Medicare Blog

what are the 5 questions asked when joining medicare

by Hilton Hessel Published 2 years ago Updated 1 year ago
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Below are those five most frequently asked questions about signing up for Medicare. 1. Do I need to sign up for Medicare just because I'm turning 65? This is likely the most common question we hear. Many people are still working or covered under a group policy through a spouse. So, whether or not they need Medicare is the first question to answer.

Prescription drugs
  • Does the plan cover outpatient prescription drugs?
  • Are my prescriptions on the plan's formulary?
  • Does the plan impose any coverage restrictions?
  • What costs should I expect to pay for my drug coverage (premiums, deductibles, copayments)?
  • How much will I have to pay for brand-name drugs?

Full Answer

Where to get answeres to your Medicare questions.?

Medicare Eligibility, Applications and Appeals

  • What help is available? ...
  • Am I eligible? ...
  • How do I apply? ...
  • How do I check the status of my application? ...
  • How do I complain or appeal a Medicare decision? ...
  • Who do I contact for extra help? ...
  • Is there anything else I need to know? ...

How to contact Medicare for questions?

How to prepare for a call to Medicare

  • Your Medicare card and claim paperwork. When you call Medicare, have information ready that your agent will request. ...
  • Pen and paper. Make sure to have a pen and paper handy whenever you call Medicare. ...
  • Ask a friend or family member to listen in. Remember that you can always request to have information sent to you in writing at the end of your call.

What do you really need to know about Medicare?

  • Medicare Part D prescription drug coverage
  • Routine vision care
  • Routine hearing care
  • Routine dental care
  • Gym membership and/or other wellness programs

What are good health insurance questions to ask?

Insurance companies cannot:

  • Prevent you from donating all or part of an organ as a condition to buy or continue to keep a policy.
  • Discriminate against you when offering or issuing, or cancelling a policy solely based on your status as a living organ donor.
  • Charge you more for your policy or change the amount of your coverage due to your status as living organ donor.

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What questions are asked when signing up for Medicare?

Use this guide to consider your options when preparing to enroll in Medicare or after you have already enrolled.What are the basics? ... What are your coverage options? ... Should you enroll in Part D? ... Are you eligible for programs that help lower Medicare costs? ... What resources exist to help you navigate Medicare?

How do I get answers to Medicare questions?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

What are the 3 requirements for a member to be eligible for a Medicare?

You're 65 or older.You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least five years and.You are receiving Social Security or railroad retirement benefits or have worked long enough to be eligible for those benefits but are not yet collecting them.More items...•

What is the first step in getting Medicare?

Step 1: Find out if you need to sign up for Medicare Part A or B.Step 2: Decide if you want Medicare Part B benefits.Step 3: Decide if you want extra coverage with Medicare.Step 4: Decide if you want Medicare Part D, Prescription Drug Coverage.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.

Do I automatically get Medicare when I turn 65?

You automatically get Medicare when you turn 65 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.

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.

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.

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.

How long does it take to set up Medicare?

Your initial enrollment window for Medicare spans seven months, beginning three months before the month of your 65th birthday and ending three months after that month. During this time, you have the option to sign up for Medicare online. The process is fairly simple and should take 15 minutes or less.

How does Medicare work when you turn 65?

You can sign up for Part A any time after you turn 65. Your Part A coverage starts 6 months back from when you sign up or when you apply for benefits from Social Security (or the Railroad Retirement Board). Coverage can't start earlier than the month you turned 65.

What is Part B of Medicare?

Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem.

How long is an Open Enrollment Period for Medicare Supplement policies?

You can pre-enroll in Medigap up to 6 months before the Part B effective date with some companies. But, many companies only allow you to pre-enroll 3 months before Part B effective date. The Open Enrollment Period for Medigap lasts for 6 months and begins the day your Part B is effective.

What age to apply for Medicare?

For the most part, people sign up for Medicare at age 65. But, some may choose to delay enrollment due to delaying retirement. In contrast, others may enroll before age 65 if they’re on Social Security Disability for at least 24 months.

How old do you have to be to get Medicare?

Most people are eligible for Medicare at age 65. Those under 65 can qualify for Medicare when they collect Social Security Disability for at least 24 months.

How much does Medicare cost at age 65?

The cost of Medicare depends on many things. Those with a low income will likely pay less than the standard amount and may qualify for Medicare and Medicaid. Those with a higher income will likely pay more for Part B; this is called the Part B Income Related Monthly Adjustment Amount.

Do I need Medicare Part B if I have other insurance?

When you delay enrollment because you’re delaying retirement, you won’t need to rush to sign up for Part B. Although; you may choose to enroll in Part A, especially since, in many cases, it’s free.

Do you have to sign up for Medicare at 65 if you are still working?

You should sign up for Medicare at age 65 if you’re working for a small employer (less than 20 employees). But, if you work for a larger employer, you could delay enrollment.

What is a Medicare Part C plan?

Medicare Part C is a Medicare Advantage plan. These plans sometimes have a $0 per month premiums, and many of them include prescription drug coverage. However, there are some pitfalls to Medicare Advantage plans that you need to know before signing up.

When do I get my Medicare card?

You'll receive a Medicare card two or three months before your birthday , and coverage starts on the first day of your birthday month. 1.

How long do you have to sign up for Medigap?

To buy a Medigap policy, you must be enrolled in both Parts A and B. To guarantee availability, you must sign up within six months of enrolling in Part B.

What happens if you miss your enrollment date?

Missing your enrollment date may mean penalties or even higher premiums for the rest of your life.

Does Medicare cover copays?

A: Original Medicare (Parts A and B) won’t cover copays, coinsurance or deductibles, nor will it cover medical care when you travel outside the United States. Some services, such as long-term care, acupuncture and cosmetic surgery, also aren’t covered.

Can you miss your enrollment date for Medicare?

For instance, missing your enrollment date may mean penalties or even higher premiums for the rest of your life. At the same time, you don’t want to pay for additional coverage you don’t need, especially if you’re still working.

What specific services are covered?

Medicare Advantage, like original Medicare, has to cover most basic health care. But it's important to read plan documents so you know exactly what is covered. Identifying your own unique health needs can help you decide which plan is best for you.

Does the plan include prescription drug coverage?

Original Medicare does not cover prescription drugs. Many Medicare Advantage plans do. Make a list of your current prescription drugs, as well as any prescription drugs you think you might need in the next year. Then compare this to the list of the drugs the plan covers. Coverage levels may differ according to drug type and class. For example, a plan might fully cover generics, but only offer partial coverage for newer brand-name pills.

Is my doctor included in the plan?

If you like your doctor and can't imagine switching to another provider, choose a plan that includes them.

How long does Medicare last?

This period lasts seven months total, and includes the three months before the month you turn 65, the month in which you turn 65, and the three months after. If you are receiving Social Security or Railroad Retirement Board benefits when you first become eligible for Medicare, then you’ll be automatically enrolled in Part A and Part B ...

What is Medicare Part A?

Medicare Part A coverage includes: 1 A semi-private room 2 Hospital meals 3 Skilled nursing services 4 Care on special units such as intensive care 5 Drugs, medical supplies and medical equipment used during your inpatient stay 6 Lab tests, X-rays and medical equipment when you’re an inpatient 7 Operating room and recovery room services 8 Some blood transfusions (in a hospital or skilled nursing facility) 9 Rehab services such as physical therapy received through home health care 10 Skilled health care in your home if you’re homebound and only need part-time care 11 Hospice care

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

What is the notice of creditable coverage for Medicare?

You’ll need a written notice of “creditable coverage” from the plan to qualify for a SEP and avoid late penalties. The notice certifies that the plan provides coverage at least as good as Medicare.

How long do you have to enroll in Part B?

Answer: When you’re over 65 and retiring soon, getting Part B is fairly simple. If you qualify for a Special Enrollment Period (see question 2 above), you’ll have up to eight months to enroll in Part B without penalty. If you don’t actually quality for an SEP, you will have a Part B late penalty. To get Part B, you will enroll directly with Social Security, which you can do online, in person or on the phone.

When do you have to retire to get Medicare?

Answer: If you retire or lose employer coverage before age 65, you’ll need other health coverage until you reach Medicare eligibility age and have your seven-month Initial Enrollment Period. If you are 65 or older when you retire or lose employer coverage, you may qualify for what is called a Special Enrollment Period (SEP).

Does Medicare cover hospice care?

Hospice care. Medicare Part A does not cover custodial care such as help with bathing, dressing and eating, but due to new Medicare regulations, some Medicare Advantage plans (Part C) may begin offering some of these services in the home starting in 2019.

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