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-   -   On disability and Medicare? (https://www.neurotalk.org/social-security-disability/196406-disability-medicare.html)

Hopeless 10-29-2013 09:31 PM

On disability and Medicare?
 
For those on disability and Medicare, do you have a Medicare Advantage Plan, (Part C) or a Medicare supplemental policy? Or neither, just Medicare?

I am hearing on the news that many Medicare Advantage plans are being cancelled. Anyone experiencing this?

Anyone having any changes to their supplemental policies?

Would like to hear from anyone on Medicare under 65 due to being on SSDI.

Thank you.

reesecups 10-29-2013 09:42 PM

Quote:

Originally Posted by Hopeless (Post 1025498)
For those on disability and Medicare, do you have a Medicare Advantage Plan, (Part C) or a Medicare supplemental policy? Or neither, just Medicare?

I am hearing on the news that many Medicare Advantage plans are being cancelled. Anyone experiencing this?

Anyone having any changes to their supplemental policies?

Would like to hear from anyone on Medicare under 65 due to being on SSDI.

Thank you.

I am currently on straight Medicare. That was fortunate for me because my therp, primary care doctor as well as my pdoc all just take straight Medicare. I've been on disability since 1998. I do not trust the Advantage plans and how much they can control your health and mental health and what happens.

St George 2013 10-30-2013 12:13 AM

I'm confused as usual
 
I thought if you were under 65 and drawing ssdi they put u on Medicaid and u don't go on Medicare until 65.

Boy do I have a lot to learn :)

IF I have get approved for ssdi I'll have to wait 25 months from start date of disability before I can get on whichever one it is.

Sorry to interrupt the conversation....Just curious.

Thanks.....Debi from Georgia

Hopeless 10-30-2013 01:41 AM

Hi Debi,

I believe that one is eligible for Medicare once they have received 24 months of disability benefits. Example: You apply for disability on October 1st, 2012 with an onset date of January 2011. If you are approved in November of 2013 and your onset date is accepted, you are entitled to a maximum of 12 months backpay. 12 months back from your application date is October 1st, 2011. So between October 2011 and November 2013 meets the 24 months of benefits and makes one eligible for Medicare before the age of 65.

I could be wrong but that is the way I understand the eligibility for Medicare prior to age 65 for people approved for SSDI.

If I am incorrect, I am sure someone will come along and correct me. Hope this helps.

St George 2013 10-30-2013 05:53 AM

You are right :)
 
Good morning Hopeless,

You are right....I have NO idea where I got Medicaid from....lol

Like I said last night....my head was spinning......not much better this morning.

Going back to bed.

Talk to u later gator :)

Debi

Kitt 10-30-2013 09:49 AM

Quote:

Originally Posted by Hopeless (Post 1025540)
Hi Debi,

I believe that one is eligible for Medicare once they have received 24 months of disability benefits. Example: You apply for disability on October 1st, 2012 with an onset date of January 2011. If you are approved in November of 2013 and your onset date is accepted, you are entitled to a maximum of 12 months backpay. 12 months back from your application date is October 1st, 2011. So between October 2011 and November 2013 meets the 24 months of benefits and makes one eligible for Medicare before the age of 65.

I could be wrong but that is the way I understand the eligibility for Medicare prior to age 65 for people approved for SSDI.

If I am incorrect, I am sure someone will come along and correct me. Hope this helps.

That's what I have read and heard from others.

Mz Migraine 10-30-2013 03:03 PM

Quote:

Originally Posted by Hopeless (Post 1025498)
For those on disability and Medicare, do you have a Medicare Advantage Plan, (Part C) or a Medicare supplemental policy? Or neither, just Medicare?
Just Medicare. However, I do have a supplemental policy (Part B) that pays 100% of my rx, my co-pay is $2-$5 & the premium is paid for by my state's rx plan (PAAD).

I am hearing on the news that many Medicare Advantage plans are being cancelled. Anyone experiencing this?
Some not all are being cancelled if you sign up for Obamacare. Depends on the type of policy you originally had.

Anyone having any changes to their supplemental policies?

Would like to hear from anyone on Medicare under 65 due to being on SSDI.
Been on Medicare since the age of 53. I am 63 yrs young.

Thank you.

SIDEBAR FYI: For those of us just on Medicare, we don't have to worry about signing up for Obamacare.


razzle51 10-31-2013 09:23 AM

medicare
 
I am 63 on SSD and have Medicare and a advantage PPO plan .. some plans are being dropped but not all of them.... also have a some extra coverage for hospital stays ...

skydancer52 11-01-2013 09:46 PM

Am 59 and just received notification that my first SSDI payment will start in November 2013. Medicare medical to start February 2014. (24 months from original filing date). Side note but benefit letter said they found me disabled as of May 2008. Wish I would have filed sooner.
Went to Medicare web site and tried to choose options in my Medicare profile but wasn't able to, said I wasn't eligible for services yet. Will try again in January.
Plan A has no premium and comes automatically. I will purchase Plan B (outpatient services) for $104.90/mo and Plan D (drugs) for ? I am also checking on supplemental to cover deductible and amounts not paid by Plan A & B. Some services are only paid at 20%, some more, some have scale depending on number of days, etc. I'm trying to put together a spreadsheet to remember the details and will definitely need good record keeping once coverage begins. Estimate medical insurance will cost me 1/4 of my disability benefit.
I honestly don't know anything about Advantage plans. I thought they were for people getting regular SS retirement.

Hopeless 11-01-2013 10:35 PM

Advantage Plan
 
Quote:

Originally Posted by skydancer52 (Post 1026189)
Am 59 and just received notification that my first SSDI payment will start in November 2013. Medicare medical to start February 2014. (24 months from original filing date). Side note but benefit letter said they found me disabled as of May 2008. Wish I would have filed sooner.
Went to Medicare web site and tried to choose options in my Medicare profile but wasn't able to, said I wasn't eligible for services yet. Will try again in January.
Plan A has no premium and comes automatically. I will purchase Plan B (outpatient services) for $104.90/mo and Plan D (drugs) for ? I am also checking on supplemental to cover deductible and amounts not paid by Plan A & B. Some services are only paid at 20%, some more, some have scale depending on number of days, etc. I'm trying to put together a spreadsheet to remember the details and will definitely need good record keeping once coverage begins. Estimate medical insurance will cost me 1/4 of my disability benefit.
I honestly don't know anything about Advantage plans. I thought they were for people getting regular SS retirement.

In short, Advantage plans are both Part A and Part B of Medicare combined and some include drug coverage (part D). Like an HMO. Usually for the same cost as just Part B. Some plans do charge a fee but most do not. Low co-pays for doctor visits and flat dollar amounts for first few days in Hospital usually. Plans do differ.

I have some friends on Advantage Plans and am worried that the ObamaCare regulations are causing some of them to be cancelled and was wondering if anyone had that happen to them yet.


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