Medicare is a federal health insurance program that provides coverage for individuals who are 65 years or older or those with certain disabilities. However, there are some situations in which people under the age of 65 may be eligible for Medicare in Michigan. In this article, we will discuss Medicare for those under 65 in Michigan and what you need to know to navigate the program.
Who is Eligible for Medicare Under 65 in Michigan?
There are several groups of individuals who may be eligible for Medicare before the age of 65 in Michigan:
Individuals with End-Stage Renal Disease (ESRD)
People with ESRD, which is permanent kidney failure requiring dialysis or a kidney transplant, may be eligible for Medicare regardless of age. This coverage can begin as soon as dialysis or a transplant is necessary.
Individuals with Amyotrophic Lateral Sclerosis (ALS)
People with ALS, also known as Lou Gehrig’s disease, are eligible for Medicare as soon as they are diagnosed, regardless of age.
Individuals Receiving Social Security Disability Insurance (SSDI)
Individuals who have been receiving SSDI for 24 months due to a disability are eligible for Medicare. This includes people with disabilities that are expected to improve over time.
What Does Medicare Cover for Those Under 65 in Michigan?
Medicare coverage for those under 65 in Michigan is similar to coverage for those over 65. However, there are some differences to be aware of:
Medicare Advantage Plans
In addition to Original Medicare (Part A and Part B), those under 65 in Michigan may also be eligible for Medicare Advantage plans (Part C). These plans are offered by private insurance companies and provide additional benefits, such as prescription drug coverage, dental and vision services, and hearing aids.
No Cost-Sharing for Preventive Services
Those under 65 in Michigan who are eligible for Medicare due to disability or ESRD are exempt from paying cost-sharing for preventive services. This includes services like mammograms, colonoscopies, and flu shots.
Prescription Drug Coverage
Those under 65 in Michigan who are eligible for Medicare due to disability or ESRD are automatically enrolled in Medicare Part D, which provides coverage for prescription drugs.
Those under 65 in Michigan who are eligible for Medicare may also be able to purchase Medicare Supplement Insurance (Medigap) policies. These policies provide additional coverage for services like co-payments and deductibles.
How to Enroll in Medicare Under 65 in Michigan?
If you are eligible for Medicare under 65 in Michigan, you will be automatically enrolled in Medicare Part A and Part B if you have been receiving SSDI for 24 months. If you are eligible due to ESRD or ALS, you will need to enroll in Medicare yourself. You can enroll in Medicare online, by phone, or in person at a Social Security office.
Medicare for those under 65 in Michigan provides valuable coverage for individuals with disabilities or certain medical conditions. By understanding eligibility requirements, coverage options, and enrollment procedures, you can navigate the Medicare system and ensure that you are getting the care and coverage you need. If you have any questions about Medicare under 65 in Michigan, consider reaching out to a Medicare counselor or the Michigan Department of Health and Human Services for assistance.