Medicare

Part A

Who are eligible for Part A?

If you are 65+ and meet the citizenship and residency requirements.
If you get disability benefits from Social Security or the Railroad Retirement Board for at least 25 months.
Get disability benefits because you have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig’s disease).
Have ESRD and meet certain requirements.

Medicare Part A is free if you –

Have at least 40 calendar quarters of work in any job where you paid Social Security taxes in the U.S.
Are eligible for Railroad Retirement benefits
Or, if your spouse qualifies for premium-free Part A

Else you have to pay premium–

Approx. $240/mo – If you or your spouse worked between 30 and 39 quarters (7.5 and 10 years).
Approx. $437/mo – If you or your spouse worked fewer than 30 quarters (7.5 years).
Premium amounts may change depending on several factors.

Part B

Who are eligible for Part B?

Anyone who is eligible for premium-free Medicare Part A is eligible for Part B by enrolling and paying a monthly premium.
If you are not eligible for premium-free Medicare Part A, you can qualify for Medicare Part B by meeting the following requirements:
- You must be 65 years or older.You must be a U.S. citizen, or a permanent resident lawfully residing in the U.S for at least five continuous years.
You may also qualify for automatic Medicare Part B enrollment through disability, like if you are under 65 and receiving Social Security or Railroad Retirement Board (RRB) disability benefits for 24 months, or if you have end-stage renal disease (ESRD).

Part C

Who are eligible to enroll in Part C?

To be eligible for Medicare Part C, you must already be enrolled in Medicare Part A and Part B, and you must reside within the service area of the Medicare Advantage plan you want.
If you have end-stage renal disease (ESRD), you might not qualify for a Medicare Advantage plan in most cases. But there’s one type of Medicare Advantage plan that’s specifically meant for people with ESRD.

Part D

Who are eligible to enroll in Part D?

To be eligible to enroll in a Medicare prescription drug plan (PDP), you must have Medicare Part A and/or Part B and you must live in the service area for the prescription drug plan in which you want to enroll.
To be eligible to enroll in a Medicare Advantage plan with prescription drug coverage (MAPD), you must have Medicare Part A and Part B, and you must live in the service area for the MAPD plan you’re considering.

Original Medicare vs Medicare Advantage !!!

Original Medicare – Original Medicare is managed by the federal government and provides Medicare eligible individuals with coverage for and access to doctors, hospitals, or other health care providers who accepts Medicare. Original Medicare is basically – Part A benefits (which provides Inpatient/ Hospital coverage) + Part B benefits (provides Outpatient/ Medical coverage) You go […]

Medicare Advantage – Open Enrollment Period !

CMS introduced a new enrollment period effective from January 1st, 2019 called Medicare Advantage Open Enrollment Period (MA OEP). The MA OEP offers an additional opportunity for people enrolled with Medicare Advantage plans to change their coverage. It is actually replacing the election period known as the Medicare Advantage Dis-enrollment Period (MADP), which used to run from January […]

Annual Enrollment Period (AEP)

Annual Enrollment Period (also sometime referred as Fall Open Enrollment) is s that time of year when you can change your Medicare coverage. This Annual Enrollment period begins every year on October 15 and continues until December 7, for coverage date starting from January 1st following year. So if you missed Initial enrollment Period, and don’t qualify for […]

IEP vs ICEP vs IEP2

Initial Enrollment Period (IEP) The Initial Enrollment Period (IEP) is your first opportunity when you can sign up for Medicare. You may join all the Medicare Parts A, B, C and D during this time. The date when your Medicare coverage begins depends on when you sign up. Initial Coverage Election Period (ICEP) ICEP refers to the period […]

Late Enrollment Penalty !!!

Part A – People who are eligible for premium free Part A, never have to pay any late enrollment penalty. Who are not eligible for premium free Part A (i.e. who needs to pay premium to enroll in Part A) and didn’t sign up for Part A when first become eligible, then the person has to […]

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Tag: Medicare

Medicare Part A, B, C, D –

Part A

Part B

Part C

Part D