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persons and their spouses who have at least 40 credits (quarters) of "covered employment" (employment for which they/their employers paid Medicare taxes), meet citizenship requirements and are 1) over 65; or 2) receiving SSA disability payments for 18 months.
Wiki User
∙ 14y ago
Wiki User
∙ 10y ago1. People 65 years of age or older who are on a social security.
2. People 65 years of age older who are retired from the railroad or Civil Service.
3. Disabled individuals who are eligible for social security benefits and who are in the following categories:
a. Disabled workers of any age.
b. Disabled widows of workers who are fully or currently insured through the
federal government, Civil Service, SSA, Supplemental Security Income (SSI),
or the Railroad Retirement Act and whose husband qualified for benefits under
one of those programs.
c. Adults disabled before age 18 years whose parents are eligible for or retired on
social security benefits.
4. Children and adults who have chronic kidney disease requiring dialysis or
end-stage renal disease (ESRD)
5. Kidney donors all expenses related to the kidney transplantation are covered.
Wiki User
∙ 12y agoMedicare is health insurance for persons over age 65, persons with end state renal disease and persons who receive Social Security disability payments. The individual must have 40 credits of "covered employment" (i.e., calendar quarters during which they paid into Medicare), or be the spouse or dependent of such individual. Medicare is funded by payroll taxes and administered by the Federal government.
Medicaid provides care for indigent citizens under age 18 and their parents, persons over age 65, and those permanently and totally disabled. Medicaid is supervised by the Federal government, administered by the States, and funded by State and Federal taxes. [N.b., as a result of health insurance reform, by 2014 Medicaid will be available to any indigent citizen, regardless of age or disability.]
Wiki User
∙ 13y agoPersons over 65 who have 40 quarters of credit for Social Security contributions, or receiving disability Social Security benefits.
Wiki User
∙ 11y agohumans
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What Individuals covered under medicare are termed?
Medicare beneficiaries
What is my primary insurance my husband's plan at work or medicare?
If you are covered under your husband's plan and he is working, his plan is primary to Medicare. If you are not covered under your husband's plan, Medicare is primary.
Is Prolia covered under Medicare?
yes
Is your wife covered under Blue Shield and Medicare if you die?
Is ones spouse covered under Medicare and Blue Shield when the primary carrier dies.
Which group of people is not served medicare?
persons under age 65 and not eligible for Social Security disability payments
Which group of people is not served by Medicare?
persons under age 65 and not eligible for Social Security disability payments
Why is medicare the primary provider for those 65 and over?
In 1965, Congress created Medicare under Title XVIII of the Social Security Act to provide health insurance to people age 65 and older. However, for those individuals 65 and over who are still working and covered under an employer sponsored group health plan, the group plan generally pays first *if* the employer has more than 20 employees.
Is Herceptin treatment covered under Medicare My doctor says I need it.?
Medicare Part B will cover the cancer drug Herceptin.
How do I find out if mental rehab is covered by medicare part B?
You would need to contact a customer service representitive and ask specifically about your plan and what is covered. Usually mental rehab is covered under Medicare part B.
Where can I find online assistance with obtaining scooters for people with disability?
If you have medicare or medicad, you will need to call the office and ask if the scooter that you are planning to purchase is covered under medicare. Most of times, as long as the scooter is from a popular company it may be already covered, and you do not have to pay out of pocket.
I understand when Medicare is primary and when Medicare is secondary. What is the difference in coverage between a Medicare Supplement and Medicare as a secondary insurer?
If you have a Medicare Supplement then the provider will bill Original Medicare first. At that time Medicare will pay the allowable amount and then return an explanation of benefits stating the beneficiary's portion. Based on the Medicare Supplement Plan that is in place (A-N) the Medicare Supplement will pay a portion or all of the remaining amount due. If they pay only a portion based on the plan (A-N), then according the plan guidelines, the beneficiary would pay any outstanding amount at that time. If a Medicare beneficiary is covered on a employer or retiree group plan and due to the size of the plan, the group plan is primary, then the group plan benefits will apply first and any amounts due by the Beneficiary will be billed to Medicare second. If it is a Medicare covered service, then Medicare will pay the remaining amount due as the secondary payor up to the amount allowed by Medicare. If the service is not allowed by Medicare, than the beneficiary's co-insurance or co-payment under the group plan would be their responsibility.
Can medicare be used for secondary insurance if the primary insurance is paid by your employer?
Medicare is primary if your group is under 20 lives. 20 lives or more and medicare is secondary to your employer paid group plan.
