Medicare is health insurance coverage for those over the age of 65, under the age of 65 with specific disabilities and any person with permanent kidney failure. To be eligible, you must have entered in the United States in a way recognized by law and lived for 5 years. The need for a medical program for seniors became apparent in the 1950s, but it was not until 1965 when Congress passed the laws that created Medicare. Just like Social Security, those individuals contribute to Medicare during the years they work. It is a federal program so guidelines for eligibility and services are very similar in all states.
Medicare is made up of two parts:
Medicare Part A – This helps to pay for care if you are a patient in a hospital, nursing home or hospice and for care in your home under certain conditions. Many do not pay a month premium for this because it is paid for by taxes that you have paid while working.
Medicare Part B – This helps to pay for doctors services and outpatient care that is medically necessary. It pays for preventative services like the flu shot and for some services to keep illnesses from worsening. In 2008, the standard monthly premium was .40.
For the first seven months after your 65th birthday, there is a period where enrolling in Medicare is free. After this enrollment period, it may cost to enroll. Those covered by Medicare are called beneficiaries. Medicare will pay for most of their health care, but not all. That means it will cover most serious medical conditions, those in which the patient will usually recover from. Medicare does not cover the cost of care given to a patient at home, in a nursing facility, for those with recurring disability or longtime illness.
Medicare also provides Advantage Plans, although it is not available in every state. These plans offer prescription programs to the beneficiaries. Specific details depend on the program you choose and your eligibility.
You will receive your Medicare card, in the mail, three months before your birthday. If you are receiving Social Security benefits before you turn 65, you will be enrolled in Part A and Part B automatically the month you turn 65. Signing up for Medicare is simple, as long as you are aware of the different plans and enrollment periods.
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