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Member Since Jul 2015
Location: philadelphia
Posts: 675
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#1
When medicare eligible as a result of ssdi receipt, is there a premium?
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Member Since Oct 2006
Location: Appalachia
Posts: 9,968
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#2
yes
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#3
And yes again. I don't know about others but so far for me it's been a losing situation. I pay almost as much out of pocket for a doctors visit as I did before. I only see my doc twice a year so at $100 a month I'm losing big. I don't know what the hospitalization would pay if I needed to go into hospital but I suspect it would also be a losing situation.
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cakeladie
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#4
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I've had United Healthcare since I first became eligible in 2002. They have no-premium plans and high premium plans. Naturally, the higher the premium the more perks and (usually) the lower the co-pays. I've found this to be the case with every Medicare health management program. However. In my state, coverage varies from county to county so I assume that it would vary state to state and even county to county in each state. My state has several Medicaid sponsored programs to get people out of nursing homes and to keep people out of nursing homes. To that end, Medicaid pays for any co-pays or health gaps. I pay for rent, utilities, food, etc., everything to maintain a home, but I pay nothing for medications, hospital stays, doctor visits, etc. You may want to see if there are no-premium Medicare providers in your state and, if your disability has the potential to land you in a nursing home, if there are Medicaid programs that can keep you out. Good luck. |
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Member Since Jul 2015
Location: philadelphia
Posts: 675
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#5
thank you
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Grand Member
Member Since Jan 2015
Location: Carson City
Posts: 823
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#6
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Legendary
Member Since Feb 2010
Location: Diagonally Parked in a Parallel Universe
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#7
As a low income person, I'm eligible for partial Medicaid. It's called Special Low income Medicare Beneficiary (SLMB- not sure where the "I" went ). They pay for my Medicare premiums. There's also Qualified Medical Beneficiaries (QMB). Not sure what that is.
I am by no means an expert on this, and I believe it may vary from state to state, but it is worth looking into. They don't count things like a car or house ownership against you. It's been a godsend for me. I also have "special help with Medicare pt D" (Rx insurance) that pays most of that premium, as well as a fair chunk of copays and deductibles. You should be able to find information on these programs, including income limits, online. Those managed care, hmo-type plans are something to look into, as ciderguy mentioned. This will give you a lot of places to help you with your questions: https://www.medicare.gov/contacts/ |
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