Turning 65 soon? Transitioning to dual Medicare and Medicaid coverage and getting help with costs
If you’re enrolled in Medicaid and will soon have Medicare eligibility, it’s not too soon to start planning ahead. Once Medicare eligibility begins, you’ll have a 7 month Initial Enrollment Period to sign up. For most people, this is 3 months before, the month of, and 3 months after their 65th birthday.
Once you have Medicare and Medicaid coverage, Medicare will cover your Part D prescription drugs and you’ll automatically qualify to get Extra Help paying for your drug costs. If you have limited income and resources, you may also qualify for help paying for your Medicare Part B premium and other Medicare costs, like deductibles and coinsurance. Medicare and your state Medicaid program work together to provide you with this help, called the Medicare Savings Programs.
The 4 Medicare Savings Programs (MSPs)
If you have income from working, you may qualify for these 4 MSPs, even if your income is higher than the income limits listed below. Each program has a different income and resource eligibility limit. Even if you don’t qualify for Medicaid, you may qualify for one of these programs to help you cover your Medicare costs.
If you answer yes to these 3 questions, call your State Medicaid Program to see if you qualify for a Medicare Savings Program in your state:
What items are included in the Medicare Savings Program resource limits?
Countable resources include:
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