Health Insurance

Intro to Medicare Parts A & B

medicare part a and b

If you’re about to reach the age of 65, you’re now time to join Medicare! For most, the process to enroll is actually automated.

medicare part a and b

But, Medicare will remain important throughout your life. Therefore, it is important to be aware of the eligibilitycoverage, and obviously, costs!

If you sign up for Medicare You enroll for Medicare Part A & Medicare Part B (also called Original Medicare).

After I Sign Up for Medicare What is Part A Include?

Medicare Part A covers your hospital insurance. It can help you to cover:

  • Inpatient care at a hospital
  • Care in nursing facilities
  • Nursing home care
  • Hospice care
  • Health Care at Home

After I’ve enrolled in Medicare What will Part B Insure?

Medicare Part B is designed to provide insurance coverage for outpatients. These include medically essential services as well as preventative. Medicare Part B can with:

  • Doctors visits
  • Services for mental health
  • Outpatient surgery
  • Ambulance services
  • The most durable medical equipment is walkers or wheelchairs
  • Outpatient prescription medications that are limited, for example:
    • Injections that you can get at the office of a doctor
    • Certain oral cancer drugs
    • The drugs used in certain types of medical equipment that are durable, such as a Nebulizer
  • Clinical research that is limited in scope, for example, treatments, drugs, and other services

In general, Medicare will cover the most basic medical care required for the treatment trials are investigating.

medicare part a and b

What is not covered by Original Medicare?

Medicare Parts A & B do not provide costs for copays, coinsurance, or deductibles.

These expenses can be expensive, which is why you might think about adding a second layer to your insurance.

In addition, Medicare parts A & B do not include long-term care for vision, dental, or hearing. The coverage for all of these is offered separately.

Do I qualify to enroll in Medicare?

How do you determine if you are eligible to be eligible for Medicare? The majority of people who retire know that they’ll be enrolled in Medicare.

In reality, you could even be automatically in the program without needing to do anything!

You may be qualified for Medicare benefits if you:

  • You’re over the age of 65 and a U.S. citizen or permanent legal resident who has been in the United States for at least five years.
  • You’re receiving social security or railway retirement benefits. You also qualify if you had worked for long enough ( 40 quarters) to be qualified to receive benefits, even if you’re not yet collecting them.
  • The person you (or you and your partner) is a government worker or retired person that has not been a social security payer or Medicare but has contributed to Medicare pay taxes when employed (meaning that you have a Medicare-covered job)

If you’re younger than 65, you’re eligible to receive Medicare Parts A & B benefits if you:

  • You’ve been receiving the social security benefit for a minimum of 24 months. The months don’t do not have to run in a row. There are breaks between, but they must be a minimum of 24 months in total.
  • If you have ALS, you are in the right place.
  • You suffer from end-stage renal disease.

When I enroll in Medicare What is the Cost? It Cost?

It is important to remember, that for a lot of people, Medicare Part A has no monthly cost.

If, however, you have not been employed for at least 40 quarters in a row then you will be required to pay a monthly fee.

Presently (in 2020) the figure could reach $458. But, it could be lower based on your particular circumstances.

If you’re currently employed when you reach the 40-quarter mark, you will no longer be charged the monthly costs.

The cost of your monthly premium to Medicare Part B is determined by your income.

How do I enroll in Medicare?

We’ll now discuss how to join Medicare Parts A & B. If you’re receiving Social Security benefits and are eligible, you’ll automatically be registered.

Your card will arrive in the mail 3 months prior to your 65th birthday.

If you qualify to receive Medicare due to disability then you’ll be automatically enrolled, and you will receive your card by your 25th month in disability benefits.

If you’re not already enrolled automatically, you’ll be required to contact the social security office of your choice via 800-772-1213 and www.ssa.gov.

Additionally, if you’re a resident in Puerto Rico, Medicare Part A enrollment is automatic however, there is no part B.

What if I want to Defer?

If you decide that you don’t require part B at this time, you must follow the directions in the form on your card.

If you choose to keep the card, you’ll be able to keep Part B and unfortunately, you’ll be responsible for paying for it! If you want to delay Part B it is important to ensure to enroll for Part B within eight months after the end of your health insurance coverage that is based on employment.

If you don’t meet the deadline, you’ll incur penalties for late enrollment. This isn’t a one-time cost however, it’s added to your monthly fees for a lifetime. It is not a good idea to be paid without a reason So, plan ahead!