What Are the Eligibility Criteria of Medicare Plans in Beaverton, Oregon?
Reaching 65 years old can be a big deal in life, and understanding the complexities of health insurance can be scary. It is important to comprehend the enrollment requirements for Medicare plans if you live in Beaverton, Oregon, and find yourself approaching Medicare eligibility or currently receiving benefits.
Serving Beaverton residents, Michael’s Medicare Ministry is here to assist! This blog will explore and walk you through the enrollment requirements for the several Medicare plans that are available in our city.
Medicare Eligibility
Before exploring Medicare plan options in Beaverton, it’s essential to establish your eligibility. Here’s a list of the primary criteria:
Age: You must be 65 years or older.
Citizenship or Permanent Residency: You must be a U.S. citizen or a legal permanent resident for at least five years.
Work History: You or your spouse must have paid Medicare taxes for a specific period (typically 40 quarters of work credits).
Additional Eligibility Considerations:
Early Enrollment: If you have a qualifying disability, you may be eligible to enroll in Medicare before turning 65.
End-Stage Renal Disease (ESRD): Individuals with ESRD, regardless of age, qualify for Medicare benefits.
Types of Medicare Plans Available in Beaverton, OR
Once you’ve established your eligibility, it’s essential to understand the different types of Medicare plans available in Beaverton:
Original Medicare (Parts A & B):
This traditional program offers coverage for hospital stays, doctor visits, and some preventive care services. However, it typically comes with costs like deductibles, copays, and coinsurance.
Medicare Supplement Insurance (Medigap):
These plans work alongside Original Medicare to help cover these heavy expenses. They come in various standardized plans (A, B, C, D, etc.), each offering different levels of coverage and associated costs.
Medicare Advantage (Part C):
These Medicare plans, offered by private insurance companies, combine Parts A & B coverage into one plan. They may also include additional benefits like vision, dental, and hearing coverage, offering a more comprehensive healthcare package.
Michael’s Medicare Ministry can assist and provide you in comparing different Medicare plans in Beaverton and help you find a plan that best suits your individual needs and budget.
Enrollment Periods
Knowing the Medicare plan enrollment periods is crucial to avoid penalties and delays in coverage. Here’s a summary of the key enrollment periods applicable to Beaverton residents:
Initial Enrollment Period (IEP):
This seven-month window starts three months before your 65th birthday month, continues through your birth month, and ends three months after your birth month. This is the ideal time to enroll in Medicare without facing penalties.
General Enrollment Period (GEP):
If you miss your IEP, you can still enroll in Medicare during the General Enrollment Period, which runs from January 1st to March 31st every year. However, enrolling during this period will result in a delayed coverage start date (July 1st of the following year) and a late enrollment penalty.
Special Enrollment Periods (SEPs):
Under specific circumstances, such as losing employer-based health insurance or moving to a new residency, you may qualify for a Special Enrollment Period to enroll in Medicare outside the traditional enrollment periods.
Resources and Support for Beaverton Residents
Michael’s Medicare Ministry is committed to supporting Beaverton residents in navigating the complexities of Medicare. We offer various resources and services to help you:
Free, personalized consultations:
Our experienced advisors can answer your questions, explain different Medicare plan options, and help you compare plans to find the best fit for your needs.
Local assistance:
We understand the specific needs and concerns of Beaverton residents and customize our guidance accordingly.
Ongoing support:
We are here to support you with any questions or concerns you may have throughout your Medicare journey.
Visiting Details
Monday – Friday: 9:00am – 5:00pm
Saturday – Sunday: Closed
Contact Us: +1 (503) 828-2328
E-mail: wmichaeljarman@gmail.com
Address:15125 SW Ruby Ct, Beaverton, OR 97007, United States