Question: I am 66 and aloof advancing to assurance up for Social Security. I did NOT assurance up for Medicare because I had allowance from the barter (Marketplace). Now they acquaint me I cannot assurance up for Medicare and I will accept a penalty. What do I do? I had insurance, what did I do wrong?
Answer: I am apologetic for your confusion. The Medicare and Social Security (Retirement Benefits) rules generally get confused. For abounding years both Medicare and Social Security began at age 65. That was accessible to accumulate clue of, they were both 65 years of age. A cardinal of years ago they pushed the Social Security Full Retirement Age aback to 66 (for those built-in above-mentioned to 1954) or aback to 67 for those alike younger. Medicare has remained at age 65.
What does that mean? Well you are one of the bodies this commodity could help.
Individuals who had allowance from “The Marketplace”, (“The Exchange”, “Obamacare”, or one of the abounding added names it has), may accept absitively to not assurance up for Medicare or did not apprehend they bare to. The allowance you accept is almost low amount (maybe alike free) and you did not assurance up for Medicare. That may be because you admired the plan you had, the exceptional was low, or you aloof did not accept the system.
Now you accept aloof activate out that you absent your Initial Acceptance Period (turning 65). That agency you cannot assurance up now, and aback you do assurance up you will accept a amends because of your beforehand choice. That is absolutely arresting and a little bit scary.
Well let me say you are not the alone being to accept done this. This has become a almost accepted mistake. For that reason, Centers for Medicare and Medicaid Services (CMS) has created a way to actual that mistake. They accept advised an Equitable Abatement Befalling (Special Acceptance Period-SEP) to assurance up for Medicare that additionally includes abatement from the Allotment B backward acceptance penalties.
This is a actual important Equitable Relief. It agency that individuals like you, accept an befalling now to assurance up for Medicare Allotment B. That borderline is fast approaching. On Sept. 30, the Special Acceptance Period that allows you to actual your aberration ends. That agency as of Oct. 1, you can no best use this opportunity. It is my achievement that this will be continued as it has been continued already already, but do not calculation on that. Take the time now to get this bearings resolved.
This Equitable Abatement is additionally for those individuals who are already advantageous a amends due to backward acceptance in Medicare. This Equitable Abatement can annihilate the exceptional amends they are advantageous due to befitting a Marketplace plan instead of signing up for Medicare aback they aboriginal became acceptable or angry 65.
My advocacy it to attending into this Equitable Abatement and see if this could advice you. You charge to complete Form CMS-40B and again about-face it in to Social Security Administration (SSA). You charge additionally prove that you had allowance through the Marketplace application a array of documents, such as IRS Form 1095-A or Exceptional notices, or accommodation assurance notices from the Marketplace Plan.
There are additionally agencies that can advice you with this issue, bounded agencies, like Southwestern Independent Living Center or Center for Elder Law & Justice. There are civic agencies like, Justice in Aging or The Medicare Rights Center. These agencies assignment with individuals on a accomplished host of difficulties and issues accompanying to Medicare. This Equitable Abatement accommodation dates aback all the way to April of 2013 aback the Marketplace Plan were aboriginal offered. So it isn’t aloof contempo Medicare enrollees who can be helped with this Equitable Abatement befalling to activate Medicare Allotment B, or accept the exceptional penalties reduced. For those individuals that did not accept in Medicare Allotment B above-mentioned to March 1, 2013, this Equitable Abatement cannot advice their situation.
If you use this Equitable Abatement affairs above-mentioned to the September 30, 2018 deadline, your Medicare Allotment B will activate the aboriginal of the afterward ages you book the paperwork. You can additionally ask that your Medicare Allotment B activate up to two months retroactively.
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Remember that if you ask for the Medicare Allotment B to be retroactively started, you will be amenable for those Medicare Allotment B premiums for those two months. You should not aish your Marketplace Plan until you are notified that your Medicare Allotment B acceptance has been completed. You do not appetite to accept a gap in your coverage.
This Equitable Abatement arrangement incorporates an SEP that individuals can use to accept in a Allotment D plan, a Medicare Supplement Plan or a Medicare Advantage Plan of their choice. So signing up for Medicare Allotment B is an important allotment of the process, but not the alone allotment of the process. The Equitable Abatement affairs allows you to accept into Medicare Allotment B and again you charge accomplish added allowance acceptance choices. Those added enrollments charge be done aural two months of your Medicare Allotment B alpha date.
The Marketplace Plans can be Creditable Advantage for Allotment D, so abounding individuals will not see the amends of no biologic coverage.
This catechism and botheration is abnormally complicated. A website that may accept advantageous advice is https://marketplace.cms.gov/applications-and-forms/notices.html. The www.SSA.gov, and www.medicare.gov websites additionally accept accessible information.
All of this advice boils bottomward to the actuality that you accept a Marketplace Plan and aloof activate out that you can’t assurance up for Medicare Allotment B. You NOW apperceive that you can use this Equitable Abatement action to fix your situation. All this advice additionally agency that for those individuals who are advantageous a exceptional amends for enrolling in Medicare Allotment B backward because they had a Marketplace Plan could get their Medicare Allotment B exceptional reduced. That is acceptable news!
To acquaintance Janell Sluga, GCMC with questions or concerns, amuse alarm 716-720-9797 or e-mail her at [email protected]
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