Health Insurance Now !

Posts Tagged ‘original medicare’

Many people approaching the age of 65 are asking the question, “What is Original Medicare coverage?” This is a serious question, and these same people are often uncertain whether they are eligible and how to enroll.

Although the Medicare program has evolved since it first started in 1965, Original Medicare is the single payer, Federal health insurance program for U.S. citizens and legal residents age 65 or older. It now also includes coverage for individuals eligible for Social Security Disability benefits, those who have kidney failure, or ALS (Lou Gehrig’s disease). There is one other Federal insurance payer, the Federal Employees Health Benefits program that covers Federal employees.

Original Medicare coverage includes medical insurance that covers visits to doctors, Medicare supplies and equipment, hospital outpatient care, and many other medical services, such as labs, radiology, and physical therapy. This is the Part B side of Medicare. The Part A of Medicare helps pay for inpatient services. Part A would include coverage for inpatient hospital days, skilled nursing facility stays, and Home Health benefits.

Generally speaking, eligibility is not complicated. If you are a U.S. Citizen or naturalized citizen nearing the age of 65, or disable or have End Stage Renal Disease, you are probably eligible. Eligibility questions can be addressed to the Social Security Administration at 1-800-772-1213.

However, if you are already receiving Social Security Benefits prior to your 65th birthday, then you will be enrolled into Medicare Part A and Part B automatically. The way this works is that approximately 3 months before you turn 65, you will receive you initial enrollment packet that will include your Medicare card. If you want to enroll into both A and B, sign your card and keep it in a safe place. If you want to refuse Part B, simply sign the back of the card form that you receive, put an “x” in the box that says you are refusing Part B, and send the card back using the return envelope. After the SSA receives and notes your decision, you will receive a new card listing your enrollment into Part A, only.

If you are approaching age 65 but not yet receiving Social Security Benefits, the procedure is a little different. In this case, you need to initiate the enrollment process yourself by submitting an application with Social Security. You can do this through your local office, or call the number given above for more information. In either case, whether you are already receiving SSA benefits or not, you have a 7 month initial enrollment period to sign up. This includes the 3 months before the month of your birthday, the month of your birthday, and the three months immediately following the month in which you turn 65.

The one stable piece of information to hold onto is that Medicare enrollment is always done through the Social Security Administration. If you are already receiving benefits, your enrollment will be automatic and you won’t need to do anything at all. If you are not receiving SSA benefits by your sixty-fifth birthday, you will need to submit an application through the Social Security Administration. As this is quite an important change in your life, you should not hesitate to seek answers to your questions through the Social Security Administration toll free number, 1-800-772-1213.

Medicare Part D in 2010 may be right for you. Find out today! Heard about Medicare Advantage PPO plans? Free information right here.

When it comes to obtaining a Medicare supplement, there are numerous things that you need to understand. However, the main thing that you need to comprehend is Original Medicare itself and how it works before you can become involved in getting your own Medicare supplement policy.

Medicare started in 1965 as a government-sponsored healthcare program for seniors over age 65 and those who are disabled under certain circumstances. The policies are administered and regulated through the Centers for Medicare and Medicaid Services, or CMS.

Anyone who has reached age 65 and is eligible for social security or railroad benefits can get Medicare, as can anyone who’s disabled and has been on social security or railroad benefit plans for more than a couple of years.

Additionally, people who have end-stage renal disease and require dialysis meet the requirements for Medicare if they qualify for social security. The objective of Medicare is to behave as health insurance for individuals who need it. The coverage is the same for all, and includes two parts:

Medicare Part A covers hospitalization expenses, home health care and hospice care.

Medicare Part B covers doctor visits, surgical services, diagnostic testing, therapies of certain kinds, medical supplies and equipment, ambulance services, plus some preventative care.

However, since these insurance programs are all uniform, some miss out on critical services that they need because they aren’t covered.

Enter the Medicare supplement. When a person has a Medicare plan of healthcare and it doesn’t cover all their medical needs, he or she will likely seek out the coverage that they need in other places. However, those who are retired or disabled are generally living on a fixed income, which makes it hard to afford the insurance and/or medical services that they need.

Often known as Medigap, this is a government-regulated supplement plan that can be obtained by anyone with Medicare insurance to cover the expenses that aren’t covered by their Medicare plan. There are different plans to pick from, and each one has different benefits and coverage types.

You are able to consult with many resources online or an actual Medicare supplement insurance agent to find out which plans are best for your specific needs. The supplement works by paying the leftover expenses that Medicare didn’t cover for any health services that you need performed.

It doesn’t matter how much or how little supplemental coverage you will need, because there is something for practically everyone. Once you understand Medicare and what it is lacking, you’ll be able to then go on the hunt for a Medicare supplement that should complete the puzzle.

Want to find out more about Medicare supplemental insurance, then visit Richard Cantu’s site on how to choose the best plan for your needs.