Medicare Eligibility

It's difficult to go for too long without hearing something about Medicare. Because there is so much information out there, however, it can sometimes be confusing understanding how Medicare relates to you. In order to get a better understanding of Medicare and its benefits, a fuller understanding of Medicare eligibility is necessary. In general, all individuals 65 years and older who have paid taxes into the Medicare system for at least ten years are eligible for Medicare. Those with disabilities, including those that require dialysis or a kidney transplant, are also eligible even if they have yet to reach 65 years of age. There are three separate Medicare plans, Part A, Part B, and Part D, and each has its own set of eligibility requirements.

Medicare Part A refers to insurance that assists in hospital bills such as hospital care, nursing facilities, home health, and hospice. Part A Medicare eligibility begins when a person reaches age 65, and it is available without monthly premiums. In order to qualify for this portion, you must be receiving or be eligible to receive Social Security or retirement benefits. If you are not yet 65, you must have been receiving Social Security for 24 months or more due to a disability or need for kidney treatments.

Medicare Part B covers physician visits, outpatient procedures, and medical services which are not covered under Plan A. You must first meet all the eligibility requirements for Part A in order to qualify for Part B. Additionally, Medicare eligibility for this program requires a monthly premium. The price you pay is dependent upon when you became eligible, as well as what programs you chose when first eligible. Typically, a 10% increase in the monthly premium is applied for each year that you could have enrolled in Part B but did not.

Medicare Part D is the portion of the program that covers prescription drugs and is available to all who qualify for Medicare benefits. Unlike the other Medicare programs, Medicare Part D is provided by private insurance companies, so premiums and eligibility requirements may differ. Similar to the price increase seen in Part B, individuals that do not choose to enroll in Part D when they first become eligible may see increased monthly premiums.

Since Medicare eligibility can differ depending on your individual situation, it's a good idea to continue your research or speak to someone with more information. A great place to start is the Medicare.gov site. Here, you can enter your information to receive a personalized report regarding your eligibility. In the meantime, it's great to participate in an exercise program for seniors and take part in personally managing your own health.