Medicare Blog

what do i need to know before i apply for medicare

by Jarod Feeney III Published 2 years ago Updated 1 year ago
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  • You’ll need to prove that you’re eligible to enroll in Medicare.
  • You might need to submit documents that verify your age, citizenship, military service, and work history.
  • Social Security can help you get copies of any documents you no longer have.

Full Answer

What do you need to know about applying for Medicare?

You can enrol in Medicare if you live in Australia and you’re any of these:

  • an Australian citizen
  • a New Zealand citizen
  • an Australian permanent resident
  • applying for permanent residency
  • a temporary resident covered by a ministerial order.

What information do I need to sign up for Medicare?

  • Your job-based insurance pays first, and Medicare pays second.
  • If you don’t have to pay a premium for Part A, you can choose to sign up when you turn 65 (or anytime later).
  • You can wait until you stop working (or lose your health insurance, if that happens first) to sign up for Part B, and you won’t pay a late enrollment penalty.

What documents do I need to apply for Medicare?

When applying for Medicare in person, you’ll need to bring the following documents with you:

  • Your Social Security card (or other proof of your SSN)
  • An original copy of a document proving your age, such as a birth certificate, census record, or vaccine record – if possible, it should be from before you turned five
  • Documentation proving legal residency, such as a U.S. ...

More items...

How to know if you are eligible for Medicare?

  • You receive Full Medicaid benefits
  • You are a Qualified Medicare Beneficiary (QMB) without other Medicaid (QMB Only)
  • You receive QMB Plus
  • You are a Specified Low-Income Medicare Beneficiary (SLMB) without other Medicaid (SLMB Only)
  • You receive SLMB Plus
  • You are a Qualifying Individual (QI)
  • You are a Qualified Disabled and Working Individual (QDWI)

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What do you need to know before signing up for Medicare?

Four things you need to know about Medicare before signing upYou get a seven-month window to enroll initially. ... You can sign up online. ... It pays to enroll on time. ... You can sign up for Medicare even if you already have health coverage.

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.

How many months before I turn 65 should I apply for Medicare?

3 monthsGenerally, 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.

What are the 3 requirements for Medicare?

Be age 65 or older; Be a U.S. resident; AND. Be either a U.S. citizen, OR. Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.

Will I automatically be 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.)

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

What should I do before age 65?

This quick checklist covers some of the most important things you should review.Prepare for Medicare. ... Consider Additional Health Insurance. ... Review Your Social Security Benefits Plan. ... Plan Ahead for Long-Term Care Costs. ... Review Your Retirement Accounts and Investments. ... Update Your Estate Planning Documents.

Are you automatically enrolled in Medicare Part A?

You automatically get Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. because you're getting benefits from Social Security (or the Railroad Retirement Board).

What is included in Medicare Part A?

In general, Part A covers:Inpatient care in a hospital.Skilled nursing facility care.Nursing home care (inpatient care in a skilled nursing facility that's not custodial or long-term care)Hospice care.Home health care.

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 much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

Why is my first Medicare bill so high?

If you're late signing up for Original Medicare (Medicare Parts A and B) and/or Medicare Part D, you may owe late enrollment penalties. This amount is added to your Medicare Premium Bill and may be why your first Medicare bill was higher than you expected.

How long do you have to enroll in Medicare?

However, the law only allows for enrollment in Medicare Part B (Medical Insurance), and premium-Part A (Hospital Insurance), at limited times: 1 Initial Enrollment Period – a 7-month period when someone is first eligible for Medicare. For those eligible due to age, this period begins 3 months before they turn 65, includes the month they turn 65, and ends 3 months after they turn 65. For those eligible due to disability, this period begins three months before their 25th month of disability payments, includes the 25th month, and ends 3 months after. By law, coverage start dates vary depending on which month the person enrolls and can be delayed up to 3 months. 2 General Enrollment Period – January 1 through March 31 each year with coverage starting July 1 3 Special Enrollment Period (SEP) – an opportunity to enroll in Medicare outside the Initial Enrollment Period or General Enrollment Period for people who didn’t enroll in Medicare when first eligible because they or their spouse are still working and have employer-sponsored Group Health Plan coverage based on that employment. Coverage usually starts the month after the person enrolls, but can be delayed up to 3 months in limited circumstances.#N#People who are eligible for Medicare based on disability may be eligible for a Special Enrollment Period based on their or their spouse’s current employment. They may be eligible based on a spouse or family member’s current employment if the employer has 100 or more employees.

How long do you have to wait to get Medicare if you have ALS?

People under 65 are eligible if they have received Social Security Disability Insurance (SSDI) or certain Railroad Retirement Board (RRB) disability benefits for at least 24 months. If they have amyotrophic lateral sclerosis (ALS), there’s no waiting period for Medicare.

How long is the initial enrollment period for Medicare?

Initial Enrollment Period – a 7-month period when someone is first eligible for Medicare. For those eligible due to age, this period begins 3 months before they turn 65, includes the month they turn 65, and ends 3 months after they turn 65. For those eligible due to disability, this period begins three months before their 25th month ...

What is a SEP in Medicare?

Special Enrollment Period (SEP) – an opportunity to enroll in Medicare outside the Initial Enrollment Period or General Enrollment Period for people who didn’t enroll in Medicare when first eligible because they or their spouse are still working and have employer-sponsored Group Health Plan coverage based on that employment.

How long does it take to sign up for Medicare?

Initial enrollment period. This is a 7-month window around your 65th birthday when you can sign up for Medicare. It begins 3 months before your birth month, includes the month of your birthday, and extends 3 months after your birth month. During this time, you can enroll in all parts of Medicare without a penalty.

How long do you have to sign up for Medicare if you have delayed enrollment?

If you delayed Medicare enrollment for an approved reason, you can later enroll during a special enrollment period. You have 8 months from the end of your coverage or the end of your employment to sign up without penalty. Medicare Advantage open enrollment (January 1–March 31).

How to get a copy of my naturalization certificate?

You can fill out Form N-565, Application for Replacement Naturalization/Citizenship, either online or by mail, to have a copy of these documents sent to you.

What to do if you don't have birth certificate?

if you don’t have a record of your birth, other documents to prove your age, such as your immunization records, school records, state census records, insurance records, or medical records.

What are the parts of Medicare?

Together, parts A and B are known as original Medicare. You’ll need to enroll in original Medicare before you can enroll in any other Medicare parts. Other parts of Medicare include: Medicare Part C, also known as Medicare Advantage. Medicare Part D, which is prescription drug coverage.

How to replace a permanent resident card?

Citizenship and Immigration Services. You can fill out Form I-90, Application to Replace Permanent Resident Card , either online or by mail.

What age do you have to be to get a disability?

the names and ages of any children you have who are under age 18 (children up to age 19 who are still in high school also need to be mentioned) the names and ages of any children you have who had a disability before age 22.

Parts of Medicare

Learn the parts of Medicare and what they cover. Get familiar with other terms and the difference between Medicare and Medicaid.

General costs

Discover what cost words mean and what you’ll pay for each part of Medicare.

How Medicare works

Follow 2 steps to set up your Medicare coverage. Find out how Original Medicare and Medicare Advantage work.

Working past 65

Find out what to do if you’re still working & how to get Medicare when you retire.

Medicare Eligibility

Most people become eligible to apply for Medicare three months before they turn 65. If you are already receiving Social Security benefits, then you will automatically be enrolled in Medicare Part A and, in most cases, Part B.

Enrolling Under Age 65

There are a few conditions under which you can receive Medicare before you turn 65.

ALS Eligibility

If you have ALS (Lou Gehrig’s disease) and qualify for Social Security or railroad disability benefits, then you will automatically be eligible for Original Medicare. Unlike the general disability condition, you do not need to receive disability benefits for a specific time before being able to apply for Medicare.

End-Stage Renal Disease Eligibility

Those with end-stage renal disease (ESRD) are also able to receive Medicare prior to age 65 under special conditions. These conditions are:

Applying for Medicare Without Social Security

For some people, Social Security enrollment begins at age 67, rather than age 65. However, these people still become eligible for Medicare at age 65. In contrast to those already on Social Security, however, these people will not be enrolled in Medicare automatically, but will have to seek enrollment themselves.

Paying for Medicare Without Social Security

As we noted above, it is possible to get Medicare if you are not receiving Social Security benefits. Most people who are receiving Social Security benefits will be eligible for premium-free Part A, but others who receive Part A or Part B coverage will still have to pay premiums.

How Do I Apply For Medicare?

If you are receiving Social Security benefits, expect to receive a packet in the mail about three months prior to your 65th birthday that contains your enrollment and coverage details, along with instructions about further steps.

How long do you have to enroll in Medigap?

Once you’re enrolled in Parts A and B, you have a six-month window during which you can enroll in a Medigap plan. If you miss that window, you may find it difficult or impossible to enroll in a Medigap plan in the future, depending on where you live and how healthy you are.

How long does Medicare subsidy last?

As long as you enroll in Medicare by the end of your initial enrollment period, your premium subsidy will continue until the day before your Medicare coverage starts — even if you enroll at the end of your enrollment window and thus don’t get Medicare until several months after you turn 65.

Do you have to pay for Medicare Advantage?

Depending on the plan you pick, you may have to pay a premium to the insurance company for the Medicare Advantage plan, or you may be enrolled in a zero-premium Medicare Advantage plan (you still have to pay for Part B, even if the Advantage plan has no premium).

Can Medicare beneficiaries pay for coinsurance?

Many Medicare beneficiaries have low incomes and assets that also qualify them for Medicaid coverage. Medicaid and Medicare Savings Programs (MSPs) can pay for Medicare premiums, co-pays, deductibles and coinsurance. This page has more information about Medicaid benefits available to Medicare enrollees.

Answer a few questions to find out

These questions don’t apply if you have End-Stage Renal Disease (ESRD).

Do you have health insurance now?

Are you or your spouse still working for the employer that provides your health insurance coverage?

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