In order to qualify for Medicare,
children must meet certain relationship requirements with you, their parent or
guardian. The child must be related to you by birth or legal adoption. If the
child has been your stepchild for one year or more, they may also qualify for
coverage. In addition, you have to have received Medicare credits through your
work in past years.
If your child is over 20 years of
age, they must be disabled and have been receiving disability benefits from the
social security administration for at least two years before applying for
Medicare. Even if your child has never worked, they can still get Medicare
coverage because of their disability. The
child must have been disabled before reaching age 22.
Adult children who qualify for
Medicare will remain entitled to benefits as long as they remain disabled
and remain unmarried.
Adult children who are disabled but
may still be capable of working will go through a trial work period of nine
months. If they keep working after those nine months, Medicare will continue to
be provided for seven years and nine months. Then, they will become a Medicare
enrollee rather than a Medicare beneficiary and they will have to start paying
for their Medicare.
The only way a child under 20 can
get Medicare is if they have end-stage renal disease (ESRD). In order to qualify
for Medicare, they must:
- Need dialysis or require a kidney transplant
- · Have at least one parent who qualifies for social security benefits
Understanding
Medicare Benefits for Kids
Medicare works in largely the same for both children and adults. Your child can benefit from Part A and Part
B, which cover hospital and medical services. Part B requires a monthly
premium. For prescription drug coverage, your child may enroll in Part D.
Another option is to take advantage
of Medicare Part C, also known as Medicare Advantage. It is provided through a
private insurer instead of the federal government, and it may have more
coverage than Parts A and B.
It is also nice for you and your
child to look into Medicare Supplement insurance, which can fill in the gaps of
Medicare Part A or B. This supplemental insurance can help you pay for things
such as eye exams, routine foot care, and dental services.
Medicare coverage can
be tricky thus we need be sure and do plenty of research and get advice from reliable
experts in order to avoid any major problem.
Alternatives
to Medicare
Since not all children are given the
eligibility for Medicare, you should also consider the alternatives that can
provide free or low-cost health services for your little ones. One example is
the CHIP, which is available to children under age 19 and whose families make too much money to
qualify for Medicaid.
Each state determines its own income
requirements and benefits for CHIP
coverage and Medicaid, so you should look into local regulations to discover
more about it. However, you can reasonably assume that most screening,
diagnostic, and treatment services are covered by your state’s CHIP.
All states are required to offer the following services:
- Children’s immunizations
- Prenatal care
- Physician services
- Hospital care, both in-patient and
out-patient
If your family is financially struggling, you may qualify for Medicaid rather than CHIP. In many states, the
two programs provide the same coverage.
Medicare for minors and adult
children can pay for necessary care and help your family manage the burden of
caring for someone who is ill. If you think your child might qualify for
Medicare, start the application process soon.
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