What same-sex couples should know about Medicare

same-sex graphic

More gay couples than ever will have access to Medicare benefits, but certain rules apply

 

 

 

InvestmentNews.com, Jun 29, 2015 @ 1:16 pm

By Katy Votava

The Supreme Court decision last Friday that makes same-sex marriage legal throughout the United States comes two years to the day of another historic decision regarding same-sex marriage. On June 26, 2013, the Supreme Court ruled that the Defense of Marriage Act was unconstitutional in United States v. Windsor.

As a result of the DOMA decision, Medicare could no longer be denied to married same-sex couples with respect to entitlement to or eligibility. With the new decision from the high court, more same–sex couples will marry and more people will be eligible in different ways for Medicare benefits.

It is important to note that these benefits do not extend to domestic partners or civil unions, whether same-sex or not. In fact, the following summary of Medicare entitlement and benefits actually pertains to all married couples. Some may never have considered the possibility of being able to access Medicare through their spouse or being able to rely on their spouses' employer-based coverage to defer their enrollment in certain parts of Medicare. Let's review the basics.

Married couples can:

• Enroll in premium-free Medicare Part A, also known as hospital insurance, based on a current or former spouse's work history and accumulation of Social Security credits.

• Enroll in Medicare Part B, also known as medical insurance, based on a current or former spouse's work history.

• Enroll in Medicare A and B based on the work history of a current or former spouse for people with end stage renal disease or amyotrophic lateral sclerosis. A poignant note: The spouse of James Obergefell, the lead plaintiff in the newest Supreme Court case, succumbed to ALS.

• Request special enrollment periods to coincide with current employer-based group health care coverage of a spouse.

If the person is 65 or older, they may be able to decline Medicare Part B coverage if their spouse is covered under a group health plan based on their spouse's current employment and be eligible to enroll during a SEP in the future. The result is that the person saves a great deal of money in the near term as Medicare Part B premiums range from $1,260 to $4,030 annually. In the longer term, they preserve their eligibility to enroll in Medicare Part B in the future during a SEP, meaning that they can start coverage without costly delays and lifelong penalties.

• If an individual already has Medicare Part B and marries a person with a qualifying employer health plan, they can disenroll or decline Medicare Part B. That process is completed by the beneficiary signing off to that effect on the back of the Medicare card and submitting it to Medicare. They will receive a new Medicare card indicating that the Medicare Part A is still in effect.

As the saying goes, “In sickness or in health.” Whether your clients are newlyweds or long-term spouses approaching their Medicare decisions for the first time, more of them than ever will have access to Medicare benefits and be able to manage sickness if it comes, as well as maintain their health along the way.

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  129. May I just say what a comfort to discover a person that genuinely understands what they are talking about on the web. You definitely realize how to bring an issue to light and make it important. A lot more people must look at this and understand this side of your story. It’s surprising you are not more popular given that you most certainly possess the gift.

  130. Thanks for giving your ideas. I might also like to say that video games have been actually evolving. Today’s technology and innovative developments have made it easier to create sensible and fun games. Most of these entertainment video games were not really sensible when the concept was first of all being experimented with. Just like other areas of technology, video games as well have had to develop through many many years. This is testimony towards the fast progression of video games.

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  132. An interesting discussion is worth comment. I do think that you ought to publish more about this issue, it might not be a taboo subject but typically people don’t discuss such subjects. To the next! Kind regards!

  133. It’s hard to come by well-informed people for this topic, however, you seem like you know what you’re talking about! Thanks

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  135. You’re so interesting! I do not suppose I have read something like that before. So good to find someone with some unique thoughts on this issue. Seriously.. thank you for starting this up. This web site is something that’s needed on the internet, someone with a little originality.

  136. After I initially commented I seem to have clicked the -Notify me when new comments are added- checkbox and now each time a comment is added I recieve four emails with the same comment. Is there a means you are able to remove me from that service? Thank you.

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  138. You ought to take part in a contest for one of the most useful blogs on the internet. I most certainly will highly recommend this site!

  139. I needed to thank you for this great read!! I definitely enjoyed every little bit of it. I have you bookmarked to check out new things you post…

  140. Next time I read a blog, Hopefully it does not fail me just as much as this particular one. After all, I know it was my choice to read, nonetheless I really thought you would have something useful to talk about. All I hear is a bunch of whining about something you can fix if you weren’t too busy searching for attention.

  141. I have discovered some important matters through your blog post post. One other stuff I would like to talk about is that there are lots of games on the market designed specifically for preschool age children. They involve pattern acknowledgement, colors, dogs, and models. These commonly focus on familiarization rather than memorization. This makes a child occupied without experiencing like they are learning. Thanks

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  143. Youre so cool! I dont suppose Ive read anything similar to this prior to. So nice to find somebody with some original ideas on this subject. realy appreciation for starting this up. this fabulous website is one area that is needed on-line, somebody if we do originality. useful project for bringing interesting things to your world wide web!

  144. One other issue issue is that video games are normally serious as the name indicated with the most important focus on mastering rather than fun. Although, it has an entertainment feature to keep your young ones engaged, each game is usually designed to work towards a specific group of skills or curriculum, such as numbers or technology. Thanks for your posting.

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