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Medicare Eligibility Requirements

Medicare is a federal health insurance program that is available to certain individuals in the United States who meet specific eligibility requirements. If you’re approaching age 65, have a disability, or have certain medical conditions, you may be eligible for Medicare. In this blog post, we’ll go over the eligibility requirements for Medicare.

Age

Individuals who are 65 years or older are generally eligible for Medicare. If you’re already receiving Social Security or Railroad Retirement benefits, you will be automatically enrolled in Medicare Part A and Part B when you turn 65. If you’re not receiving these benefits, you will need to enroll yourself.

Disability

If you have a disability, you may be eligible for Medicare before age 65. To be eligible, you must have received Social Security Disability Insurance (SSDI) benefits for at least 24 months. You may also be eligible if you have end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS).

Medical conditions

Individuals with certain medical conditions may also be eligible for Medicare. If you have been diagnosed with Lou Gehrig’s disease (ALS) or have end-stage renal disease (ESRD), you may be eligible for Medicare regardless of your age.

Citizenship and residency

To be eligible for Medicare, you must be a U.S. citizen or a legal permanent resident who has lived in the United States for at least five consecutive years.

It’s important to note that while Medicare provides coverage for many medical services, it doesn’t cover everything. Some services, like dental and vision care, are not covered by Medicare. To get additional coverage, you may need to enroll in a Medicare Advantage plan or purchase a supplemental insurance policy.

Navigating the complexities of Medicare eligibility and coverage can be challenging, which is why it can be helpful to work with a knowledgeable insurance professional like Hilgerman Insurance Solutions. Our team can help you understand your options and make informed decisions about your Medicare coverage. Contact us today to learn more about our services and how we can help you get the most out of your Medicare benefits.

 

Hilgerman Insurance Solutions
(805) 279-5482
deb@hilgermanins.com  
www.hilgermanins.com

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