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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 – If you are a patient in a hospital, nursing home or hospice this is the part that helps cover the cost. It also covers care in your home under certain conditions. Because this was paid through taxes, that you paid while working, many do not need to contribute this part. Medicare Part B – Helps to pay for doctors services and outpatient care that is medically necessary. It also pays for preventative services such flu shots. In 2008, the standard monthly premium was $96.40. Medicare offers free enrollment for the first seven months after your 65th birthday. Beneficiaries is the term used to describe those covered by Medicare. Medicare pays for most health care, but not all. It does, however, cover serious medical conditions, that the patient will usually recover from. It does not cover care given at home, or in a nursing facility, for those with recurring disability or longtime illness. Medicare does provide Advantage Plans where the plan can be customized to fit medical needs. This is not available in all areas. Some of these plans offer prescription programs and there are some private insurance companies who cover some of these programs. Details of the Advantage Plan depend on the certain program chosen and the eligibility of the patient. 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. When searching for affordable medical insurance log onto gohealthinsurance.com. At this site you can look into Student Health insurance, family or individual plans. |
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