Medicare Information - Tozour
Costs, Eligibility, and Other Important Information
Medicare, run by the Centers for Medicare & Medicaid Services, helps pay for inpatient hospital care, nursing care, doctors’ fees, drugs, and other medical services and supplies to people age 65 and older, as well as to people who have been receiving Social Security disability benefits for two years or more.
- You are age 65.
- You are a U.S. citizen or permanent resident who has lived in the U.S. for at least 5 years.
- You have worked and paid into Social Security for more than 10 years or your spouse is Medicare eligible.
- You or your spouse is a government employee who did not pay into Social Security but paid Medicare taxes.
- If under 65 and entitled to Social Security disability benefits for at least 24 months.
- If under 65 with Lou Gehrig’s disease.
- If under 65 with permanent kidney failure requiring dialysis or transplant.
Years in Medicare
Insurance plans offered
Cost Based on Income
|File an Individual Tax Return||File a Joint tax Return||File Married & Separate Tax Returns||You Pay Each Month for Part B (in 2021)||You Pay Each Month for Part D (in 2021)|
|$88,000 or less||$176,000 or less||$88,000 or less||$148.50||your plan premium|
|above $88,000 up to $111,000||above $176,000 up to $222,000||not applicable||$207.90||$12.30 + your plan premium|
|above $111,000 up to $138,000||above $222,000 up to $276,000||not applicable||$297.00||$31.80 + your plan premium|
|above 138,000 up to 165,000||above $276,000 up to $330,000||not applicable||$386.10||$51.20 + your plan premium|
|above 165,000 up to 500,000||above $330,000 up to $750,000||above $88,000 up to $412,000||$475.20||$70.70 + your plan premium|
|greater than $500,000||greater than $750,000||greater than $412,000||$504.90||$77.10 + your plan premium|
If you’re already receiving Social Security benefits, you will automatically be enrolled in Medicare Part A & Part B when you turn 65. Otherwise, you will have to sign up yourself. You can enroll: online, by calling Social Security at 1-800-772-1213 (TTY users 1-800-325-0778) Monday through Friday from 7AM to 7PM, or in-person at your local Social Security office. You can complete your application up to 4 months before you want your retirement benefits to start. If you would like assistance in enrolling in Medicare one of our Senior Account Managers will help to make sure you get enrolled in the right parts of Medicare – call our office for assistance 1-888-467-4811.
The Coverage Gap
The “Donut Hole” is the period of coverage when you and your carrier reach a defined out of pocket expense. This is known as the “Coverage Gap.” When you are in the “Donut Hole” you will pay more than your plan’s agreed percentage for Prescription Drugs. Please refer to the chart on the left for specific coverage information for 2021.
This is intended as a basic reference guide, all information is subject to change. We recommend contacting one of our senior account managers for more information regarding your situation.
Publication No. 11514
This brochure provides basic information about how Medicare works.
Publication No. 10050
Coverage decisions, rights and protections, and answers to FAQ.
Publication No. 11472
A guide to learning what Medicare covers and how much you’ll pay.
Publication No. 11036
This booklet explains how to enroll in Medicare Parts A & Part B.
Publication No. 11318
This publication explains the temporary gap period in the DMEPOS Competitive Bidding Program starting January 1, 2019.
Publication No. 11610
The factsheet provides some easy ways to fight Medicare fraud.
Publication No. 11420
An easy-to-use checklist of Medicare-covered preventive services.
Publication No. 10969
This publication gives an overview of Medicare”s covered preventive services.
Publication No. 11361
This brochure explains the basics of hospice benefits.
Publication No. 11037
Information about Medicare coverage when traveling outside the U.S.
Publication No. 11534
This booklet lists the rights of people with Medicare.