{"id":138654,"date":"2024-09-20T16:27:04","date_gmt":"2024-09-20T16:27:04","guid":{"rendered":"https:\/\/sports.runfyers.com\/index.php\/2024\/09\/20\/ssdi-medicare-eligibility-what-are-the-requirements-for-medicare-if-you-have-ssdi-and-how-much-do-you-have-to-pay\/"},"modified":"2024-09-20T16:27:04","modified_gmt":"2024-09-20T16:27:04","slug":"ssdi-medicare-eligibility-what-are-the-requirements-for-medicare-if-you-have-ssdi-and-how-much-do-you-have-to-pay","status":"publish","type":"post","link":"https:\/\/sports.runfyers.com\/index.php\/2024\/09\/20\/ssdi-medicare-eligibility-what-are-the-requirements-for-medicare-if-you-have-ssdi-and-how-much-do-you-have-to-pay\/","title":{"rendered":"SSDI Medicare Eligibility: What are the requirements for Medicare if you have SSDI, and how much do you have to pay?"},"content":{"rendered":"<p><\/p>\n<div>\n<p class=\"ue-c-article--first-letter-highlighted\"><span class=\"capital-letter\">I<\/span>f you&#8217;re receiving <a href=\"https:\/\/www.marca.com\/en\/lifestyle\/us-news\/ssdi.html\" target=\"_blank\" rel=\"noopener\">Social Security Disability Income (SSDI)<\/a>, you may either already have <a href=\"https:\/\/www.marca.com\/en\/lifestyle\/us-news\/medicare.html\" target=\"_blank\" rel=\"noopener\">Medicare<\/a> or be waiting for your 24-month qualifying period to end. But don&#8217;t worry-there are options for health coverage whether you&#8217;re <strong>in the waiting period or already covered by Medicare.<\/strong><\/p>\n<p>&#8220;<em>If you&#8217;re already on SSDI and have Medicare, you&#8217;re good to go under the health care law. No need to worry about any penalties for not having coverage<\/em>,&#8221; reassures the <a href=\"https:\/\/www.marca.com\/en\/lifestyle\/us-news\/social-security.html\" target=\"_blank\" rel=\"noopener\">Social Security Administration (SSA)<\/a>. Essentially, once you&#8217;re on Medicare, you&#8217;re set and can rest easy knowing you&#8217;ve met your health coverage requirements.<\/p>\n<div class=\"ue-c-article__summary\">\n<figure class=\"ue-c-article__media ue-c-article__media--video  ue-c-article--media-icon-m-from-tablet\">\n<div class=\"ue-c-article__media-img-container ue-l-article--expand-edge-right-until-tablet ue-l-article--expand-edge-left-until-tablet\">\n<div class=\"ue-c-article__media-video-responsive ue-c-article__media-video-responsive--16-9\"><noscript><\/noscript><\/div>\n<\/div><figcaption class=\"ue-c-article__media-caption\" itemprop=\"description\">\n<p><span class=\"ue-c-article__media-description\">Understanding SSDI Benefits: What is the criteria to qualify for disability benefits?<\/span><span class=\"ue-c-article__media-author\"><span>Citizens Disability<\/span><\/span><\/p>\n<\/figcaption><\/figure>\n<\/div>\n<p>However, if you&#8217;re thinking about adding a Marketplace plan to supplement your Medicare, unfortunately, that&#8217;s not allowed. But there&#8217;s a workaround. If you enrolled in a Marketplace plan before your Medicare coverage began, <strong>you can keep the plan as supplemental insurance<\/strong>. Just keep in mind, if you decide to keep it, you&#8217;ll lose any premium tax credits or savings you previously received on your Marketplace plan.<\/p>\n<p>For those still in the 24-month waiting period before Medicare begins, there&#8217;s some good news: <strong>you might be eligible for Medicaid<\/strong>. You can apply for <a href=\"https:\/\/www.marca.com\/en\/lifestyle\/us-news\/medicaid.html\" target=\"_blank\" rel=\"noopener\">Medicaid<\/a> either through the Marketplace or directly with your state&#8217;s Medicaid agency. <\/p>\n<p>According to the SSA, &#8220;<em>Just answer &#8216;yes&#8217; when asked if you have a disability, and we&#8217;ll forward your application to your state Medicaid agency<\/em>.&#8221; If approved for Medicaid, your coverage might continue even after Medicare starts, giving you peace of mind knowing you&#8217;ll be covered through the transition.<\/p>\n<p>}<\/p>\n<h2 class=\"ue-c-article__subheadline\">Exploring Medicare, Medicaid, and Marketplace options<\/h2>\n<p>Now, what happens if you don&#8217;t qualify for Medicaid? Don&#8217;t stress-<strong>you could still enroll in a private health plan<\/strong> through the Marketplace while waiting for Medicare to begin. Depending on your income and household size, you might qualify for lower premiums and reduced costs on Marketplace coverage.<\/p>\n<p>&#8220;<em>It&#8217;s important to explore all your options and see what works best for your situation<\/em>,&#8221; says healthcare advocate Sarah. &#8220;<em>Whether it&#8217;s Medicaid, Medicare, or a private plan through the Marketplace, there are plenty of choices to help you get the coverage you need<\/em>.&#8221;<\/p>\n<p>Another key thing to remember is that if you&#8217;re receiving<strong> SSDI<\/strong>, there are some exceptions to the typical 24-month waiting period for Medicare. For example, if you have amyotrophic lateral sclerosis (ALS) or end-stage renal disease (ESRD), <strong>you can get Medicare coverage faster<\/strong>. In the case of ALS, you&#8217;re enrolled in Medicare the first month you receive SSDI. For ESRD, Medicare typically starts after three months of dialysis.<\/p>\n<p>Additionally, if you&#8217;re working while receiving SSDI, <strong>you can keep your Medicare coverage for at least 93 months <\/strong>(almost eight years), as long as your disabling condition continues. This means you won&#8217;t have to choose between working and keeping your health insurance, a relief for many SSDI recipients. <\/p>\n<p>&#8220;<em>Medicare is a lifeline for many older adults and people with disabilities<\/em>,&#8221; says one Medicare beneficiary. &#8220;<em>It&#8217;s a huge relief to know that we have this kind of support when we need it<\/em>.&#8221; Another beneficiary added, &#8220;<em>I was worried about losing my health insurance when I went back to work, but knowing I can still get Medicare coverage for at least 93 months really eases my mind<\/em>.&#8221;<\/p>\n<h2 class=\"ue-c-article__subheadline\">How much will you have to pay?<\/h2>\n<p>The cost of Medicare disability coverage varies <strong>depending on the part of Medicare and your personal situation<\/strong>. <\/p>\n<p>In 2024, <strong>Medicare Part A has a $1,632 deductible per benefit period<\/strong>. After that, days 1-60 of hospitalization are fully covered. For days 61-90, you&#8217;ll pay $408 per day, and $816 per day after day 91 until you use up your 60 lifetime reserve days. After that, all costs are out-of-pocket.<\/p>\n<p>For <strong>Medicare Part B, the standard premium is $174.70 per month<\/strong>, deducted from your SSDI check, with a $240 deductible. After meeting it, some services are fully covered, while others require a 20% co-pay.<\/p>\n<\/div>\n<p><script type=\"text\/javascript\">\n    var utag_data = {};<\/p>\n<p>    window.addEventListener('ue-dfp-loaded', (s) => {\n        let urls = [\n            {\n                url: 'https:\/\/tags.tiqcdn.com\/utag\/unidadeditorial\/marca\/prod\/utag.sync.js'\n            },\n            {\n                url: 'https:\/\/tags.tiqcdn.com\/utag\/unidadeditorial\/marca\/prod\/utag.js'\n            },\n            {\n                url: '\/\/e00-elmundo.uecdn.es\/js\/uecomscore_cmp_event.js'\n            },\n            {\n                url: 'https:\/\/cdn.permutive.com\/10453011-272d-49cd-9043-1964fdb36fd8-web.js'\n            },\n            {\n                url: 'https:\/\/e00-marca.uecdn.es\/assets\/v31\/js\/ue-utils.js'\n            }\n        ]<\/p>\n<p>        urls.forEach((item) => {\n            let a, b, c, d, e;\n            a = item.url;\n            b = document;\n            c=\"script\";\n            d = b.createElement(c);\n            d.src = a;\n            d.type=\"text\/java\" + c;\n            d.async = !0;\n            d.onload = item.callback ? 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But don&#8217;t worry-there are options for health coverage whether you&#8217;re in the waiting period or already covered by Medicare. &#8220;If you&#8217;re already on SSDI and have Medicare, you&#8217;re good to go [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":138655,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[6808],"tags":[229,121,12156,20253,34570,36466],"class_list":{"0":"post-138654","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-football","8":"tag-229","9":"tag-agency_latinweb","10":"tag-medicare-english","11":"tag-personal-finance","12":"tag-ssa-english","13":"tag-ssdi-english"},"_links":{"self":[{"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/posts\/138654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/comments?post=138654"}],"version-history":[{"count":0,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/posts\/138654\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/media\/138655"}],"wp:attachment":[{"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/media?parent=138654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/categories?post=138654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sports.runfyers.com\/index.php\/wp-json\/wp\/v2\/tags?post=138654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}