Medicare Blog

what kind of information do you need when you apply for medicare

by Prof. Gabrielle Russel 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.

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.

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. ...

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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 bring when applying for Medicare?

What do you need to bring when applying for Medicare?Birth certificate. ... Proof of U.S. citizenship or legal residency. ... Your Social Security card (if already receiving SSA benefits) ... Health insurance information. ... Tax information. ... Military documents. ... Part B enrollment application.

What are the first steps to applying for Medicare?

Ways to sign up: Online (at Social Security) – It's 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 benefits.) Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.

How long does it take to get approved for Medicare?

between 30-60 daysMedicare applications generally take between 30-60 days to obtain approval.

How long before you turn 65 do you apply for Medicare?

3 monthsYour first chance to sign up (Initial Enrollment Period) It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65. My birthday is on the first of the month.

Do I automatically get 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 automatically send you a card?

You should automatically receive your Medicare card three months before your 65th birthday. You will automatically be enrolled in Medicare after 24 months and should receive your Medicare card in the 25th month.

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.

What is Medicare Part C called?

A Medicare Advantage is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by Medicare-approved private companies that must follow rules set by Medicare.

How to apply for medicare over the phone?

By phone. Call 1-800-772-1213 between 7am and 7pm Monday through Friday to apply over the phone. If you are hard of hearing, you may dial 1-800-325-0778. In person. Visit your local Social Security office to apply for Medicare in person. If you're eligible for or enrolled in Medicare and you want to compare your Medicare plan options, ...

How long do you have to be a US citizen to qualify for Medicare?

You must be a U.S. citizen or a legal resident of the U.S. for at least five continuous years to be eligible for Medicare.

How long does it take to sign up for Medicare?

You may apply for Medicare online through the Social Security Administration (SSA) website. The application process typically takes no more than 10 minutes to complete. By phone.

Who can help you compare Medicare plans?

If you're eligible for or enrolled in Medicare and you want to compare your Medicare plan options, a licensed insurance agent may be able to help.

When do you start enrolling in Medicare?

However, you may begin the enrollment process three months before turning 65, which is when your Medicare Initial Enrollment Period (IEP) typically begins. Learn more about the Medicare Initial Enrollment Period.

Do you have to provide military records for Medicare?

There are some specific rules concerning Medicare and veteran’s health insurance benefits, and you may have to provide records of your military service if you are receiving any such military or veteran’s benefits.

Do you need a W-2 to sign up for Medicare?

You may have to show some of your tax record information, such as a W-2, when you sign up for Medicare.

How long does it take to get Medicare online?

A: Applying for Medicare online is easy and requires information that you’ll likely have on hand. 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.

What happens if you miss your enrollment window for Medicare?

But know this: For each 12-month period you’re eligible for coverage but don’t apply, you’ll risk a 10% surcharge on your Part B premiums.

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.

How long before Medicare card is sent out?

We’ll mail you a welcome package with your Medicare card 3 months before your Medicare coverage starts.

How long do you have to sign up for Part A?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months of turning 65, you might have to wait to sign up and pay a monthly late enrollment penalty.

How long after you sign up for Part A do you have to sign up for Part B?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months after your Part A starts, you might have to wait to sign up and pay a monthly late enrollment penalty.

How to contact railroad retirement board?

If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.

Does Medicare cover travel?

If you have Original Medicare and have a Medigap policy, it may provide coverage for foreign travel emergency health care. Learn more about Original Medicare outside the United States.

Can you voluntarily terminate Medicare Part B?

Voluntary Termination of Medicare Part B. You can voluntarily terminate your Medicare Part B (medical insurance). It is a serious decision. You must submit Form CMS-1763 ( PDF, Download Adobe Reader) to the Social Security Administration (SSA). Visit or call the SSA ( 1-800-772-1213) to get this form.

When do you have to enroll in Medicare?

Assuming you don’t qualify for automatic enrollment, the first opportunity you have to enroll in Original Medicare is typically during your seven-month Initial Enrollment Period, which generally begins three months before you turn 65, includes your birthday month, and ends three months after the month you turn 65. If you don’t enroll at this time, you may face a late-enrollment penalty.

How old do you have to be to get Medicare?

How to Complete Medicare Enrollment Forms. As you approach the age of 65, you’ll want to make sure you enroll in the Medicare insurance plan that may suit your needs. To do so, you need to know how to sign up for Medicare and which Medicare application forms to complete.

What is Medicare Advantage?

If you’d like, you may be able enroll in Medicare Advantage (Medicare Part C) as an alternative way to get your Original Medicare, Part A and Part B, benefits. Medicare Advantage plans are offered by private health insurance companies that contract with Medicare to deliver your Medicare Part A and Part B benefits – with the exception of hospice care, which is still covered under Part A. Many Medicare Advantage plans include benefits beyond Part A and Part B coverage as well; for example, some plans offer prescription drug coverage, routine vision care, and/or wellness programs. (Medicare Part A and Part B may cover prescription drugs in specific situations, but for the most part this coverage doesn’t extend to medications you take at home.)

What is Medicare prescription drug plan?

Medicare Prescription Drug Plans are available from private, Medicare-approved insurance companies. To qualify, you need to be enrolled in Medicare Part A and/or Part B and live in the plan’s service area. Plan availability, costs, and benefit details may vary. Read about enrollment periods for Medicare Prescription Drug Plans.

How to report Medicare fraud?

If you suspect Medicare fraud, waste, or abuse, you should immediately report fraud online. Alternatively, you can call the HHS Office of Inspector General at 1-800-447-8477 (TTY users 1-800-377-4950) or CMS at 1-800-633-4227 (TTY users 1-877-486-2048).

When do you get Medicare if you are already on Social Security?

If you’re already receiving Social Security Administration (SSA) or Railroad Retirement Board (RRB) retirement benefits, you’ll typically get enrolled in Medicare when you turn 65.

How to compare Medicare Advantage plans?

You can compare Medicare Advantage plans available where you live; just click Find Plans or Compare Plans on this page. Note that you need to continue paying your Medicare Part B premium, along with any premium the plan may charge.

What age can I get medicare?

Decide in advance which parts of Medicare you want to use. Medicare is available to Americans ages 65 or older and those who receive Social Security Disability Insurance (SSDI). However, there are a few steps you’ll need to take once you become eligible.

How long does it take to enroll in 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.

How long does it take to get a Medigap plan?

Medigap enrollment. This 6-month period starts after the first day of the month that you apply for original Medicare or from your 65th birthday. If you miss this enrollment period, you may not be able to get a Medigap plan. If you do get one later, you may pay higher premiums, especially if you have health conditions.

What is Medicare plan finder?

Use Medicare’s plan finder tool to research the cost of Medicare Advantage, Medicare Part D, and Medigap plans in your area.

What is Medicare Part D?

These plans cover everything that parts A and B do, often with additional coverage included. Medicare Part D. Medicare Part D is prescription drug coverage. Medigap. Medigap is supplemental insurance that pays the out-of-pocket costs of Medicare parts A and B, like copayments and deductibles.

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

If you delayed Medicare enrollment for an approved reason, you can enroll during a special enrollment period. If you stop other insurance coverage, you have 8 months from the end of your coverage or the end of your employment to sign up without penalty.

How long does it take to get Medicare after receiving SSDI?

For example, if you’re eligible through a disability that you receive SSDI for, you’ll be automatically enrolled in original Medicare (parts A and B) after 24 months of SSDI payments.

What are the parts of Medicare?

There are four parts to Medicare: A, B, C , and D. Part A is automatic and includes payments for treatment in a medical facility. Part B is automatic if you do not have other healthcare coverage, such as through an employer or spouse. Part C, called Medicare Advantage, is a private-sector alternative to traditional Medicare.

What are the different types of Medicare?

There are four types of Medicare: A, B, C, and D. Part A covers payments for treatment in a medical facility. Part B covers medical services including doctor's visits, medical equipment, outpatient care, outpatient procedures, purchase of blood, mammograms, cardiac rehabilitation, and cancer treatments. Part C, also known as Medicare Advantage, seeks to cover any coverage gaps. Part D covers prescription drug benefits.

How much does Medicare Part A cost?

Medicare Part A covers the costs of hospitalization. When you enroll in Medicare, you receive Part A automatically. For most people, there is no monthly cost, but there is a $1,484 deductible in 2021 ($1,408 in 2020). 1 

What is the coverage gap for Medicare?

For example, in 2022 the donut hole occurs once you and your insurer combined have spent $4,430 on prescriptions. 24

What is Medicare for seniors?

Medicare is the national health insurance program available to people age 65 or older, younger people with disabilities, and people with end-stage renal disease.

Does Medigap pay for surgery?

One important thing to know about Medigap: It only supplements Medicare and is not a stand-alone policy. 26 If your doctor doesn't take Medicare, Medigap insurance will not pay for the procedure.

Does Medicare cover long term care?

The largest and most important item that traditional Medicare doesn't cover is long-term care if the only care you need is custodial. 15 If you are diagnosed with a chronic condition that requires ongoing long-term personal care assistance, the kind that requires an assisted-living facility, Medicare will cover none of the cost. However, Medicare will cover the costs for acute-care hospital services, for patients who are transferred from an intensive care or critical care unit. Services covered could include head trauma treatment or respiratory therapy. 16

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