Medicare Disability Coverage
Regardless of age, if you are disabled and receiving Social Security Disability Insurance (SSDI), you may be able to receive Medicare disability coverage.
Medicare Disability Coverage Options
To receive Medicare, the first step is to apply for SSDI. To be eligible, you must be permanently disabled, meaning you are unable to work for at least 12 consecutive months or have a condition that prevents you from performing expected job responsibilities and are unable to find a replacement due to age, education or physical limits. Additionally, you must have previously worked a job where you paid Social Security taxes and comply with your medical professional’s recommended course of treatment.
If this describes your situation, you can apply for Social Security Disability through the Social Security Administration at https://www.ssa.gov/.
Applying for Medicare Disability Coverages
Once you have been collecting Social Security Disability for at least 24 months, you’re eligible to apply for Medicare disability coverage if:
- You have amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease). You will be automatically enrolled in Medicare Part A and Part B and will have the option to enroll in a Medicare Prescription Drug Plan to help cover the cost of medications.
- You have collected Social Security disability for at least two years (24 months). You will automatically be enrolled in Medicare Part A and Part B at the beginning of the 25th month. You can also enroll in a Medicare Prescription Drug Plan (Part D) as early as three months before the 25th month of your SSDI.
- You have end-stage renal disease (ESRD). If you have ESRD (also known as kidney failure), you must enroll in all parts of Medicare manually by logging into https://www.ssa.gov/benefits/medicare/ or by calling 1-800-772-1213 (TTY 1-800-0078) M-F between 7AM and 7PM. You can also visit your local Social Security office to enroll in Medicare Parts A and B.
Cost of Medicare Disability Coverage
- Medicare Part A is required, even if you’re covered through your employer or your spouse’s employer. You cannot decline Part A unless willing to pay back SSDI benefits that have been received.
- Medicare Part B has a monthly premium, but you can disenroll if you have other health insurance coverage through your employer or your spouse’s employer.
- You can expect co-pays and deductibles, even with Medicare disability coverage. If you don’t have insurance through an employer and you’re enrolled in Original Medicare (Part A & Part B), you may want to consider adding a Medicare Supplement Plan or opt for the Original Medicare alternative, a Medicare Advantage Plan.
The Medicare Helpline is Here to Help Find the Right Medicare Disability Coverage
Our licensed insurance agents can provide side-by-side plan comparisons to help you better understand your options for Medicare coverage. Don’t miss out on the benefits you deserve. Get started by entering your zip below:
The Medicare Helpline represents Medicare Advantage (HMO, PPO, PFFS, and PDP) organizations that have a Medicare contract. By completing the contact form above or calling the number listed above, you will be directed to a licensed sales agent who can answer your questions and provide information about Medicare Advantage, Part D or Medicare supplement insurance plans. Availability of carriers and products are dependent on your resident zip code.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and in some states to those under age 65 eligible for Medicare due to disability or End Stage Renal disease. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
The Medicare Helpline is not affiliated with any governmental program or agency. Plans can only be changed during certain times of the year.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE [(TTY users should call 1-877-486-2048), 24 hours a day/7 days a week] to get information on all of your options.
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**The Medicare Advantage and Prescription Drug Plan Annual Enrollment Period (AEP) runs from October 15-December 7. During this time, Medicare recipients can evaluate their current coverage and enroll in new plans for the upcoming year.