Medicare Blog

how to apply medicare in california

by Eusebio Nader IV Published 2 years ago Updated 1 year ago
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How to apply for Medicare in California

  • Visit the Social Security website.
  • Call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778), Monday through Friday, 7AM to 7PM.
  • If you worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772 (TTY users call 312-751-4701), Monday through Friday, 9AM to 3:30PM.

Full Answer

How do I qualify for Medicare in California?

Sep 16, 2018 · How to apply for Medicare in California Visit the Social Security website. Call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778), Monday through Friday, 7AM to 7PM. If you worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772 (TTY users call ...

What are the qualifications for Medicaid in California?

Social Security Administration phone Number: 1-800-772-1213 ( for TTY users, it’s 1-800-325-0778) Once you have the SSA on the phone, tell the representative that you wish to apply for Medicare. You might be asked to call back at a specific …

When should I sign up for Medicare?

Oct 18, 2021 · Youre 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 , or ALS . Follow these steps to learn about Medicare, how to sign up, and your coverage options. Learn about it at your own pace.

How to apply for emergency Medicaid in California?

Jan 01, 2022 · Contact Social Security to sign up for Medicare. You can either: Sign up for just Part A (Hospital Insurance) and Part B (Medical Insurance) . Apply to get benefits from Social Security (or the Railroad Retirement Board). You’ll get Part A automatically once you start getting benefits. You’ll choose if you want Part B when you apply for benefits.

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How do I apply for Medicare for the first time in California?

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.

What do you need to qualify for Medicare in California?

You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

How do I get free Medicare in California?

Medicare Part A is usually free if you or your spouse paid Medicare payroll taxes for approximately ten years while working (this is called “premium-free Part A”). If you don't qualify for premium-free Part A, you may have the option to pay for hospital insurance, also called “premium Part A”.

Do I automatically get enrolled in 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.)

How do I enroll in Medicare for the first time?

To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.

Does everyone qualify for Medicare?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

Is Medicare Part A and B free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.Jan 3, 2022

How much money can you have in the bank and still qualify for Medi-Cal?

You may have up to $2,000 in assets as an individual or $3,000 in assets as a couple. As of July 1, 2022 the asset limit for some Medi-Cal programs will go up to $130,000 for an individual and $195,000 for a couple. These programs include all the ones listed below except Supplemental Security Income (SSI).

Is Medicare enrollment automatic?

Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

When should you apply for Medicare?

Generally, 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.

Do I need to contact Social Security when I turn 65?

If you aren't eligible for full Social Security retirement benefits at age 65, and you aren't getting Social Security benefits, you can still get your full Medicare benefits (including premium-free Part A) at age 65, but you must contact Social Security to sign up.

How long before you turn 65 do you apply for Medicare?

3 monthsGenerally, 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.

About Medicare in California

Medicare beneficiaries in California have a variety of plan options. They may choose from Original Medicare, Part A and Part B, or various Medicare...

Types of Medicare Coverage in California

Original Medicare, Part A and Part B, is available through the federal government. You will pay a monthly premium for Part B coverage, even if you...

Local Resources For Medicare in California

1. Medicare Savings Programs in California: If your income falls below the government-established amount, you may qualify for help paying your Medi...

How to Apply For Medicare in California

To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years.You apply for M...

What is Medicare Advantage in California?

Types of Medicare coverage in California. Original Medicare, Part A and Part B, is available through the federal government. You will pay a monthly premium for Part B coverage, even if you choose to receive your benefits through a Medicare Advantage plan instead. Medicare Advantage, Part C, is offered by private Medicare-approved insurance ...

How many Medigap policies are there in California?

In most states, there are 10 Medigap policy options, all standardized and signified by a letter of the alphabet. All plans of the same letter offer the same benefits, regardless of where the policy is purchased. Medicare Part D Prescription Drug Plans offer prescription drug coverage to Medicare beneficiaries in California.

What is a ship grant?

California State Health Insurance and Assistance Program ( SHIP ): SHIP is a federal grant program that provides funding to each state. The SHIP grant supports the Health Insurance Counseling and Advocacy Program (HICAP) in California. HICAP provides one-on-one counseling for Medicare beneficiaries in California to help educate them on Medicare ...

Does California have Medicare?

They may choose from Original Medicare, Part A and Part B, or various Medicare Advantage plan options that are available through private insurance companies approved by Medicare. Costs and coverage details may vary, and not every plan may be available in your part of California.

How to Apply for Medicare

For an insurance agent who specializes in Medicare Applying for Medicare does not feel like an overwhelming issue. This is because we live and breath everything Medicare on a daily basis.

When to Apply for Medicare

When to apply for Original Medicare is more commonly known as your Initial Enrollment Period (IEP) . Assuming you will be retiring, you will initially signing up for both Medicare Parts A and Part B and the you will sign. up for Part D.

Apply by Phone

Some people prefer not to complete an online application and would rather talk with a live person over the phone. If you are one of those individuals, here is how to reach the Social Security Administration by phone.

How to Apply for Medicare in Person

For something as important as health insurance you might think that apply for Medicare in person at your local Social Security office is the only way to go. This can be a convenient option if you are very close to turning 65 and need to get your application processed quickly.

Applying for Medicare with our FREE Assistance

We really do want to help you through the entire process from start to finish. This is not something you have to do alone nor do we want you to feel all alone throughout the process. There are many things that need to be done in the right time and the correct way.

General Tips For Working Members Age 65 And Older

How to Qualify for Medi-Cal / Medicaid? – Patrick Phancao Esq. – Medi-Cal / Medicaid Qualification

Veterans Aid & Attendance Pension

The Aid and Attendance Pension benefit is another program available in California that can be used to pay family members to provide care. At the forefront, it should be mentioned that this program is only relevant for war-time veterans or their surviving spouses who require assistance with their activities of daily living.

Where Can I Sign Up For Medicare

You automatically get Original Medicare coverage if you get SSDI for two years or start getting Social Security retirement benefits before you turn 65. Otherwise, you may need to sign up.

Get Started With Medicare

Medicare is health insurance for people 65 or older. Youre 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 , or ALS .

Option : Medicare Advantage Plans

Medicare Advantage Plans are a type of Medicare health plan offered by private companies that contract with Medicare to provide Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. In Orange County, Medicare Advantage are either an HMO or PPO.

Will I Get Medicare At 62 If I Retire Then

If you retire before the age of 65, you may be able to continue to get medical insurance coverage through your employer, or you can purchase coverage from a private insurance company until you turn 65. While waiting for Medicare enrollment eligibility, you may contact your State Health Insurance Assistance Program to discuss your options.

How Does Medicaid Provide Financial Assistance To Medicare Beneficiaries In California

Many Medicare beneficiaries receive financial assistance through Medicaid with the cost of Medicare premiums, prescription drug expenses, and services not covered by Medicare such as long-term care.

How old do you have to be to be eligible for Medicare?

Who is Eligible for Medicare? You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

How many quarters of Medicare coverage do you have to have to be a spouse?

You are age 65 or older and you or your spouse has worked 30-39 quarters in Medicare-covered employment. You are age 65 or older and you or your spouse has worked 0-29 quarters in Medicare-covered employment. You must enroll as a voluntary enrollee and pay the full Part A monthly premium.

How long do you have to be on disability to receive SSDI?

You are younger than age 65 with a disability and have received Social Security Disability Insurance (SSDI) or Railroad Retirement disability payments for 24 months. Learn more. You have amyotrophic lateral sclerosis (ALS) — also known as Lou Gehrig’s disease — and have received your first month of SSDI payments. Learn more.

APPLYING FOR MEDICARE AND MEDI-CAL

Information about Medi-Cal, resources for applying and eligibility are provided by the Department of Health Care Services.

GENERAL INFORMATION

California Health Advocates offers Medicare advocacy, benefits information, and education for Californians.

FRAUD

The Bureau of Medi-Cal Fraud Elder Abuse explains how to report suspected Medi-Cal fraud or elder abuse to the Department of Justice.

What is Medi-Cal for Medicare?

Medi-Cal (for People with Medicare) Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements. While there are several ways to qualify for Medi-Cal, this section focuses only on Medi-Cal beneficiaries who also qualify for Medicare — individuals who are ...

How much does a person need to be to qualify for Medi-Cal?

To qualify for SSI, you must be age 65 or older, blind or disabled. Your countable monthly income may not exceed $954.72 for an individual or $1,598.14 for a couple (higher income levels apply for individuals who are blind).

What is Cal MediConnect?

Cal MediConnect is a demonstration program with the goal of integrating care for people with both Medicare and Medi-Cal. The demonstration is happening in 7 selected counties: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo and Santa Clara, and began on various dates depending on the county.

What is Medicare Part D?

2. Prescription Drugs. If you are receiving both Medicare and Medi-Cal benefits, the Medicare Part D drug benefit will provide your prescription-drug coverage instead of Medi-Cal. You must be enrolled in a Medicare Part D drug plan or a Medicare Advantage prescription drug plan to get these benefits.

How much does Medi-Cal pay for SOC?

For example, if you have an individual monthly income of $1,300, Medi-Cal subtracts $600 for a SOC of $700 . This means you must pay at least $700 in covered medical expenses and/or health care premiums in a given month before Medi-Cal covers any of your health care costs for that month.

How much does Medi-Cal pay for medical expenses?

Your SOC is determined according to your monthly income, using the following formula: Medi-Cal subtracts $600 (for an individual) or $934 (for a couple) from your monthly income, and any other health-insurance premiums you may be paying.

Which MA plan works best for people with Medicare and Medi-Cal?

If you choose an MA plan, the MA plan that works best for people with both Medicare and Medi-Cal is the Special Needs Plan (SNP) for dual eligibles or D-SNP. If you’re enrolled in a D-SNP, you do not have copays, coinsurance or premiums associated with other types of MA plans.

How long does it take to enroll in Medicare in California?

People with a plan through Covered California who have been determined disabled by the Social Security Administration will be automatically enrolled in Medicare within two years of receiving Social Security Disability Insurance (SSDI) income.

How long do you have to cancel a Medicare plan in California?

You will need to cancel your health plan through Covered California at least 14 days before you want your coverage to end.

What happens if you keep Medicare in California?

If you are eligible for Medicare and you keep your Covered California plan, you may face serious consequences. For example: You may have to pay back all or some of your premium tax credits to the Internal Revenue Service (IRS). Or, there could be a delay in your Medicare coverage start date.

How long does it take to get Medigap?

You should apply for Medigap within 6 months of enrolling in Medicare Part B (medical insurance). To learn more about the different coverage options under Medicare and how to enroll using the Medicare Plan Finder, call (800) MEDICARE.

What is Medicare Part B?

Medicare Part B, also known as medical insurance, covers certain doctors’ services, outpatient care, medical supplies and preventive services. Medicare Parts A and B combined is also known as “Original Medicare.”. Medicare Part D, also known as prescription drug coverage, can be added to Original Medicare.

How to contact Covered California?

Then, call Covered California at (800) 300-1506 (TTY: 888-889-4500) and tell us about your Medicare coverage.

What to do if you can't afford Medicare?

If you can’t afford your Medicare costs or premiums, you can see if you qualify for financial assistance programs to help. Contact your local county office to see if you’re eligible for income-based Medicare Savings Programs that can lower your Medicare costs, including help with paying your premiums.

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