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Medicare For Those With Disabilities

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Medicare is not only for those 65 and older. If you are disabled due to injury or disease you may qualify as well. It’s to your benefit to begin looking into this possibility as soon as possible.


Facts About Medicare for Those with Disabilities

Your first step is to apply for Social Security disability benefits. Once this is approved the next step depends on your condition.

• Under most circumstances, once you have had Social Security or Railroad Retirement benefits due to disability for twenty-four months you will be automatically enrolled in Medicare. About three months before your twenty-fifth month of disability benefits your Medicare card will be mailed to you.

• If at this time you don’t want to pay the premium and receive Medicare Part B, you should follow the instructions on the card. You should be aware, however, that if you decide later that you need it, you will have to pay the penalty of 10% of the cost of the premium for every 12 month period you could have had Part B but didn’t take it, and this will last as long as you have Part B.

• If you are under 65 and have ALS (Amyotrophic Lateral Sclerosis, or Lou Gehrig’s Disease) there is no waiting period. Your benefits begin the first month you get SS benefits.

• If you have End-Stage Renal Disease you are not automatically enrolled in Medicare, but you can apply if you have worked the required amount of time according to Social Security or the Railroad Retirement Board, or if you are the spouse or dependent child of someone who has. Contact Social Security for details. You would need both Medicare A and B to cover certain dialysis and kidney transplant services. The coverage usually starts the fourth month of dialysis treatments.

• If you are under 65 and have diabetes or Congestive Heart Failure (CHF), you may not qualify for Medicare, but you might qualify for a Medicare Advantage Special Needs Plan (SNP).



In conclusion, there are special health care programs for those with disabilities. Look into your options as soon as possible so you can get the help you need.

This post was written by Jim Blazer, Executive V.P. of Bermel, Inc.  Since joining Bermel, Inc. 18 years ago, Blazer has led the company in its steady expansion. He is recognized for managing one of two major US hospital networks for Medicare Select. Bermel, Inc’s Medicare Select Supplements significantly reduce the premium outlay for policyholders.

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