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3976 Medicare Part A: Eligibility

机译:3976 Medicare A部分:资格

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65 or over. If individuals are 65 or over and eligible for either Social Security or Railroad Retirement benefits, they are entitled to hospital insurance (Part A Medicare), whether or not they are retired. If they are receiving Social Security or Railroad Retirement checks, their Part A Medicare protection starts automatically at 65. If they are not retired, they have to file an application for their Medicare protection to begin. They should apply at a Social Security office about three months before they reach 65.rnPersons with disabilities. Although most individuals must be 65 or over to be eligible for Medicare, certain severely disabled persons and persons suffering from end-stage renal disease can become entitled to Medicare at an earlier age. Thus, a person who has been entitled to Social Security or Railroad Retirement disability benefits for 24 months or more can get Medicare benefits (both Part A and Part B) before age 65. Medicare can continue after a disabled person returns to work if the person has not medically recovered. In most cases, once Medicare stops it can start again without a waiting period if disability recurs.rnPersons with end-stage renal disease. Fully or currently insured workers or their dependents with end-stage renal (kidney) disease are also covered under Medicare regardless of age. Medicare benefits begin three months after regular dialysis is started or (if earlier) with the month the patient enters a hospital for a transplant operation. Benefits end 36 months after the transplant or 12 months after dialysis ends. The three-month waiting period for dialysis patients does not apply to those entering self-dialysis programs. Special provisions apply when a transplant fails or a new course of dialysis treatment is begun.
机译:65岁或以上。如果个人年满65岁且有资格获得社会保障或铁路退休福利,则无论他们是否退休,都有权获得医院保险(A部分医疗保险)。如果他们正在接受社会保障或铁路退休支票,则他们的A部分医疗保险保护会自动从65开始。如果他们没有退休,则他们必须申请医疗保险保护才能开始。他们应该在达到65岁的残障人士之前三个月向社会保障办公室申请。尽管大多数人必须年满65岁才有资格享受Medicare,但某些严重残障人士和患有终末期肾病的人可以在更早的年龄获得Medicare的资格。因此,有权享受社会保障或铁路退休残疾津贴达24个月或更长时间的人,可以在65岁之前获得Medicare津贴(A部分和B部分)。如果残疾人返回工作岗位,则该健康保险可以继续进行。尚未康复。在大多数情况下,一旦医疗保险停止,一旦残障复发,它可以在没有等待时间的情况下再次开始。患有晚期肾病的人。不论年龄多大,患有终末期肾(肾)疾病的全部或目前已投保的工人或其家属都将享受Medicare保险。定期透析开始后三个月或(如果更早的话)患者进入医院进行移植手术的月份开始,Medicare福利开始。收益在移植后36个月或透析结束12个月后终止。透析患者的三个月等待期不适用于进入自我透析计划的患者。当移植失败或开始新的透析治疗过程时,将适用特殊规定。

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    《Human resources management》 |2009年第327期|240|共1页
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