Eligibility For Medicare: For 65 Years and Below
To enroll in a social insurance program administered in the country is considered sensible and will definitely come in handy given the current situation around the world. There are different kinds of diseases roaming across the globe and without a definite source of medical help; loads of problems in the future will certainly take place. With this, Medicare is created by the national government and to be able to completely enjoy the benefits of this social insurance program, it is important to understand the eligibility for Medicare.
It is a known fact that anyone aged 65 years old and above who is permanently and legally living in the country for 5 consecutive years is automatically qualified for various benefits of Medicare. However, there is also another condition on the eligibility for Medicare aside from the person’s age. Fortunately for some citizens of the country, this second condition allows an individual that is below 65 years old who has a permanent physical disability or an inherited physical disability. Moreover, this is also applicable for younger generations who have other special health needs.
Aside from the mentioned conditions for a person to be eligible in receiving benefits from Medicare, a person who is under 65 years old and is physically disabled for the rest of his or her life should also have been receiving benefits from either the Railroad Retirement Board or Social Security, which is commonly referred to as SSDI. Several proofs of documents are needed from the beneficiary so that he or she will be qualified for Medicare benefits.
On the other hand, a person who is being diagnosed with a certain type of disease, particularly concerning the kidney, and considers availing of Medicare services should also present documents that he or she gets continuous dialysis for end stage renal disease. In addition, a person who is in need of kidney transplant is also eligible to get Medicare benefits, as long as he or she passes the terms of the insurance program.
Another concept that people with disability should keep in mind is the process of receiving payments from SSDI. If a person with disability continues to receive benefits from SSDI, he or she will lose eligibility for the said health program. Although this is a given fact, this condition only applies to certain kinds of diseases.
There is also a policy, named as the 24-month exclusion, wherein a person who encounters an accident and becomes permanently disabled needs to wait for 2 years before he or she can receive medical insurance from the government. However, in some cases, this can be waived as long as that person has one of the listed diseases or is eligible in a different kind of health of medical programs.
Learning the concepts of eligibility for Medicare will now make it easier for an individual to know the dos and don’ts in other steps needed of Medicare. If a person does not know the issues surrounding the eligibility policies of Medicare, that person may have further difficulties, particularly in financial and medical aspects.
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