What Determines Eligibility for Medicare?



What determines eligibility for Medicare? The eligibility requirements are why this program is an efficient healthcare system that works for all U.S. citizens.

Medicare was signed into law in 1965 by then President Lyndon Johnson, and its first enrollee, was former president, Harry L. Truman, who tried to get a health care law passed in 1945. Every few years, new eligibility benefits are added, to include the benefits we are offered in today’s present system. Eligibility is presently determined by two main factors, which include age and health.

Age And Illness Are Medicare Eligibility Factors:

Medicare automatically begins at age 65, if you are a natural United States citizen and your payroll taxes have been paid into the Medicare program, or you’re 65 and you weren’t born in the U.S., but have lived here for five uninterrupted years. Illnesses that fall under the category of eligibility benefits, without a waiting period, include individuals, who are experiencing kidney failure and require dialysis or a transplant.

Medicare And What Determines Eligibility For Medicare:

Eligibility for Medicare, also includes, individuals who have been diagnosed with ALS, they are immediately eligible for Medicare coverage. Other Medicare eligible factors, include individuals who are under the are under the age of 65 and receive Social Security disability. They, however, must wait for two years before they are Medicare approved. In addition, persons who have not paid into the Medicare system through an employer-sponsored program or are self-employed, can also receive Medicare benefits, but they must pay a monthly premium to receive both Part A and Part B.

Medicare Benefit Plans:

Part A and Part B are a component of Medicare, where individuals who are eligible, receive Part A without any costs, and Part B eligibility for Medicare, is based on premium payments, during an open enrollment period. Part A covers Medicare insurance for hospitalization and Part B is a premium paid medical insurance. Additional eligibility for Medicare plans, include Part C, which allows individuals to be Medicare approved, to sign up with private insurance companies for additional medical benefits. These Medicare Advantage Plans include coverage in medical plans like an HMO and a PPO, while remaining a Medicare enrollee.



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