What You Should Know About Medicare Cards

Your Medicare card is as important as any credit card you carry in your wallet or purse. In many cases, you will need to produce it when you visit healthcare providers to prove you have Medicare coverage before getting treatment.

Here are some important things to know about Medicare cards.

(If you are already aware of how Medicare works, please skip ahead to the next section.)


What is Medicare?

Medicare is a federal health insurance program administered by the Centers for Medicare & Medicaid Services. People 65 and older and some younger people with qualifying disabilities such as End-Stage Renal Disease and ALS are eligible for benefits.

There are four parts to Medicare.

  • Part A covers inpatient hospital stays, skilled nursing facility and hospice care, and some home health care.
  • Part B covers some doctors' services, outpatient care, medical supplies, and preventive services. Part A and Part B are often referred to as Original Medicare.
  • Part C is also known as Medicare Advantage. Plans sold by private insurance companies provide additional coverage above what Part A and Part B cover. Part D coverage is also often included.
  • Part D focuses exclusively on reducing the cost of prescription drugs and many recommended shots or vaccines. Private insurance companies also sell Part D policies.

There are no premium costs for Part A in most cases, but you will be responsible for paying deductibles and co-payments as services are rendered. You'll have to pay a monthly premium for all other parts of Medicare.


Eligibility to receive a Medicare Card

There are two primary groups eligible to receive a Medicare card:

  1. Those 65 years and older who meet the following criteria:
    1. Currently receive Social Security benefits.
    2. To be eligible to receive Part A at no cost, they must have accumulated 40 credits through the payment of payroll taxes. They earn one credit for each quarter year they worked if they meet minimum income guidelines. This means 40 work credits equals 10 years of work history. For those that have not accumulated 40 credits, they can still get Part A coverage by paying a monthly premium.
    3. Individuals or their spouses receive, or are eligible to receive Railroad Retirement benefits, or the spouses are eligible to receive Social Security benefits. That includes spouses living, divorced, or deceased in relation to the person seeking Medicare coverage.
    4. They worked long enough in a government job and paid Medicare taxes.
  1. Those under 65 with qualifying medical conditions are eligible for no-cost Part A if:
    1. They receive or are entitled to receive Social Security disability benefits for 24 months.
    2. They are getting a Railroad Retirement board disability pension and meet certain conditions.
    3. They get Social Security disability benefits because they have amyotrophic lateral sclerosis (ALS).
    4. They worked in a government job long enough where they paid Medicare taxes, and have been entitled to receive Social Security disability benefits for at least 24 months.
    5. They or an immediate family member have kidney failure and receive dialysis or have had a kidney transplant.
    6. They are the child or a widow(er) age 50 or older of someone who worked in a government job long enough where they paid Medicare taxes, and they meet Social Security disability program requirements.

Other special situations allow you to start Medicare benefits before turning 65:

  • You are a disabled widow(er) between 50 and 65.
  • You worked for the government and became disabled before turning 65.
  • You had Medicare Part B coverage in the past but dropped coverage.
  • You turned down Medicare Part B coverage when you first got Medicare Part A coverage.
  • You or your spouse worked for the railroad industry.

If you’re eligible for Part A coverage at no cost, you can enroll in Part B coverage by paying a monthly premium.

Together, Part A and Part B are also referred to as Original Medicare. 

If you’re not eligible for Part A at no cost, you can still sign up for Part B if you’re 65 or older and you are a U.S. citizen or a lawfully admitted non-citizen who has lived in the country for at least five years.

If you have Part A and Part B coverage, you can get Medicare Advantage Part C coverage. You will pay a premium for this coverage which kicks in after you have reached coverage limits under Medicare Part A and B

If you have Part A and Part B coverage, you are eligible for Medicare Part D prescription drug coverage. Part D is optional, and you will pay a monthly premium for coverage.


When you will get your Medicare card

If you are automatically enrolled in Medicare, you will get a Medicare card about three months before your 65th birthday.

If you're not already receiving Medicare benefits or don’t automatically qualify, contact Social Security three months before your 65th birthday. After enrolling, you’ll receive a welcome package that will include your Medicare card.

Also, if you’re not already getting Social Security or Railroad Retirement benefits, you can enroll in Medicare during the Initial enrollment period to avoid penalties or gaps in coverage. The Initial Coverage Election Period is seven months beginning three months before the month you turn 65 and ending three months after your 65th birthday.

You'll get a red, white, and blue Medicare card that has your name and your Medicare number. Your card will not show you or your spouse’s Social Security Number to help protect you from identity theft.

Your card will show if you have Medicare Part A, Medicare Part B, or both, and the date your health coverage began.

One other important thing: Your Medicare card is made of paper, not plastic. The switch was made in 2018 because it is easier for providers to copy the card.


Should I carry my Medicare card with me?

When you need healthcare services, your visit will go faster if you produce your Medicare card for billing and front office staff. Just like other insurance identification cards, you will probably be asked for it when you arrive.

Only give your Medicare card to healthcare providers such as doctor’s offices, hospitals, and pharmacies.

If you forget your card, your healthcare provider may be able to look up your Medicare information online. However, it is just easier to make sure you have your card with you as it pertains to the Medicare number.


What if I have Part C and part D coverage?

If you’re in a Medicare Advantage Plan (Part C), your Medicare Advantage Plan card is your main card for Medicare, not your Medicare card. Also keep this insurance card with you when you need care.

The same thing applies if you have a standalone drug plan through an insurance company.

Even if you use one of these other cards, you also may be asked to show your Medicare card when visiting a provider.


Getting a replacement Medicare card

It’s a good idea to keep a copy of your Medicare card providing access to your information in the case that something happens to the original. If you lose your Medicare card or it gets damaged, you can replace it by contacting the Social Security Administration and giving them your name, Social Security number, and birthdate.

You can also request a replacement Medicare card online using your “my Social Security” account if you have one, are creating a new account when you visit the site. Go to the “Replacement Documents” tab to complete your request.

You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday, from 7 a.m. to 7 p.m. or you can visit your local Social Security office.

After completing your request, it takes about 30 days to get your new Medicare card in the mail.


Changing your name or address

Medicare uses the name and mailing address you have on file with Social Security. To change your name, such as when you get married or go through a divorce, follow these instructions. To change your address, visit your online “my Social Security” account.


Getting additional discounts with your Medicare card

If you get health insurance through Medicare, you may be eligible for discounts at pharmacies.
However, you may need to ask for a discount because it is unlawful for physicians, pharmacies, and healthcare providers to offer giveaways to entice Medicare patients.


Guard against Medicare card scams

Unfortunately, scams involving Medicare fraud and misuse of the information on your Medicare card are common. Medicare will never call you and ask for your personal information.

However, scam artists will reach out to you by phone, email, or by other means to get you to divulge your private information on your ID cards. They may offer you money, make threats, or even tell you your Medicare benefits are going to be canceled as a way of bullying you into revealing sensitive information.

Under no circumstances should you ever share this information with anyone who contacts you.
Instead, contact Medicare immediately at 1-800-MEDICARE (1-800-633-4227) and report this suspicious activity.


What’s the difference between my Medicare, Medicare Advantage, and MediGap cards?

Your Medicare card is used to provide services covered under Part A and Part B of Medicare (Original Medicare). Your Medicare Advantage card is used for enhanced services beyond what Part A and Part B cover. Medicare Advantage services could be dental, vision, or other similar services covered based on the plan you enrolled in.

Be sure to present the right card when you are being treated so that the right program can be billed for services.

Medicare Supplement Insurance is known as Medigap, and it helps pay some of the healthcare costs that Medicare does not cover. You cannot have a Medicare Advantage plan and use a Medigap plan to offset expenses such as copayments, deductibles, and coinsurance.

To get a Medigap card, you must have Medicare Part A and Part B. You should show this card every time you get services from a healthcare provider.


What is the difference between a Medicaid and Medicare card?

Medicaid provides medical insurance for low-income and needy people. It is funded jointly through the federal and state governments and covers children, those who are blind or disabled, the elderly, and others who are eligible to receive assisted income-based payments.

This is separate from the Medicare program and is administered by states according to federal requirements.


Who should I contact if I have questions or need more information?

If you have questions about your Medicare card, call 1-800-MEDICARE (1-800-633-4227). You can also log on to the Centers for Medicare & Medicaid Services website or contact your local Social Security office.

DISCLAIMER: Medi-Solutions Insurance Agency, LLC is not affiliated or endorsed with the Social Security Administration or the Federal Medicare Program. Information is for educational purposes only and should not be construed as an offer of insurance, advice, or recommendation. The information provided is not intended as tax, financial, investment, or legal advice. Please consult legal or tax professionals for specific information regarding your individual situation.

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