Last Updated on by
If you want to request Medicare equitable relief, you must fail to enroll in Medicare due to a federal employee’s error or inaction. Federal employees could be those working at Social Security or Medicare. But, you won’t qualify for equitable relief if your employer misinforms you about your Medicare rights and options.
So, if you delay enrollment due to a Medicare representative saying you don’t need to sign up, even though you needed to sign up, you may have grounds for getting equitable relief. But, that’s only because a federal employee gave you misinformation. If your boss said you could delay enrollment and do your due diligence by contacting Medicare, you wouldn’t have grounds for equitable relief.
What is Medicare Equitable Relief
Who Can Obtain Equitable Relief
Equitable relief is only for those who have or had Marketplace coverage and are entitled to premium-free Part A. Also, you must have an Initial Enrollment Period that began April 1, 2013, or later. Or, you must have been notified of a retroactive premium-free Part A award on October 1, 2013, or later. To qualify for the penalty reduction, you must have a Part B late enrollment penalty from 2015, 2016, or 2017 General Enrollment Period.
Generally, the penalty is waived, not reduced. Those requesting equitable relief must provide documentation showing enrollment in Marketplace coverage. You must be eligible for Medicare to enroll in Medicare. You can’t get equitable relief if you pay for Part A. Those in an Initial Enrollment Period won’t be eligible because they aren’t subject to a late enrollment penalty.
How Do I Request Medicare Equitable Relief
Also, provide information indicating if you want to keep your coverage going forward, retroactive coverage, or eliminate the Part B late enrollment penalty. Now, if you do request retroactive coverage, you must pay premiums back to the time coverage begins.
How to Follow Up With a Request for Medicare Equitable Relief
If Someone Enrolls in Part B Through Equitable Relief, When Does Coverage Begin
What Type of Documentation Does a Person Need to Provide for Equitable Relief
How to Find a Medigap Plan After Equitable Relief Approval
Once you have Part B and your equitable relief submission is complete, you’ll want to consider a Medigap plan. Medigap insurance covers the gaps in Medicare. So, instead of you paying deductibles and coinsurances, the insurance company can pick up those costs.
Our agents can walk you through all the details of Medicare and guide you to the best policy. Give us a call at the number above to see your rates today. Or, fill out an online rate form and get your rates now.