Mitchel, Gaston, Riffel & Riffel Attorneys at Law

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Medicare


Are you Eligible for Medicare?

Medicare is a federal insurance program providing coverage for all individuals eligible for Social Security after age 65, and for all persons under age 65 who have received Social Security disability or railroad retirement disability payments two years. Specifically, Medicare pays for acute care, hospitalization, limited skilled nursing, doctor's fees, drugs and certain medications used in the hospital and home care. Medicare also provides a prescription drug benefit. Medicare has open enrollment at any time without any exceptions for pre-existing conditions.

To be eligible for Medicare, a person must be:

  • Age 65 or older and eligible for Social Security or railroad retirement benefits;
  • Age 65 or older and either a spouse or surviving spouse of an individual who is or was eligible for Social Security or railroad retirement benefits;
  • Age 65 or older and divorced from a individual who is or was eligible for Social Security or railroad retirement benefits and whose marriage lasted as least 10 years and not remarried;
  • Age 65 or older and was an employee of a state or local government hired after March 31, 1986;
  • Under age 65 and receiving Social Security disability or railroad retirement disability benefits for 24 months;
  • Under age 65 and suffering from suffering from Anyotrophic Lateral Sclerosis;
  • Under age 65 Medicare is divided into four parts.

Part A pays for hopital care. Part B pays for physician and outpatient services. Part C is a managed care program called Medicare Advantage Program. Part D is the prescription drug benefit program.

Additional Medicare Information:
Did you know that even if you stay in the hospital overnight in a regular hospital bed, you might still be considered an "outpatient"?
 


DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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