Medicare Blog

i am eligible for social security and medicare in nyc.. how do i proceed?

by Ms. Kirstin Rempel III Published 2 years ago Updated 1 year ago

You can apply for Original Medicare in New York by contacting the Social Security Administration, either by phone or online. If you are already receiving Social Security benefits, you will be automatically enrolled. 4 Need help choosing a Medicare plan?

Full Answer

How do I apply for Medicare in New York?

To apply for Medicare in New York, you must be a United States citizen or legal permanent resident of at least five continuous years. You’re generally eligible when you are 65 or older, but you may qualify under 65 through disability or having certain conditions. You’ll be enrolled automatically as soon as you’re eligible if:

Should you enroll in Medicare before taking Social Security retirement benefits?

It is possible to enroll in Medicare coverage but delay taking your Social Security retirement benefits. For many workers, this strategy might be financially advantageous. For most older people, it is a good idea to enroll in all parts of Medicare coverage they plan to use as soon as they are eligible at age 65.

What kind of Medicare do you get in New York?

About Medicare in New York Medicare beneficiaries in New York enjoy a variety of Medicare offerings, from the federal option of Original Medicare, Part A and Part B, to plans offered by Medicare-approved insurance companies such as Medicare Advantage, Medicare Part D (prescription coverage), and Medicare Supplement insurance plans.

Do you have to apply for Medicare at age 65?

You Must Apply for Medicare. If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. You are required to apply for Medicare as a condition of eligibility for Medicaid.

Can I apply for Social Security and Medicare at the same time?

Ready To Start Medicare? If you'll turn 65 within three months, you can use our online application to apply for Medicare and Social Security retirement benefits at the same time, or you can use it to apply for just Medicare.

Do you have to apply for Social Security and Medicare separately?

Social Security and Medicare Are Separate Decisions There's no need to enroll in both programs in the same year. "Most people take Social Security earlier than 65, but there's a penalty for that, and you get less per month if you start earlier," says Dr.

Do you automatically get Medicare with Social Security?

You automatically get Medicare because you're getting benefits from Social Security (or the Railroad Retirement Board). Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

How does Social Security work with Medicare?

Does Social Security pay for Medicare? Social Security does not pay for Medicare, but if you receive Social Security payments, your Part B premiums can be deducted from your check. This means that instead of $1,500, for example, you'll receive $1,386.40 and your Part B premium will be paid.

Is my Social Security account the same as my Medicare account?

A: They're not the same thing, but they do have many similarities, and most older Americans receive benefits simultaneously from both programs. Social Security, which was enacted in 1935, is a government-run income benefit for retirees who have worked – and paid Social Security taxes – for at least ten years.

Do you automatically get a Medicare card when you turn 65?

You should receive your Medicare card in the mail three months before your 65th birthday. If you are NOT receiving benefits from Social Security or the RRB at least four months before you turn 65, you will need to sign up with Social Security to get Parts A and B.

How do I apply for Social Security for the first time?

You can apply:Online; or.By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. ... If you do not live in the U.S. or one of its territories, you can also contact your nearest U.S. Social Security office, U.S. Embassy or consulate.

How long does it take to start receiving Social Security benefits after applying?

Once you have applied, it could take up to three months to receive your first benefit payment. Social Security benefits are paid monthly, starting in the month after the birthday at which you attain full retirement age (which is currently 66 and will gradually rise to 67 over the next several years).

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.

How much does Social Security take out for Medicare each month?

In 2021, based on the average social security benefit of $1,514, a beneficiary paid around 9.8 percent of their income for the Part B premium. Next year, that figure will increase to 10.6 percent.

Does Medicare come out of your Social Security check?

Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.

What is Medicare?

Medicare is a nationwide health insurance program run by the federal government. You can qualify for Medicare if you are age 65 or older and/or if you have certain disabilities or End-Stage Renal Disease (ERSD).

How to Apply

You will automatically get Medicare if you get Social Security or Railroad Retirement Board Benefits and you (a) turn 65 or (b) you've received disability benefits for 24 months.

Who does Social Security pay benefits to?

Social Security pays benefits to disabled workers and their dependents as well as the families of deceased workers. We administer the Supplemental Security Income program, a program based on need for people age 65 or older and people with disabilities, regardless of age.

What states does Social Security cover?

Social Security's New York Region proudly serves the states of New Jersey and New York , the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Is Social Security a retirement benefit?

For eight decades, the Social Security Administration has served the American people, providing the major source of income for most of our seniors. Social Security, however, is more than just retirement benefits. Social Security pays benefits to disabled workers and their dependents as well as the families of deceased workers.

How do I apply for medicare?

You may apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: https://www.ssa.gov/medicare/. You may be required to submit proof that you have applied for Medicare. Proof can be: Your award or denial letter from the Social Security Administration, OR.

What languages are eligible for Medicare?

You Must Apply for Medicare. This document is also available in the following languages: Spanish, Russian, Italian, Korean, Chinese, Haitian Creole. If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program.

Can medicaid pay for premiums?

If so, then the Medicaid program can pay or reimburse your Medicare premiums. If the Medicaid program can pay your premiums, you will be required to apply for Medicare as a condition of Medicaid eligibility. You may apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: ...

Is Medicare a federal program?

Medicare is a federal health insurance program for people over 65 and for certain people with disabilities regardless of income. When a person has both Medicare and Medicaid, Medicare pays first and Medicaid pays second. You are required to apply for Medicare if:

What happens if you don't join Medicare?

If you do not join Medicare, you will lose whatever benefits Medicare would have provided. Read More. Close. The City’s Health Benefits Program supplements Medicare but does not duplicate benefits available under Medicare. Medicare-eligible members must be enrolled in Medicare Parts A and B in order to be covered by a Medicare HMO plan.

Where to contact if spouse is ineligible for Medicare?

If you or your spouse are ineligible for Medicare Part A although over age 65 (reasons for ineligibility include non-citizenship or non-eligibility for Social Security benefits for Part A), contact us at: NYC Health Benefits Program. 22 Cortlandt Street, 12th Floor. New York, NY 10007.

Can I enroll in Medicare if I don't have Social Security?

In order not to lose benefits, you must enroll in Medicare during this period even if you will not be receiving a Social Security check . If you are over 65 or eligible for Medicare due to disability and did not join Medicare, contact your Social Security Office to find out when you may join.

Is New York City 10007 Medicare eligible?

Under this Non-Medicare eligible coverage, you continue to receive the same hospital benefits as persons not yet age 65. If you are living outside the USA or its territories, Medicare benefits are not available.

Can you adjust your pension if you are covered by Medicare?

Once the Health Benefits Program is notified that you are covered by Medicare, deductions from your pension check will be adjusted, if applicable. The Health Benefits Program will then notify your health plan that you are enrolled in Medicare so that your benefits can be adjusted.

Can a retiree use Medicare?

Medicare and Retiring Employees. At retirement, employees who have chosen Medicare as their primary plan or whose dependents have not been covered on their plan because their spouse/domestic partner elected Medicare as the primary plan may re-enroll in the City health benefits program.

What is the Medicare Part A plan in New York?

Medicare Part A: You will hear this referred to commonly as traditional Medicare because it is part of the original Medicare law. Part A covers the cost of inpatient care, such as emergency room visits, nursing home care, home health care and hospice. Medicare Part B: This is the second part ...

How long does Medicare Part A last?

Medicare Part A is part of your Social Security benefit and as long as you contributed for 10 years to Social Security, it is free.

How long does it take to enroll in a drug?

It will be more expensive if you require certain medications that do not have generic equivalents. Your initial enrollment period begins 90 days before your 65th birthday, and you have until 90 days after your birthday to enroll without penalties.

What does Medicare Advantage cover?

Medicare Advantage: These privately offered insurance plans cover everything you receive under traditional Medicare but are administered by private companies rather than the government.

What is Medicare Supplement Plan?

A Medicare Supplement plan is meant to cover a portion of your copayment, making it less of a burden for you to receive quality medical care. In 2020, About 2 million residents in New York enrolled in traditional Medicare compared with 1.5 million who elected to join an Advantage plan. There are benefits to each route, ...

Is Medicare Advantage taken out of your monthly check?

The good news is that it is automatically taken from your benefit checks each month so that there is no hassle over paying a monthly bill. Medicare Advantage plans are like regular insurance policies, except that they are required to offer everything provided by Part A and B.

How long do you have to be a resident of New York to qualify for Medicare?

How to apply for Medicare in New York. To apply for Medicare in New York, you must be a United States citizen or legal permanent resident of at least five continuous years. You’re generally eligible when you are 65 or older, but you may qualify under 65 through disability or having certain conditions. You’ll be enrolled automatically as soon as ...

How many Medicare Supplement plans are there?

Medicare Supplement, also called Medigap, features up to 10 plans, each with a letter designation (A, B, C, D, F, G, K, L, M, N). Plan benefits within each letter category do not change, no matter where the plan is purchased;

What is Medicare Part A and Part B?

Original Medicare, Part A and Part B, refers to federal Medicare coverage. Medicare Part A (hospital insurance) and Part B (medical insurance) are available in any state in the U.S. Medicare Advantage, Part C, refers to plans offered by private health insurance companies with Medicare’s approval.

Does New York have Medicare?

About Medicare in New York. Medicare beneficiaries in New York enjoy a variety of Medicare offerings, from the federal option of Original Medicare, Part A and Part B , to plans offered by Medicare-ap proved insurance companies such as Medicare Advantage, Medicare Part D (prescription coverage), and Medicare Supplement insurance plans.

Does Medicare Part B cover vision?

These plans must cover at least what Original Medicare , Part A and Part B does, but can also include additional benefits, like vision, dental, and prescription drug coverage. You continue paying your monthly Medicare Part B premium when you’re enrolled in a Medicare Advantage plan along with any premium charged by the Medicare Advantage plan chosen.

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