What Are Some Frequently Asked Questions for Medicare?

Thoughts of pending retirement often bring about concerns related to money management and health-care coverage. The United States offers health-care coverage for those aged 65 or older to help reduce the financial burden associated with health-care services. Sorting through the details and getting to the basics can help shed light on the options available with Medicare.

What Coverage Options Are Available Under Medicare?

• Medicare establishes four health plan options for qualifying individuals. The various plans available include Medicare Part A, Part B, Part C and Part D. Each option provides for different services and different coverage. Medicare Part A provides coverage for hospital or nursing home care. Medicare Part B helps covered individuals meet health-care expenses related to doctor's visits and medical supplies. Those electing to enroll in Part B must pay a monthly premium. Under Medicare Part C, individuals eligible for Medicare Part A and Part B can elect to enroll with a Medicare Advantage Program, for a monthly premium, to offer extended health coverage and additional benefits, such as coverage for extended hospital stays. In addition, individuals enrolled in any Medicare plan can pay an additional premium for Medicare Part D coverage. Medicare Part D offers prescription drug coverage for enrolled individuals.

How Do I Qualify for Coverage?

• U.S. citizens or permanent residents qualify for Medicare Part A coverage once they reach the age of 65 and meet initial requirements, such as receiving Social Security benefits or railroad retirement benefits. Individuals under the age of 65 can also qualify for Medicare Part A coverage for a plethora of reasons. The diagnosis of Lou Gehrig's disease or kidney failure represents just a few of the reasons younger individuals can qualify for Medicare Part A coverage. Qualifying for coverage under Medicare Part A also qualifies you for coverage under any of the other three Medicare options.

How Do I Enroll?

• For those already receiving Social Security benefits, the Social Security office will advise you of your eligibility several months in advance of your enrollment period. Enrollment in Medicare Part A and Part B is automatic upon meeting the qualification requirements. Each individual needs to opt out of enrollment in Medicare Part B if you wish to avoid paying a monthly premium for the additional coverage. Individuals not receiving benefits will need to request information and enrollment forms from Social Security three months in advance of your 65th birthday.

Where Can I Go for Help?

• Social Security handles the applications for Medicare. Individuals with limited income and assets can request help from state programs designed to help cover the costs related to Medicare premiums. Contact one of your state's Job and Family Services offices for information on help related to covering the cost of Medicare premiums.