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Can I get Medicare With A Pre-Existing Condition?
P.T. Chaturg
Jun. 10, 2023 • 2 min read

You can obtain Medicare coverage even if you have a pre-existing condition. As a federal health insurance program, Medicare extends its coverage to individuals aged 65 or older, as well as those with specific disabilities or medical conditions. This inclusive nature of Medicare ensures that people with pre-existing conditions can access the essential healthcare benefits they need.

When it comes to pre-existing conditions, Medicare does not deny coverage based on your health status or pre-existing conditions. Unlike private health insurance plans, Medicare is not allowed to deny coverage or charge higher premiums based on pre-existing conditions.

Medicare is divided into several parts:

1. Medicare Part A: Hospital Insurance: Part A helps cover inpatient hospital care, skilled nursing facility care, hospice care, and some home health care services. Most people don't have to pay a premium for Part A if they or their spouse paid Medicare taxes while working.

2. Medicare Part B: Medical Insurance: Part B helps cover doctor visits, outpatient care, preventive services, and medical supplies. Part B requires the payment of a monthly premium, and the amount can vary based on your income.

3. Medicare Part C: Medicare Advantage: Part C is an alternative to Original Medicare and is offered through private insurance companies. These plans must provide at least the same level of coverage as Original Medicare, and many plans offer additional benefits such as prescription drug coverage and dental or vision care.

4. Medicare Part D: Prescription Drug Coverage: Part D provides coverage for prescription drugs. It is available as a standalone plan if you have Original Medicare or can be included in a Medicare Advantage plan.

If you have a pre-existing condition, Medicare will cover your medical needs related to that condition, as well as other necessary medical services. It's important to note that some services may require meeting specific criteria or obtaining a doctor's order.

It's recommended to enroll in Medicare during your Initial Enrollment Period (IEP) or a Special Enrollment Period (SEP) to ensure timely coverage. If you have questions about how your pre-existing condition will be covered under Medicare, you can contact the Social Security Administration or speak with a licensed insurance agent who specializes in Medicare for more information.



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Written by
P.T. Chaturg
P.T. Chaturg specializes in finance, business, and tech, with a background in financial journalism, hi-tech and startups. He enjoys writing about the latest innovations in financial services and is passionate about saving users money.

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