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Ashford Insurance

Irving Texas Medicare Insurance

Irving Texas Medicare Insurance

Medicare is a federal health insurance program for the following:

  • Participants age 65 or older
  • Participants under age 65 with certain disabilities
  • Participants of any age with End-Stage Renal Disease (ESRD)

Medicare has the following parts to help cover specific services:

  • Medicare Part A (Hospital Insurance): Part A coverage is a premium-free program for participants with enough earned credits based on their own work history or that of a spouse at least 62 years of age (when applicable) as determined by the Social Security Administration (SSA).
  • Medicare Part B (Outpatient and Medical Insurance): Part B coverage requires a monthly premium contribution. With limited exceptions, enrollment is required for members who are retired or who have lost Current Employment Status and are eligible for Medicare.
  • Medicare Part D (Prescription Drug Insurance): Part D coverage is not required for plan participants enrolled in any of the state programs. Medicare Part D coverage requires a monthly premium unless the participant qualifies for extra-help assistance.

Are You Eligible for Medicare?

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 old and a citizen or permanent resident of the United States.

If you are not 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 have not 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 benefit for 24 months. You are a kidney dialysis or kidney transplant patient.

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. 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.