Sunday, May 9, 2021

Who Is Qualify For Medicare - Boise Idaho Medicare Eligibility

Determining If You Meet The Criteria To Get Eligible For Medicare Health Plans

Normally, you’re qualified for Medicare coverage if you’re people age 65 or older, younger people with disabilities, or people with chronic diseases.


These are usually the situations before you get qualified for Medicare, even though you are at least one of the following, Medicare doesn’t automatically qualify you.


To determine if you’re eligible for Medicare coverage, in this article we’re going to discuss the requirement you must meet certain criteria in order to apply for coverage.

Who’s Eligible For Medicare


  • Medicare Eligibility For Part A & Part B

To get qualified for Original Medicare you must be a U.S. citizen or a permanent legal resident for at least 5-five continuous years. You must meet at least one of these requirements to get Medicare eligibility:


A. Must be age 65 or older and eligible for Social Security

You may get automatically enrolled in Part A when you reach age 65 and already qualify from Social Security. In addition, you may automatically qualify for Part A and Part B if you’re already receiving benefits from Social Security or the Railroad Retirement Board (BRB), starting the first day of the month you turn 65.


B. Must be disabled and receive disability benefits

Another situation you may get automatically enrolled in Original Medicare: when you have a permanent disability which you receive disability benefits from Social Security for at least 24 months. Or certain disability benefits from the BRB for also 24 months.


C. Have an End-stage Renal disease or permanent kidney failure

Usually, if you have a chronic disease that requires dialysis treatment or kidney transplant, you need to sign up for Medicare as your enrollment isn’t automatic.


D. Have Lou Gehrig’s disease

You’ll be eligible for Medicare and will automatically enroll in Medicare Part A & Part B if you are diagnosed with Amyotrophic Lateral Sclerosis or ALS on the first day of the month you start receiving disability benefits. Unlike other disabilities that wait 24 months to get eligible for Medicare.


  • Medicare Eligibility For Part C

Medicare Advantage plan or Part C is an alternative way to get Medicare Part A and Part B. You can also purchase Part C through private insurance. To be eligible for Medicare Advantage, you must reside within the service area and must be enrolled in Original Medicare.


Medicare Part C is optional, there is no penalty for not signing up. But you must have Part a and Part B to get Part C and especially live within the service area.


  • Medicare Eligibility For Part D

Part D covers prescription drugs, and like Part C it is available through private insurance that is approved by Medicare. To be qualified for enrollment in a prescription drug plan you must have Medicare Part A and B and live within the service area. Medicare Part D is a stand-alone plan if you have Original Medicare or a Medicare Advantage plan that comes with prescription drugs.


  • Medicare Supplements

Medicare Supplements or Medigap is also available at private insurance companies. To be eligible for Medigap you must enroll in Original Medicare Part A and B because Medigap doesn’t work with Medicare part C or Medicare Advantage plan. And you must also consider the service area of where you're living.


To find out more about your Medicare eligibility and health plans, you can visit
medicare.gov they offer eligibility tools you use to see if you’re qualified for any Medicare plans.


Comparing your Medicare plans into different companies will help you determine the expected monthly premiums and what are the best deals for your needs and situations. You can also ask our Insurance & Medicare Broker Chris Antrim, he can help you stretch out your options about your Medicare health plans .

Thank You For Reading!



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