Medicare Blog

how to get medicare in california

by Katarina Stehr 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?

California Health Advocates > The Basics > Medicare Eligibility 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.

What are the qualifications for Medicaid 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 ...

When should I sign up for Medicare?

Medi-Cal is California's Medicaid health care program. Medi-Cal pays for a variety of medical services for children and adults with limited income and resources. Medicare is a federally funded insurance program for eligible participants 65 or over. Medicare does not cover 100% of all costs and you may wish to purchase other Medicare-related insurance products such as Medicare …

How to apply for emergency Medicaid in California?

Mar 23, 2021 · Apply for Medi-Cal Apply By Mail Medi-Cal Single Streamlined Application Apply for Medi-Cal with a Single Streamlined Application, provided in English and other languages. Apply In Person County Social Services Office Find the nearest county office apply for Medi-Cal in person. Apply Online Covered California Website

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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”.

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 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 is the maximum income to qualify for Medi-Cal?

To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home. The income limits based on household size are: One person: $17,609. Two people: $23,792.

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).

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.

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.

Is Medicare Part A free?

Medicare Part A (Hospital Insurance) Most people get Part A for free, but some have to pay a premium for this coverage. To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child.Dec 1, 2021

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.

Can you have Medicare and Medi-Cal at the same time?

The short answer to whether some seniors may qualify for both Medicare and Medi-Cal (California's Medicaid program) is: yes. Although some people under age 65 qualify for Medicare, such as individuals with end-stage renal disease (ESRD), our focus in this post is on seniors age 65 and older.Mar 9, 2015

What is low income California?

According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.

Does Medi-Cal check your bank account?

Because of this look back period, the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date.Feb 10, 2022

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...

Covered California and Medicare Supplemental Plans

Covered California does not sell Medicare Advantage plans (such as Medicare HMOs and PPOs), Medicare Part D prescription drug plans or Medigap poli...

Covered California, Medicare and Tax Credits

Generally, someone who is eligible for Medicare — even if they do not enroll in it — cannot receive tax credits to help them pay for a Covered Cali...

Covered California, Medicare and Medi-Cal

If consumers are enrolled in Medicare, they cannot purchase a Covered California health plan. Purchasing a Covered California health plan would giv...

Covered California, Medi-Cal and Disabilities

An individual who has a permanent disability, but is not yet eligible for Medicare due to the two-year waiting period for people receiving SSDI pay...

Medicare Options and Enrollment

Consumers can review and compare their Medicare options on the Medicare website, call (800) MEDICARE, or work with a licensed insurance agent. For...

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.

Apply By Mail

Apply for Medi-Cal with a Single Streamlined Application, provided in English and other languages. ​

Contact Us

If you do not find an answer to your question after reading through our Frequently Asked Questions, please contact us directly: Medi-Cal Contact Us, or contact your local county office from our County Listings page.

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.

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.

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.

When does Medicare Part B open enrollment start?

If you don’t sign up for Medicare Part B (medical insurance) during your initial enrollment period, you will have to wait for the general open enrollment period (Jan.1 to March 31), and then your coverage wouldn’t begin until July of that year.

How to contact Covered California?

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

When does Medicare enrollment end?

The initial enrollment period starts three months before the month you turn 65 and it ends three months after the month you turn 65.

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.

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).

How long does it take to get Medi-Cal?

Processing your application can take several weeks because Medi-Cal must first determine eligibility by verifying your income and personal assets before coverage can be approved. You may request Medi-Cal to pay retroactively for the three months prior to the month in which you apply. back to top.

What is a dual eligible for medicaid?

People who qualify for both Medicare and full Medi-Cal are known as “dual eligibles” or “Medi-Medis.”

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.

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.

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.

Can I get Medi-Cal if I am disabled?

If you are aged (65+) or disabled and are not eligible for the SSI program, you may be able to get Medi-Cal through the Aged & Disabled Federal Poverty Level (A&D FPL) program. To qualify, you must: Be aged (65+) or disabled (meet Social Security’s definition of disability, even if your disability is blindness).

Q: What are the Licensing Steps in California?

Step 1 : Complete a prelicensing course that has been approved by the Department of Insurance. Once you have completed your course, ExamFX will issue a certificate of completion which you may download and print from your online ExamFX account.

Q: How do I study for my health insurance license exam in California?

California requires producers to take prelicensing courses which should significantly prepare you for the exam. The exam is broken up into several different topics:

Q: How do I schedule to take my health insurance exam in California?

Schedule your exam with your state’s testing provider, PSI Exams. The fastest way to schedule your exam is to do so online at www.psiexams.com. You can also schedule your exam over the phone at (833) 518-7456. Your exam may be taken at a physical PSI examination center or via a remote online proctored exam.

Q: Are there different parts to the health insurance exam?

Yes, the exam is broken up into 2 general sections- General Knowledge and State law

Q: How do I apply for a nonresident health insurance license in California?

Nonresidents can apply for their license on NIPR#N#You will need to complete the prelicensing requirements or reciprocal state requirements from your home state. You will need to submit both your prelicensing certificate and your Exam certificate before you can apply on NIPR.

Q: How do I renew my health insurance license in California?

Licensees can renew their license through Resident License Renewal application up to license expiration date. After expiration date, applicant must reinstate by visiting https://www.sircon.com/. Applicant may reapply one (1) year after expiration date through Resident Licensing application through NIPR.

Q: What do I do if my health insurance license has expired in California?

A renewal is considered late if the renewal date occurs after the expiration date on the license, or if any license renewal requirement such as the continuing education hours are completed after the expiration date listed on the license.

Medicare basics

Start here. Learn the parts of Medicare, how it works, and what it costs.

Sign up

First, you’ll sign up for Parts A and B. Find out when and how to sign up, and when coverage starts.

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