Part B starting on the first day of the month when you turn 65. If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month.

Who is not eligible for Medicare?

Did not work in employment covered by Social Security/Medicare. Do not have 40 quarters in Social Security/Medicare-covered employment. Do not qualify through the work history of a current, former, or deceased spouse.

How much is Medicare Part A?

Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $499 each month in 2022. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $499.

How many months before I turn 65 should I apply for Medicare?

3 monthsGenerally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application.

Does Medicare start the month I turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

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When and how to apply for Medicare in Rhode Island

You can apply for Medicare when you turn 65 during your Initial Enrollment Period (IEP). This is the 7-month period that begins 3 months before you turn 65 and ends 3 months after the month you turn 65. For example, if your birthday is July 10, your IEP is from April 1 to October 31.

When does Medicare enrollment start?

Coverage for this enrollment period starts on July 1. Fall enrollment takes place between October 15 and December 7.

What is Medicare Part D?

Part D: Medicare Part D is the prescription drug benefit component. It covers the cost of any prescribed medications for those enrolled in the Medicare program. It also has monthly premiums attached (based on income) as well as a specific enrollment period (with the same penalties and exceptions as those in Part B).

Does Medicare cover inpatient care?

It also covers inpatient care delivered through other types of medical facilities, including surgical centers, skilled nursing care facilities and even hospice. This part of Medicare has no premium requirement for anyone who has paid into the payroll tax system via an employer.

Does Rhode Island have medicare?

Rhode Island Medicare programs can help eligible enrollees obtain coverage to help with health care costs ranging from physician visits to prescription medications. Choosing the best plan options depends on eligibility factors and cost. Medicare provides a few coverage options in the form of different parts from which consumers can choose.

Key Takeaways

Adults 65 and older who live in Rhode Island are eligible for Medicare. Medicare is a government-funded insurance option that offers coverage for medical services, prescription drugs, and more.

How do I apply for Medicare in Rhode Island?

There are multiple ways to apply for Medicare Plans in Rhode Island, including online, over the phone, and in person. At GoHealth, we can help make the entire application process much easier.

What are the different Medicare plans available?

The five parts of Medicare include Medicare Part A, Medicare Part B, Medicare Part C, Medicare Part D, and Medigap. Enrolling in these Medicare plans can help cover most, if not all, of your medical needs.

What is the requirement to qualify for Medicare?

All citizens or permanent residents aged 65 and older qualify for Medicare in Rhode Island. Individuals aged 50 and older who are the child or widow of a government worker may also qualify for Medicare.

How do you qualify for Medicare if you are under 65?

You can qualify for Medicare before 65 if you receive benefits for a disability. People who have received Social Security or Railroad Retirement Board disability benefits for 24 months are eligible to apply for Medicare.

What Medicare plans are required at 65?

If you do not enroll in Original Medicare when you are first eligible, you risk facing late enrollment penalties for Part A or Part B. The exception to this rule is when you are transitioning from a group health plan to Medicare.

Who has the best Medicare Advantage program?

Many private insurance companies offer Medicare Advantage in Rhode Island, making it difficult to choose the right Medicare plan. However, it’s essential to understand that there is no single “best” Medicare Advantage plan. Instead, the best Medicare plan for you will be one that meets your healthcare and financial needs.

Apply by Mail

By filling out the Application for Assistance that is available below in English, Spanish and Portuguese. The application can be mailed to DHS or put in any of our secure drop boxes at all DHS offices and regional locations.

Protect Children Against COVID-19

The COVID-19 vaccine is the best way to keep our children safe. The long-term effects of a pediatric COVID case can be serious and last months. The most common side effect of the COVID vaccine, which provides lasting protection, is a sore arm. The best way to protect children against COVID-19, including the Delta variant, is to get them vaccinated.

Apply in Person

By putting a paper application in any of our secure drop boxes at all DHS regional centers . In order to keep our customers and staff safe during the pandemic, our lobbies remain closed at this time.

Application Reminders

Fill out applications as honestly and completely as possible. Depending on the benefit (s) or program (s) you are applying for, additional documentation may be needed such as proof of identity, income, assets/resources and expenses.

How many Medicare Advantage Plans are there in Rhode Island?

Rhode Island also has five Medicare Advantage Plans available, giving you the freedom to choose between Original Medicare and Medicare Advantage. Read on to learn more about your Rhode Island Medicare options.

How much is Medicare in Rhode Island in 2021?

The Medicare Part A premium can be as much as $471 per month, while the Part B premium is less ...

What is a Medigap plan?

If you enroll in Original Medicare, you’ll also have the opportunity to buy a Medicare Supplement Insurance Plan, frequently referred to as a Medigap plan. Medigap covers things like deductibles, coinsurance, and copays.

What is Medicare Part A and B?

Original Medicare includes Part A and Part B coverage. This basic form of Medicare is managed by the federal government. If you need to stay in a hospital or skilled nursing facility, the services you receive are covered under Part A, while Part B covers the outpatient care you get from your primary care physician, medical specialists, and other health care providers. It also pays for ambulance transportation and durable medical equipment. If you enroll in Original Medicare, you’ll pay a separate deductible for Part A and Part B. You’ll also have to pay 20% coinsurance for most Part B services.

What is the Rhode Island Department of Business Regulation?

The Rhode Island Department of Business Regulation operates the Insurance Division, which oversees every insurance company operating within the state’s borders. Specifically, the division’s Office of the Health Insurance Commissioner works to protect consumers against unfair business practices in the health insurance industry. Because Medicare Advantage Plans are offered by private insurers instead of the federal government, OHIC is a helpful resource if you’re enrolled in Medicare Advantage and have any concerns about how an insurance company is handling your claims.

What is the Rhode Island Office of Aging?

The Rhode Island Office of Healthy Aging is the state agency charged with promoting the well-being of older adults and adults with disabilities. RIOHA aims to connect Rhode Island residents with tools and information to help them stay safe, maintain their good health for as long as possible, and stay engaged with everything Rhode Island has to offer. If you have questions about Medicare or need help accessing Medicare-related resources, visit one of the agency’s regional POINT offices or call 401-462-444 to connect with a POINT specialist.

What is the number to call for Medicare?

If you have questions about Medicare or need help accessing Medicare-related resources, visit one of the agency’s regional POINT offices or call 401-462-444 to connect with a POINT specialist. Contact Information: Website | 401-462-3000.

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When Can I Enroll For Medicare in Rhode Island?

How Do I Enroll?

  • To enroll, the first step is to call your local Social Security Administration office or visit MyMedicare.gov.1 Click here1for a listing of Social Security office locations in Rhode Island. When applying, you must provide the following documents: 1. An original or certified copy of your birth certificate 2. W-2 forms you have received over the last...
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Some People Get Part A and Part B Automatically

  • The Social Security Administration will sign you up for Medicare Parts A and B automatically under the following circumstances: 1. You turn 65 and already get Social Security retirement benefits, Railroad Retirement Board Benefits, or Social Security Disability Insurance (SSDI). 2. You’re under 65 and have a disability. You’ll automatically get Part A and Part B coverage 24 mo…
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Need More Information?

  • Rhode Island residents may also get counseling on Medicare’s benefits and costs from the Rhode Island State Health Insurance Counseling and Assistance Program (SHIP). This program is funded by the Center for Medicare and Medicaid Services. Visit the website at Rhode Island SHIP.1 Sources: When you click these links, you will leave the Commonwealth Care Alliance website 1. …
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