Medicare Blog

who do you talk to about medicare eligibility

by Burnice O'Reilly Published 1 year ago Updated 1 year ago
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If you . . . Contact . . .
Want to: Enroll in Medicare Part A (Hos ... Social Security 1-800-772-1213 TTY: 1-80 ...
Have a Medicare Prescription Drug Plan, ... Your plan or policy The phone number and ...
Have railroad retirement benefits and wa ... The Railroad Retirement Board Your local ...
Want to report changes to insurance that ... Benefits Coordination & Recovery Center ...

Call 1-800-MEDICARE
For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

Full Answer

Who do I call with questions about Medicare?

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 can you tell if someone has Medicare?

  • individual was no longer serving as a volunteer outside of the United States;
  • organization no longer has tax-exempt status; or
  • individual no longer has health insurance that provides coverage outside of the United States.

How do I talk to a person at Medicare?

How do I talk to a person at Medicare? T he number to call is 1-800-MEDICARE (1-800-633-4227). The TTY (TeleType) number is 1-877-486-2048. This phone number is meant to be a general resource for questions you have about your Medicare coverage.

What every caregiver needs to know about Medicare?

To qualify, a beneficiary must be homebound, under a physician’s care and in need of part-time skilled nursing care or rehabilitative services like physical therapy. Medicare also helps pay for...

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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...•

How do I automatically qualify for Medicare?

You automatically get Medicare after getting disability benefits for 24 months. Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.

When should I contact 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.

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

How much does Social Security take out for Medicare each month?

The standard Medicare Part B premium for medical insurance in 2021 is $148.50. Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less.

Do you automatically get Medicare at 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.)

What is the best Medicare helpline?

1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

Do you automatically get a Medicare card when you turn 65?

You should receive your Medicare card in the mail three months before your 65th birthday. If you are NOT receiving benefits from Social Security or the RRB at least four months before you turn 65, you will need to sign up with Social Security to get Parts A and B.

Medicare Eligibility, Applications, and Appeals

Find information about Medicare, how to apply, report fraud, and submit complaints.What help is available?Medicare is the federal health insurance...

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 to the Social Secur...

Medicare Prescription Drug Coverage (Part D)

Part D of Medicare is an insurance coverage plan for prescription medication. Learn about the costs for Medicare drug coverage.EligibilityPrescript...

Replace Your Medicare Card

You can replace your Medicare card in one of the following ways if it was lost, stolen, or destroyed:Log into your MyMedicare.gov account and reque...

Medicare Coverage Outside the United States

Medicare coverage outside the United States is limited. Learn about coverage if you live or are traveling outside the United States.Original Medica...

Phone

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Medicare Eligibility, Applications, and Appeals

Find information about Medicare, how to apply, report fraud and complaints.

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.

Medicare Prescription Drug Coverage (Part D)

Part D of Medicare is an insurance coverage plan for prescription medication. Learn about the costs for Medicare drug coverage.

Replace Your Medicare Card

You can replace your Medicare card in one of the following ways if it was lost, stolen, or destroyed:

Medicare Coverage Outside the United States

Medicare coverage outside the United States is limited. Learn about coverage if you live or are traveling outside the United States.

Do you have a question?

Ask a real person any government-related question for free. They'll get you the answer or let you know where to find it.

What Are the Basic Qualifications for Medicare Eligibility?

Be a U.S. citizen or resident who has lived in the US for at least 5 years and at least one of the following:

Can You Qualify for Medicare If You Are Under 65?

You can qualify for Medicare if you are under the age of 65 and one of these situations applies to you. In any case, you are eligible for premium-free Part A:

How Do You Enroll in Medicare?

If you’ve received retirement benefits for at least four months before you turn age 65, you are enrolled automatically in Medicare A and B.

How Do You Enroll in Medicare Supplement, Medicare Advantage, and Medicare Prescription Plans?

Medigap, Medicare Advantage, and Medicare Prescription Drug plans are administered by private insurance companies approved and regulated by Medicare. The company you choose or a licensed agent can help with your enrollment. You can find these plans on Medicare.gov. An explanation of each:

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 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.

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