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Heddi

(18,312 posts)
Tue Jul 16, 2013, 06:04 PM Jul 2013

Hi, Y'all! Quick question for my mom: 57, just got SS Disability, can she get medicare?

Hi!

So my mom is 57 and just got approved for Social Security disability for ESRD (end stage renal disease), COPD and a host of other things that make it so she can't work. Heard from SS office yesterday, she gets her first check in October.

She's been unemployed, and therefore no medical insurance since March or so. Maybe earlier.

I thought there was a stipulation that someone qualified for Medicare/Medicaid (sorry, not sure the difference between the two) at a younger age than 65 or whatever if they were on SSD.

I'm in Philly, she's in SC, and doesn't have the $$ to talk to a lawyer...every extra penny she has is going to these laywers that were helping her get her SS Disability on her first time applying.

I've tried looking online for her, but I'm confused by what I read.

Love my mom, but she isn't always the best at taking initiative herself to calling places, going places to get information, that kind of thing. Hard for me to change 57 years of bad habits, but I'm trying to help her out as much as I can.

Any help anyone can provide would be awesome!

thanks

hed

8 replies = new reply since forum marked as read
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Hi, Y'all! Quick question for my mom: 57, just got SS Disability, can she get medicare? (Original Post) Heddi Jul 2013 OP
You may find the following webpages useful... PoliticAverse Jul 2013 #1
Search under "Disability planner, medicare coverage when disabled." Hoyt Jul 2013 #2
I believe that end-stage renal disease is a condition that could make her eligible. pnwmom Jul 2013 #3
There is extended eligibility for renal disease PoliticAverse Jul 2013 #6
In two years from her activation date, she will get Medicare Part A for free. Systematic Chaos Jul 2013 #4
Does this link help? It includes a phone number for questions. pnwmom Jul 2013 #5
thanks everyone Heddi Jul 2013 #7
special rules for esrd patients. mysuzuki2 Jul 2013 #8

PoliticAverse

(26,366 posts)
1. You may find the following webpages useful...
Tue Jul 16, 2013, 06:11 PM
Jul 2013
https://www.medicare.gov/people-like-me/esrd/esrd.html

http://ssa-custhelp.ssa.gov/app/answers/detail/a_id/155/~/receiving-medicare-and-disability-benefits

Most people have both parts of Medicare. If you have questions about this coverage, you can contact Medicare toll-free at 1-800-MEDICARE (1-800-633-4227) to speak to a Medicare Customer Service Representative. TTY users should call 1-877-486-2048.
 

Hoyt

(54,770 posts)
2. Search under "Disability planner, medicare coverage when disabled."
Tue Jul 16, 2013, 06:13 PM
Jul 2013

I think she can. I'd give a link, but it's difficult on this phone.

Also, if she is on dialysis, Medicare picks up coverage at some point.

Good luck.

pnwmom

(109,001 posts)
3. I believe that end-stage renal disease is a condition that could make her eligible.
Tue Jul 16, 2013, 06:14 PM
Jul 2013

But if not, she's probably eligible for Medicaid.

Medicare is something all people qualify for at age 65, but a few might qualify earlier (such as those with renal disease).

Medicaid is for low-income people, and people younger than 65 can qualify for that.

PoliticAverse

(26,366 posts)
6. There is extended eligibility for renal disease
Tue Jul 16, 2013, 06:19 PM
Jul 2013

You can get Part A and Part B no matter how old you are if your kidneys no longer work and you need regular dialysis or have had a kidney transplant, and one of these applies to you:

https://www.medicare.gov/people-like-me/esrd/esrd.html

Systematic Chaos

(8,601 posts)
4. In two years from her activation date, she will get Medicare Part A for free.
Tue Jul 16, 2013, 06:15 PM
Jul 2013

Part A is only for hospitalization. Part B is the one which covers doctors' visits, and Part D helps with prescriptions. Each of these costs money, and quite a bit of it.

However, if your mother's income is very low, there is Medicaid and the Qualified Medicare Beneficiary (QMB) programs which can help in the meantime. You will need to contact your local social services office and get a case worker to help with these types of programs. They're not great, but they did help me when my health situation became very dire earlier this year.

pnwmom

(109,001 posts)
5. Does this link help? It includes a phone number for questions.
Tue Jul 16, 2013, 06:19 PM
Jul 2013

If she has end-stage renal disease, that can cause confusion, which would make it even more difficult for her to help herself.

http://www.medicare.gov/MedicareEligibility/home.asp?dest=NAV%7CHome%7CGeneralEnrollment&version=default&browser=Safari%7C6%7CMacOSX&language=English

Click on the link for "Who is eligible"

Generally, you are eligible for Medicare if you or your spouse worked for at least 10 years in Medicare-covered employment and you are 65 years or older and a citizen or permanent resident of the United States. If you aren’t yet 65, you might also qualify for coverage if you have a disability or with End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant).

Here are some simple guidelines. You can get Part A at age 65 without having to pay premiums if:
You already get retirement benefits from Social Security or the Railroad Retirement Board.

You are eligible to get Social Security or Railroad benefits but haven't yet filed for them.

You or your spouse had Medicare-covered government employment.
If you are under 65, you can get Part A without having to pay premiums if you have:
Received Social Security or Railroad Retirement Board disability benefits for 24 months.

End-Stage Renal Disease and meet certain requirements.

While you don’t have to pay a premium for Part A if you meet one of those conditions, you must pay for Part B if you want it. The Part B monthly premium in 2013 is $104.90. For additional details, visit www.Medicare.gov. It is deducted from your Social Security, Railroad Retirement, or Civil Service Retirement check. If you don’t get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months.

Note: You will be eligible for Medicare when you turn 65 even if you are not eligible for Social Security retirement benefits.

If you have questions about your eligibility for Medicare Part A or Part B, or if you want to apply for Medicare, please call Social Security at 1-800-772-1213 or visit or call your local Social Security office. TTY users should call 1-800-325-0778. You can also get information about buying Part A as well as Part B if you don’t qualify for premium-free Part A.

mysuzuki2

(3,521 posts)
8. special rules for esrd patients.
Tue Jul 16, 2013, 11:25 PM
Jul 2013

medicare kicks in the 1st day of the 3rd month after the month in which dialysis begins. That is, for example, if dialysis begins say 07/15/13, medicare would begin 10/01/13. The waiting period is waived in the patient is doing self-dialysis.

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