Medicare Blog

medicare publication on how the benes act works

by Wilhelmine Lang Published 2 years ago Updated 1 year ago
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What is the BENES Act?

The BENES Act, which stands for Beneficiary Enrollment Notification and Eligibility Simplication, became law in late 2020 but goes into effect in 2023. It includes provisions that will make the process of enrolling in Medicare easier for beneficiaries to understand.Nov 15, 2021

Does Medicare start the month of your birthday?

If you enroll in Medicare the month before your 65th birthday, your Medicare coverage will usually start the first day of your birthday month. If you enroll in the month of your 65th birthday, your coverage will generally start the first day of the month after your birthday month.

When can I get Medicare?

65Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. (You may be eligible for Medicare earlier, if you get disability benefits from Social Security or the Railroad Retirement Board.)

Does Medicare start the first day of the month you turn 65?

For most people, Medicare coverage starts the first day of the month you turn 65. Some people delay enrollment and remain on an employer plan. Others may take premium-free Part A and delay Part B. If someone is on Social Security Disability for 24 months, they qualify for Medicare.

Are you automatically enrolled in Medicare if you are on Social Security?

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 Medicare Part C called?

Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by Medicare-approved private companies that must follow rules set by Medicare.

Do you have to pay for Medicare Part B?

Part B premiums You pay a premium each month for Part B. Your Part B premium will be automatically deducted from your benefit payment if you get benefits from one of these: Social Security. Railroad Retirement Board.

Can I get Medicare Part B for 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

When does the Benes Act take effect?

The BENES Act is especially tricky as parts of it take effect on January 1, 2023, while others may have a delayed effective date. For example, the changes made to the GEP and IEP and the exceptional circumstances for Part B all take effect on January 1, 2023.

What changes will the Benes Act make?

These include an altered timeframe for the GEP and new start date rules, provisions to exceptional circumstances for Part B enrollment, new start date rules for the IEP, advanced education provided by the Social Security Administration ...

How long can you be on Medicare for ESRD?

If you are under 65 and diagnosed with ESRD, you can enroll in Medicare for a specific number of months. For example, if you qualify for Medicare based on ESRD and have a kidney transplant, your Medicare coverage will end 36 months after the month of your transplant. The BENES Act of 2020 will allow kidney transplant Medicare beneficiaries ...

What age do you have to be to get a Medicare outreach notice?

People ages 60 to 64 and those who qualify for Medicare due to disability, will receive notices. Information such as Medicare eligibility, timeframes for enrollment, ...

What is the BENES Act?

The BENES Act includes many Medicare changes, including modifications to the General Enrollment Period (GEP) and the Initial Enrollment Period (IEP). While many of the amendments made in the BENES Act revolve around these two crucial enrollment periods, there are a few other changes you should be aware of. In December 2020, Congress passed the ...

How long does Medicare cover kidney transplants?

The BENES Act of 2020 will allow kidney transplant Medicare beneficiaries to continue their Medicare Part B coverage past 36 months if they have no other source of health insurance. The purpose of this is so these beneficiaries will continue to have coverage for immunosuppressive drugs.

How long does it take for Medicare to go into effect?

Instead of having to wait up to six months for your Medicare to go into effect, the part (s) of Medicare you apply for during the new and improved GEP will go into effect the month directly following the month in which you applied.

What is the BENES Act?

On December 8, 2020, the House passed H.R. 2477, the Beneficiary Enrollment Notification and Eligibility Simplification Act of 2020 (BENES Act of 2020), as amended, under suspension of the rules. The bill now moves to the Senate for consideration. This bill includes the following provisions of interest to the Social Security Administration (SSA):

When will Medicare start in 2023?

Coverage would start January 2023, as follows: People whose 36-month coverage period ends before January 2023 could enroll starting in October 2022 and their coverage would start the later of January 2023 or the month after they enroll; and. o People whose 36-month coverage period ends January 2023 or later would be automatically enrolled.

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Washington DC —The Medicare Rights Center welcomes passage in the U.S. Senate and the U.S. House of Representatives of key provisions of the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477).

Medicare Rights Welcomes Passage of Key BENES Act Provisions

Washington DC —The Medicare Rights Center welcomes passage in the U.S. Senate and the U.S. House of Representatives of key provisions of the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477).

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