As Medicare experts, we get many questions about losing Medicare benefits, how long Medicare benefits last, if you can put Medicare benefits on hold, and more. This article will answer all of these questions. Plus, you’ll learn how to handle real-life scenarios if you’re faced with losing your Medicare benefits.
Reasons You Can Lose Your Medicare Benefits
There are a number of reasons that can cause you to lose your Medicare benefits. First, let’s start with how your coverage can be terminated through Social Security Disability Insurance (SSDI).
SSDI Benefits Ending
SSDI is a federal program that assists Americans with disabilities. Individuals who stop receiving SSDI benefits can continue Medicare coverage for 93 months. However, they can only get 93 months of Medicare if they’ve completed their nine-month work period.
Additionally, they become eligible for premium-free Medicare Part A for eight and a half years if they finish the nine-month period and their trial work period. In the meantime, they can also continue paying for your Part B coverage.
With that said, if you return back to work before your Medicare benefits kick in, you’re responsible for sustaining your SSDI benefits if it pays more than your substantial gainful activity (SGA).
Not Paying Your Monthly Premiums
It’s important to pay your premiums on time to avoid losing your benefits. Beneficiaries get a 90-day grace period and two additional bills before their coverage is terminated. Your grace period starts the month you miss a payment.
Your coverage is terminated if you reach the end of your grace period and haven’t paid your outstanding balance after you receive a delinquent bill.
How You Can Lose Supplemental Medicare Coverage
Losing supplemental Medicare coverage is different from becoming dis-enrolled from Original Medicare. The following are reasons that can disqualify you from your current supplemental coverage.
Moving Outside Your Plan’s Coverage Area
Lying Or Omitting Information On Your Plan Medigap Application
When applying for a Medigap, you should never lie or attempt to leave out the truth. Doing so can lead to the cancelation of your coverage. You’ll need to answer health questions and undergo the medical underwriting process if you apply outside of your Medigap Open Enrollment Period. In this situation, it’s crucial to be as honest as possible about your health.
How Long Do Medicare Benefits Last?
For those under 65 who are eligible due to disability, Medicare benefits last at least seven years and nine months, as long as your disability still meets certain requirements under Social Security. You’re responsible for reporting any changes to Social Security. This ensures that you’re payments are accurate. It also lets the agency know how long you’ll have Medicare once you return to work.
How to Avoid Losing Your Medicare Benefits
While there are several ways you could lose your Medicare benefits, it’s usually preventable. We suggest staying on top of your payments and always being honest with your insurance providers. If you’re interested in a supplemental Medicare policy, give us a call at the phone number above. We also have an online rate form you can use to find plans near you.