Medicare Blog

what to do about medical insurence while waiting to go on medicare

by Horacio Friesen Published 1 year ago Updated 1 year ago

Full Answer

Do I have to sign up for Medicare if I have health insurance?

Generally, if you have job-based health insurance through your (or your spouse’s) current job, you don’t have to sign up for Medicare while you (or your spouse) are still working. You can wait to sign up until you (or your spouse) stop working or you lose your health insurance (whichever comes first).

Can I drop my employer health insurance to go on Medicare?

So the answer is yes, you may drop your employer health insurance to go on Medicare (assuming you're at least 65). This page describes how Medicare works if you have health coverage as part of your employment benefits.

How do I get Medicare drug coverage?

You can get Medicare drug coverage once you sign up for either Part A or Part B. You can join a Medicare drug plan or Medicare Advantage Plan with drug coverage anytime while you have job-based health insurance, and up to 2 months after you lose that insurance. A period of time when you can join or leave a Medicare-approved plan.

What to do if you are turned down for Medicaid?

If you’re turned down for Medicaid, you may be able to enroll in a private health plan through the Marketplace while waiting for your Medicare coverage to start. You may qualify for lower costs on Marketplace coverage based on your income and household size.

Can you have Medicare and employer insurance at the same time?

Can I have Medicare and employer coverage at the same time? Yes, you can have both Medicare and employer-provided health insurance. In most cases, you will become eligible for Medicare coverage when you turn 65, even if you are still working and enrolled in your employer's health plan.

Can I keep my insurance if I have Medicare?

It is possible to have both private insurance and Medicare at the same time. When you have both, a process called “coordination of benefits” determines which insurance provider pays first. This provider is called the primary payer.

Can I choose Obamacare instead of Medicare?

Generally, no. It's against the law for someone who knows you have Medicare to sell you a Marketplace plan. But there are a few situations where you can choose a Marketplace private health plan instead of Medicare: If you're paying a premium for Part A.

What happens if you don't enroll in Medicare Part A at 65?

The Part A penalty is 10% added to your monthly premium. You generally pay this extra amount for twice the number of years that you were eligible for Part A but not enrolled. For example, suppose that: You were eligible for Medicare in 2020, but you didn't sign up until 2022.

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.

Is Medicare Part A free at age 65?

You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

Does AARP support Obamacare?

AARP was an active supporter of Obamacare throughout the 2009 to 2010 legislative session during which the law was debated and ultimately passed.

Who is eligible for the Affordable Care Act?

Individuals at all income levels can sign up for health insurance under Obamacare. If you have a household income between 100% and 400% of the federal poverty level (FPL), you may qualify for a premium tax credit or special subsidies that will reduce health insurance costs.

Can I have both Medicare and Obamacare?

No. The Marketplace doesn't affect your Medicare choices or benefits, so if you have Medicare coverage, you don't need to do anything. This means no matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan (like an HMO or PPO), you don't have to make any changes.

What is a late enrollment penalty for Medicare?

The late enrollment penalty amount typically is 1% of the “national base beneficiary premium” (also called the base beneficiary premium) for each full, uncovered month that the person didn't have Medicare drug coverage or other creditable coverage. The national base beneficiary premium for 2022 will be $33.37.

At what income level do Medicare premiums increase?

For example, when you apply for Medicare coverage for 2022, the IRS will provide Medicare with your income from your 2020 tax return. You may pay more depending on your income. In 2022, higher premium amounts start when individuals make more than $91,000 per year, and it goes up from there.

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.

How long do you have to wait to get Medicare if you get a positive SSDI?

If you get a positive SSDI disability decision. If you get a positive disability decision, you may have to wait 24 months before Medicare coverage starts. See your health coverage options for the period while you’re waiting for Medicare to start.

What to do if you get a negative disability decision?

If you get a negative disability decision. If you get a negative disability decision, you can fill out a Marketplace application to apply for coverage. You’ll find out if you qualify for a private health plan with premium tax credits and lower costs based on your household size and income.

Do you have to include SSDI in Marketplace?

When estimating your income on the Marketplace application, don’t include SSDI payments you think you may get.

Can I have health insurance if I'm on disability?

Waiting for a disability status decision and don’t have health insurance. If you’re waiting for a decision on your disability status, you have coverage options.

Can I apply for medicaid if I don't qualify?

If you don’t qualify for Medicaid, you may qualify for savings on a Marketplace health plan. You can also apply for Medicaid coverage directly through your state agency. Select your state from the menu on this Medicaid page for contact information.

How long do you have to wait to get Medicare if you are 65?

A. It’s true that most people* under age 65 who qualify for Social Security disability must wait 24 months before becoming eligible for Medicare. Consumer advocates, including AARP, have long opposed this two-year delay.

How to see what health insurance plans are available in your area?

To see plans available in your area, and compare their costs and benefits, you must go to the website of your state health exchange. Some exchanges are run by the state; others (where state legislatures have decided not to operate them) are run by the federal government.

Is Obamacare free?

If so, your coverage would be virtually free. However, this depend s on where you live . The U.S. Supreme Court ruled that Obamacare is constitutional, but made the expansion of Medicaid something that each state could decide for itself. Some states have decided not to expand their Medicaid programs.

Do you have to buy extra insurance for Medicare?

Under the law, people with Medicare are regarded as fully insured and not required to buy extra insurance. * Although most people must wait two years for Medicare after qualifying for Social Security disability benefits, there are exceptions.

Can you get Medicare for Lou Gehrig's disease?

People with amyotrophic lateral sclerosis — better known as Lou Gehrig’s disease and those with permanent ki dney failure can get Medicare coverage without a wait after diagnosis. Patricia Barry is a senior editor at the AARP Bulletin.

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