Many people do not realize that if there social security disability application is awarded that 25 months after the date of disability that can get medicare. Some think they have to wait for retirement social security.
But that's not the case. Obviously this is another important aspect of winning your social security disability application.
By friend Brian Therrien has a great free course he offers about medicare and your options. He says his course makes it a whole lot easier to figure out your options. And I know Brian to be a man of his word.
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What follows is a short introduction to medicare .
Medicare part a
It’s actually hospital insurance. It’s the insurance that covers folks if they’re in a hospital for an acute stay. These are the major costs, unpredicted costs that people will face. All folks are eligible for Part A and, actually, your premium is paid for you if you’ve worked for 40 quarters. So, if you’ve had 10 years of working experience, once you become Medicare eligible, there is no premium for Part A. It’s part of the dues you paid as a working adult.
This does not cover custodial care and the deductible is about $1000.
Now, most folks, at the same time that they become eligible for Part A, become eligible for Part B. B is the outpatient insurance. This is things like doctor visits, physical therapy, durable medical equipment, and anything that is covered outside of an inpatient stay in a hospital. Now, there’s always a premium to Part B, even if you’ve worked your 40 quarters. Part B, this year, is $96.40 per month. Now, people with higher incomes will actually pay a graded escalation to that, so it can be anywhere from $122 to $238 a month, but most of us that are Medicare eligible see a $98 or $96.40 deduction from the Social Security check on a monthly basis to pay that Part B premium.
Medicare Part C is also known as Medicare Advantage. And we’ve heard a lot about Medicare Advantage in the last couple of years. It’s fairly...it’s a fairly new concept. It’s actually private insurance companies that are paid by Medicare to administer the care for individuals. So, for example, if you decided to go with a Medicare Advantage Plan with, for lack of a better term, Aetna, Medicare will actually pay the insurance company $800 to $1,000 per month for that coverage. Now, the insurance company has agreed that the plan that they offer under Medicare Advantage has to be at least as good as Medicare. It has to cover things at least as good as Medicare did. Now, what the insurance company will also do is they may add an additional premium of anywhere from $20 to $40 to $60 per month and in return, they may be ancillary benefits that are included in the plan. Things that Medicare doesn’t cover. Like an eye exam for nearsighted/farsighted, like some dental coverage, like hearing aid coverage. All things that Medicare does not pay for, but the private insurance company, again, because they want to compete in the open market, are going to try to offer things that are...that consumers want.
The important thing to note is your doctor must be in there plan or you can not use him.
D came out in 2006 and that is also known as the drug plan. This was instituted by the Medicare Modernization Act of 2003. The first plans came out in 2006 and it is a fairly complex insurance plan for prescription drugs. While there are dozens and dozens of plans in every area, it’s important to know how they’re basically set up and they’re all set up really on the same chassis, with a few modifications because this is private insurance, Part D is, sold by private insurance company, so they’re always looking for an angle how to make our plan more attractive than someone else’s? But, essentially, this is how they’re built. A person pays a monthly premium. May or may not pay a deductible. And then pay roughly 25% of the cost of prescriptions until the cost of those prescriptions reaches $2,700. Once those prescriptions reach $2,700, the person, individual, pays 100% of all the cost of the drugs until they reach $4,350. Once they reach $4,350, the insurance plan pays 95%. What they call catastrophic coverage. So, each plan really has three tiers. There’s a 25% up to $2,700, there’s 100% up to $4,350, and then there’s 5% that you pay from $4,350 on to the end of the year and then it resets every year.
Call today if you need help filing or appealing your social security disability denial. 1-800-447-6549 There is no cost or obligation. Or go to my social security disability practice center for articles and videos that can help you through the maze.