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Need opinions - SSI eligibility question
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<blockquote data-quote="flutterby" data-source="post: 599659" data-attributes="member: 7083"><p>I still don't know about the step-down, or why his Medicare is $124 a month. Medicare should be $105 a month for everyone, I thought. What the state is doing is picking up what he pays for Medicare every month - paying his medicare premium. The 80/20 is probably just how straight Medicare covers. I don't have straight Medicare. I have an Advantage plan, so I have copays. Some things are percentages, such as ambulance, but most things are copays. I don't know when Travis got Medicare, but you have 3 months from the time you receive it to select an Advantage plan (go to medicare.gov). Other than that, you have to wait until open enrollment which is October or November - or maybe October and November. </p><p></p><p>He should also qualify for Extra Help with Prescriptions which is through Social Security. Call your local office or the main 800 number about that. If he qualifies for Extra Help with prescriptions (I don't pay more than $6 for a brand name prescription), then you can sign up for and switch Advantage plans anytime - you don't have to wait for open enrollment. I was automatically enrolled when I received SSDI and Medicare. You have to recertify every year. </p><p></p><p>You need a doctorate to understand this stuff. </p><p></p><p>And...as it turns out, everyone is always supposed to give consent before being seen by a SS doctor. Apparently, most caseworkers just don't do it. I asked the guy today about it since I was thrown by difficult child needing to give consent. And it's a psychiatric exam, too.</p></blockquote><p></p>
[QUOTE="flutterby, post: 599659, member: 7083"] I still don't know about the step-down, or why his Medicare is $124 a month. Medicare should be $105 a month for everyone, I thought. What the state is doing is picking up what he pays for Medicare every month - paying his medicare premium. The 80/20 is probably just how straight Medicare covers. I don't have straight Medicare. I have an Advantage plan, so I have copays. Some things are percentages, such as ambulance, but most things are copays. I don't know when Travis got Medicare, but you have 3 months from the time you receive it to select an Advantage plan (go to medicare.gov). Other than that, you have to wait until open enrollment which is October or November - or maybe October and November. He should also qualify for Extra Help with Prescriptions which is through Social Security. Call your local office or the main 800 number about that. If he qualifies for Extra Help with prescriptions (I don't pay more than $6 for a brand name prescription), then you can sign up for and switch Advantage plans anytime - you don't have to wait for open enrollment. I was automatically enrolled when I received SSDI and Medicare. You have to recertify every year. You need a doctorate to understand this stuff. And...as it turns out, everyone is always supposed to give consent before being seen by a SS doctor. Apparently, most caseworkers just don't do it. I asked the guy today about it since I was thrown by difficult child needing to give consent. And it's a psychiatric exam, too. [/QUOTE]
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