Medicare Blog

which disabilities qualify for medicare

by Dr. Enola Beatty MD Published 3 years ago Updated 1 year ago
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What does Medicare consider a disability?

Medicare is available for certain people with disabilities who are under age 65. These individuals must have received Social Security Disability benefits for 24 months or have End Stage Renal Disease (ESRD) or Amyotropic Lateral Sclerosis (ALS, also known as Lou Gehrig's disease).

What are qualifying conditions for Medicare?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

Can you get a Medicare supplement if you are on disability?

Yes, you may be eligible to purchase a Medicare Supplement Insurance plan if you are under 65 and are enrolled in Medicare because of a disability. Federal law does not require states to sell Medicare Supplement Insurance policies to people under 65, but certain state laws do.Feb 3, 2022

What kind of insurance do you get with disability?

Social Security Disability Insurance (SSDI) is for people who have become disabled after earning enough Social Security work credits within a certain time. Your spouse or former spouse and your children may be eligible for benefits when you start getting SSDI.

What is Medicare Advantage?

Medicare Advantage plans offer additional health benefits like hearing, dental, and vision coverage. Part D plans provide prescription drug coverage. Plus, you may be eligible to enroll in a Medicare Supplement plan. These plans work alongside Original Medicare and can cover coinsurance, copayments, and deductibles.

Does Medicare cover kidney transplants?

ESRD Medicare coverage can provide coverage for permanent kidney failure that requires dialysis or a kidney transplant. To be eligible, you must be diagnosed with end-stage renal disease (ESRD) and qualify for SSDI (Social Security Disability Insurance) or Social Security retirement benefits/railroad retirement benefits based on your work history.

How old do you have to be to get Medicare in 2020?

Updated on October 22, 2020. Not everyone who is eligible for Medicare is 65 years and older. While senior citizens tend to have increased medical needs, the federal government recognizes that there are a significant number of younger individuals who also have serious health problems.

How long does it take to get Medicare?

This process alone can take several months to complete. It may take three to six months for the Social Security Administration to approve your application.

How long does Medicare cover kidney transplant?

If you get a kidney transplant, Medicare coverage may not be long term. The program will provide coverage for 36 months after a Medicare-approved transplant.

Can you be incapacitated for Medicare?

Definitions of disability can vary from person to person but Medicare guidelines leave no room for interpretation. Someone must be incapacitated for the long term. You will meet disability criteria for Medicare eligibility only if you fall into one of the following three categories.

Is Medicare only for seniors?

Medicare is not only for senior citizens. Anyone who is disabled due to ALS, end-stage renal disease, or an SSDI-approved disability, regardless of their age, is eligible for Medicare.

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Health

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When someone breaks his leg, he may be put in a cast and given medical advice not to bear weight on the leg. Is he disabled? Perhaps in the short-term but with an expected recovery only weeks away, it can be a hard argument to make for the long haul. For the purposes of Social Security Disability Insurance, impairments must l…
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Definition

  • Definitions of disability can vary from person to person but Medicare guidelines leave no room for interpretation. Someone must be incapacitated for the long term. You will meet disability criteria for Medicare eligibility only if you fall into one of the following three categories.
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Prognosis

  • Also known as Lou Gehrigs disease, ALS is a debilitating neurologic disease that can lead to muscle atrophy, breathing difficulties and even death. It is estimated that as many as 20,000 Americans have ALS at any one time. The severity and rapid progression of the disease requires a higher level of medical care and services.
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Overview

  • More than 10 percent of Americans are estimated to have chronic kidney disease, according to the Centers for Disease Control and Prevention. More than 100,000 people go on to develop kidney failure, also referred to as end-stage renal disease, each year. When your kidneys fail, your body cannot filter toxins out of the body. You will require dialysis treatment or a kidney transplan…
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Results

  • Your coverage benefits begin three months after you start dialysis treatment. If you get a kidney transplant, Medicare coverage may not be long term. The program will provide coverage for 36 months after a Medicare-approved transplant. After that, if your new kidney remains functional, you will no longer be eligible for Medicare, and you will lose your coverage. You are not eligible f…
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Qualification

  • A number of other medical conditions can qualify as disabilities. In order to be recognized as Medicare eligible, the person must have gone through the rigorous application process of applying for Social Security Disability Insurance. This process alone can take several months to complete.
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Effects

  • This assures the government that the disability is severe enough to warrant Medicare coverage. The Social Security Administration reported that 8,939 disabled workers received disability benefits in April 2015.
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