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A Guide to Medicare
Eligibility and Open
     Enrollment
      Presented by
Medicare has been an important part of America's
 healthcare system since 1965. It offers seniors and most
receiving Social Security Disability Insurance (SSDI) the
ability to receive quality healthcare at a reasonable price.
                      www.allsup.com
Determining Eligibility
Medicare eligibility depends on a few factors.
You must be:
   Age 65 or older and a U.S. citizen or have
   been a permanent legal resident for 5
   continuous years; or

   Have been receiving SSDI for at least 24
   months or Railroad Retirement Board
   disability payments; or

   Have end stage renal disease or need a kidney
   transplant; or

   Have ALS (Lou Gehrig's disease); and

   You or your spouse must have paid Medicare
   taxes for at least 10 years.


                                 www.allsup.com
Disability Requirements
                If you're not sure what types of
                disabilities make you eligible for
                  Medicare before age 65, the
                Allsup website is a good place to
                              start.


               Applying for SSDI can be a long
                    and difficult process and
                Medicare coverage comes only
                after a two-year waiting period.
               So, you should apply immediately
                    after becoming disabled.

        www.allsup.com
How to Apply
Seniors can begin the enrollment
process three months before
their 65th birthday to three
months after.


People with disabilities who are
eligible for Medicare have the
three months before their month
of eligibility to the three months
after.


                       www.allsup.com
Types Of Medicare Coverage
        Medicare Part A

                    Medicare Part A covers hospital
                       care and is usually free for
                    people who paid Medicare taxes
                             while working.


                    Americans who didn't work may
                    be able to buy Medicare Part A.
                      Many states offer assistance
                     with the premiums for those
                      who qualify for extra help.


          www.allsup.com
Types Of Medicare Coverage
                         Medicare Part B

Medicare Part B covers doctors' visits,
outpatient hospital care, physical and
occupational therapists and other
medical services and supplies. Most pay
a monthly premium, which is $96.40 a
month in 2009.

To make the payment process easier,
the monthly premium is usually taken
directly out of each month's Social
Security, Railroad Retirement or Civil
Service Retirement payment.
Medicare Advantage
                 Medicare Advantage is available if
                  you have Medicare Part A and B
                 coverage. Medicare Advantage can
                 include HMOs, PPOs, private fee
                   for service plans and Medicare
                         special needs plans.


                 Medicare Advantage allows you to
                   get Medicare Parts A and B and
                often other coverage under one plan.
                Medicare Advantage plans work just
                 like regular insurance and can also
                 include prescription drug benefits.

     www.allsup.com
Medicare Advantage
Plan comes with lower co-pays and
extra benefits not included in
traditional Medicare.

However, these benefits may include an
additional monthly premium and may
restrict beneficiaries to specific doctors
or hospitals.

It's up to the you -- the Medicare
recipient -- to determine which
Medicare plan is best.



                             www.allsup.com
Why You Shouldn't Wait To
         Enroll
                 Most enroll in Medicare during their initial
                  enrollment period. If you missed your
                 window, you’ll need to wait until the next
                        available enrollment period.


                 The cost of Medicare B will go up 10% each
                 year you’re eligible for the program, but do
                 not sign up. This penalty is imposed as long
                    as you are eligible for Medicare Part B
                 coverage. There are some exceptions to this
                   rule. One exception being that if you or
                 your spouse are working and covered under
                      a group health plan, you can delay
                 enrollment in Medicare until you no longer
                        have health insurance coverage.

         www.allsup.com
Medicare Enrollment Periods
If you missed your initial enrollment period,
you'll need to wait until the available
Medicare enrollment period.

Annual enrollment period: takes place
between November 15 – December 31 every
year.

General enrollment period: available January
1 – March 31 each year for Medicare Part B
enrollment.

Open enrollment period: available January 1
– March 31 each year for Medicare.

Special enrollment periods can occur
anytime of year depending on circumstances.


                               www.allsup.com
Making Sense Of It All
              With Medicare Part A, Medicare Part B,
                 Medicare Advantage and Medicare
                 Prescription Drug Coverage, it's no
              wonder that recipients are left confused
              as to which is the best Medicare plan for
                                them.


                 Help is available. Allsup helps people
               receive the benefits they're entitled to.
               Your A!sup Medicare Advisor works one-
                on-one with you and Medicare to help
                you determine which Medicare plan is
                             right for you.



       www.allsup.com
How Allsup Helps
Allsup's Medicare experts will:

 Review your individual circumstances:
 your medications, healthcare
 requirements, your personal doctors
 and your finances.

 Educate you on local Medicare
 options.

 Prepare a detailed report outlining the
 plans that best meet your needs.

 Help you enroll and answer questions.



                          www.allsup.com
Why Allsup?
           Allsup isn't an insurance company.
            Allsup is a nationwide provider of
         Social Security disability, Medicare and
           workers’ compensation services for
          individuals, employers and insurance
                          carriers.


           Celebrating its 25th anniversary in
            2009, Allsup employs about 600
          professionals who deliver specialized
             services supporting people with
           disabilities and seniors so they may
         lead lives that are as financially secure
                and as healthy as possible.  

  www.allsup.com

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A Guide To Medicare Eligibility And Open Enrollment

  • 1. A Guide to Medicare Eligibility and Open Enrollment Presented by
  • 2. Medicare has been an important part of America's healthcare system since 1965. It offers seniors and most receiving Social Security Disability Insurance (SSDI) the ability to receive quality healthcare at a reasonable price. www.allsup.com
  • 3. Determining Eligibility Medicare eligibility depends on a few factors. You must be: Age 65 or older and a U.S. citizen or have been a permanent legal resident for 5 continuous years; or Have been receiving SSDI for at least 24 months or Railroad Retirement Board disability payments; or Have end stage renal disease or need a kidney transplant; or Have ALS (Lou Gehrig's disease); and You or your spouse must have paid Medicare taxes for at least 10 years. www.allsup.com
  • 4. Disability Requirements If you're not sure what types of disabilities make you eligible for Medicare before age 65, the Allsup website is a good place to start. Applying for SSDI can be a long and difficult process and Medicare coverage comes only after a two-year waiting period. So, you should apply immediately after becoming disabled. www.allsup.com
  • 5. How to Apply Seniors can begin the enrollment process three months before their 65th birthday to three months after. People with disabilities who are eligible for Medicare have the three months before their month of eligibility to the three months after. www.allsup.com
  • 6. Types Of Medicare Coverage Medicare Part A Medicare Part A covers hospital care and is usually free for people who paid Medicare taxes while working. Americans who didn't work may be able to buy Medicare Part A. Many states offer assistance with the premiums for those who qualify for extra help. www.allsup.com
  • 7. Types Of Medicare Coverage Medicare Part B Medicare Part B covers doctors' visits, outpatient hospital care, physical and occupational therapists and other medical services and supplies. Most pay a monthly premium, which is $96.40 a month in 2009. To make the payment process easier, the monthly premium is usually taken directly out of each month's Social Security, Railroad Retirement or Civil Service Retirement payment.
  • 8. Medicare Advantage Medicare Advantage is available if you have Medicare Part A and B coverage. Medicare Advantage can include HMOs, PPOs, private fee for service plans and Medicare special needs plans. Medicare Advantage allows you to get Medicare Parts A and B and often other coverage under one plan. Medicare Advantage plans work just like regular insurance and can also include prescription drug benefits. www.allsup.com
  • 9. Medicare Advantage Plan comes with lower co-pays and extra benefits not included in traditional Medicare. However, these benefits may include an additional monthly premium and may restrict beneficiaries to specific doctors or hospitals. It's up to the you -- the Medicare recipient -- to determine which Medicare plan is best. www.allsup.com
  • 10. Why You Shouldn't Wait To Enroll Most enroll in Medicare during their initial enrollment period. If you missed your window, you’ll need to wait until the next available enrollment period. The cost of Medicare B will go up 10% each year you’re eligible for the program, but do not sign up. This penalty is imposed as long as you are eligible for Medicare Part B coverage. There are some exceptions to this rule. One exception being that if you or your spouse are working and covered under a group health plan, you can delay enrollment in Medicare until you no longer have health insurance coverage. www.allsup.com
  • 11. Medicare Enrollment Periods If you missed your initial enrollment period, you'll need to wait until the available Medicare enrollment period. Annual enrollment period: takes place between November 15 – December 31 every year. General enrollment period: available January 1 – March 31 each year for Medicare Part B enrollment. Open enrollment period: available January 1 – March 31 each year for Medicare. Special enrollment periods can occur anytime of year depending on circumstances. www.allsup.com
  • 12. Making Sense Of It All With Medicare Part A, Medicare Part B, Medicare Advantage and Medicare Prescription Drug Coverage, it's no wonder that recipients are left confused as to which is the best Medicare plan for them. Help is available. Allsup helps people receive the benefits they're entitled to. Your A!sup Medicare Advisor works one- on-one with you and Medicare to help you determine which Medicare plan is right for you. www.allsup.com
  • 13. How Allsup Helps Allsup's Medicare experts will: Review your individual circumstances: your medications, healthcare requirements, your personal doctors and your finances. Educate you on local Medicare options. Prepare a detailed report outlining the plans that best meet your needs. Help you enroll and answer questions. www.allsup.com
  • 14. Why Allsup? Allsup isn't an insurance company. Allsup is a nationwide provider of Social Security disability, Medicare and workers’ compensation services for individuals, employers and insurance carriers. Celebrating its 25th anniversary in 2009, Allsup employs about 600 professionals who deliver specialized services supporting people with disabilities and seniors so they may lead lives that are as financially secure and as healthy as possible.   www.allsup.com