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The Origins of Affirmative Action..
Affirmative action, the set of public policies and
initiatives designed to help eliminate past and present
discrimination based on race, color, religion, sex, or
national origin, is under attack.
Originally, civil rights programs were enacted to help
African Americans become full citizens of the United
States.
The Thirteenth Amendment to the Constitution made
slavery illegal; the Fourteenth Amendment guarantees
equal protection under the law; the Fifteenth
Amendment forbids racial discrimination in access to
voting.
The 1866 Civil Rights Act guarantees every citizen "the
same right to make and enforce contracts ... as is
enjoyed by white citizens ... "
In 1896, the Supreme Court's decision in Plessy v.
Ferguson upheld a "separate, but equal" doctrine that
proved to be anything but equal for African Americans.
The decision marked the end of the post-Civil War
reconstruction era as Jim Crow laws spread across the
South.
In 1941, President Franklin D. Roosevelt
signed Executive Order 8802 which outlawed
segregationist hiring policies by
defense-related industries which held federal
contracts. Roosevelt's signing of this order was a direct result of
efforts by Black trade union leader, A. Philip Randolph.
During 1953 President Harry S. Truman's Committee on Government
Contract Compliance urged the Bureau of Employment Security "to act
positively and affirmatively to implement the policy of nondiscrimination
. . . ."
The 1954 Supreme Court decision in Brown v. Board of Education
overturned Plessy v. Ferguson.
The actual phrase "affirmative action" was first used in President John
F. Kennedy's 1961 Executive Order 10925 which requires federal
contractors to "take affirmative action to ensure that applicants are
employed, and that employees are treated during employment, without
regard to their race, creed, color, or national origin." The same language
was later used in Lyndon Johnson's 1965 Executive Order 11246.
In 1967, Johnson expanded the Executive Order to include affirmative
action requirements to benefit women.
Other equal protection laws passed to make discrimination illegal were
the 1964 Civil Rights Act, Title II and VII of which forbid racial
discrimination in "public accommodations" and race and sex
discrimination in employment, respectively; and the1965 Voting Rights
Act adopted after Congress found "that racial discrimination in voting
was an insidious and pervasive evil which had been perpetuated in
certain parts of the country through unremitting and ingenious defiance
of the Constitution."
''Affirmative Action History
A History and Timeline of Affirmative Action
//KNOWLEDGEFINANCIALGROUP.COM ------ Affirmative Action ===
First Amendment to the United States
Constitution
"First Amendment" redirects here. For other
uses, see First Amendment (disambiguation).
United States of America
The Bill of Rights in the National Archives.
The First Amendment (Amendment I) to the United States Constitution
is part of the Bill of Rights. The amendment prohibits the making of
any lawrespecting an establishment of religion, impeding the free
exercise of religion, abridging the freedom of speech, infringing on
the freedom of the press, interfering with the right to peaceably
assemble or prohibiting the petitioning for a governmental redress of
grievances.
First Amendment to the United States Constitution
congress shall make no law respecting an establishment of religion,
or prohibiting the free exercise thereof; or abridging the freedom of
speech, or of the press; or the right of the people peaceably to
assemble, and to petition the Government for a redress of grievances.
BILL OF RIGHTS
First Amendment [Religion, Speech,
Press, Assembly, Petition (1791)] (see
annotations)
Second Amendment [Right to Bear Arms (1791)] (see
annotations)
Third Amendment [Quartering of Troops (1791)] (see
annotations)
Fourth Amendment [Search and Seizure (1791)] (see
annotations)
Fifth Amendment [Grand Jury, Double Jeopardy,
Self-Incrimination, Due Process (1791)]
No person shall be held to answer for a capital, or
otherwise infamous crime, unless on a presentment or
indictment of a Grand Jury, except in cases arising in
the land or naval forces, or in the Militia, when in
actual service in time of War or public danger; nor
shall any person be subject for the same offense to be
twice put in jeopardy of life or limb; nor shall be
compelled in any criminal case to be a witness against
himself, nor be deprived of life, liberty, or property,
without due process of law; nor shall private property
be taken for public use, without just compensation
Sixth Amendment [Criminal Prosecutions - Jury Trial,
Right to Confront and to Counsel (1791)] (see
annotations)
Seventh Amendment [Common Law Suits - Jury Trial
(1791)] (see annotations)
Eighth Amendment [Excess Bail or Fines, Cruel and
Unusual Punishment (1791)] (seeannotations)
Ninth Amendment [Non-Enumerated Rights (1791)]
(see annotations)
Tenth Amendment [Rights Reserved to States (1791)]
(see annotations)

''Things You Must Know About Social Security,
Medicare And Medicaid....
For many Americans, Social Security benefits are the bedrock of retirement income. Yet
future retirees could find themselves on shaky ground. The Social Security Board of
Trustees, in its latest annual report, estimated that the retirement program would only be
able to pay out 75% of scheduled benefits starting in 2033, three years earlier than
projected last year.
You can't control how the government might fix that problem. But you can educate
yourself about Social Security to ensure that you claim the maximum amount of benefits
to which you are entitled. Here are ten essentials you need to know.
It's an Age Thing
Your age when you collect Social Security has a big impact on the amount of money you
ultimately get from the program. The key age to know is your full retirement age. For
people born between 1943 and 1954, full retirement age is 66. It gradually climbs toward
67 if your birthday falls between 1955 and 1959. For those born in 1960 or later, full
retirement age is 67. You can collect Social Security as soon as you turn 62, but taking
benefits before full retirement age results in a permanent reduction of as much as 25% of
your benefit.
How Benefits Are Factored
To be eligible for Social Security benefits, you must earn at least 40 "credits." You can
earn up to four credits a year, so it takes ten years of work to qualify for Social
Security. In 2012, you must earn $1,130 to get one Social Security work credit and
$4,520 to get the maximum four credits for the year.
Your benefit is based on the 35 years in which you earned the most money. If you have
fewer than 35 years of earnings, each year with no earnings will be factored in at zero.
You can increase your benefit by replacing those zero years, say, by working longer,
even if it's just part-time. But don't worry -- no low-earning year will replace a
higher-earning year.
The benefit isn't based on 35 consecutive years of work, but the highest-earning 35
years. So if you decide to phase into retirement by going part-time, you won't affect
your benefit at all if you have 35 years of higher earnings. But if you make more money,
your benefit will be adjusted upward, even if you are still working while taking your
benefit.
There is a maximum benefit amount you can receive, though it depends on the age you
retire. For someone at full retirement age in 2012, the maximum monthly benefit is
$2,513. You can estimate your own benefit by using Social Security's online
Retirement Estimator.
COLA Isn't Just a Soft Drink
One of the most attractive features of Social Security benefits is that every year the
government adjusts the benefit for inflation. Known as a cost-of-living adjustment, or
COLA, this inflation protection can help you keep up with rising living expenses during
retirement. The COLA, which is automatic, is quite valuable; buying inflation
protection on a private annuity can cost a pretty penny.
Because the COLA is calculated based on changes in a federal consumer price
index, the size of the COLA depends largely on broad inflation levels determined by the
government. For example, in 2009, beneficiaries received a generous COLA of 5.8%. But
retirees learned a hard lesson in 2010 and 2011, when prices stagnated as a result of
the recession. There was no COLA in either of those years. For 2012, the COLA came
back at 3.6%. The COLA for the following year is announced in October.
The Extra Benefit of Being a Spouse
Marriage brings couples an advantage when it comes to Social Security. Namely, one
spouse can take what's called a spousal benefit, worth up to 50% of the other spouse's
benefit. Put simply, if your benefit is worth $2,000 but your spouse's is only worth $500,
your spouse can switch to a spousal benefit worth $1,000 -- bringing in $500 more in
income per month.
The calculation changes, however, if benefits are claimed before full retirement age. If
you claim your spousal benefit before your full retirement age, you won't get the full
50%. If you take your own benefit early and then later switch to a spousal benefit, your
spousal benefit will still be reduced.
Note that you cannot apply for a spousal benefit until your spouse has applied for his or
her own benefit.
Income for Survivors
If your spouse dies before you, you can take a so-called survivor benefit. If you are at
full retirement age, that benefit is worth 100% of what your spouse was receiving at
the time of his or her death (or 100% of what your spouse would have been eligible to
receive if he or she hadn't yet taken benefits). A widow or widower can start taking a
survivor benefit at age 60, but the benefit will be reduced because it's taken before full
retirement age.
If you remarry before age 60, you cannot get a survivor benefit. But if you remarry after
age 60, you may be eligible to receive a survivor benefit based on your former
spouse's earnings record. Eligible children can also receive a survivor benefit, worth
up to 75% of the deceased's benefit.
Divorce a Spouse, Not the Benefit
What if you were married, but your spouse is now an ex-spouse? Just because you're
divorced doesn't mean you've lost the ability to get a benefit based on your former
spouse's earnings record. You can still qualify to receive a benefit based on his or her
record if you were married at least ten years and you are 62 or older.
Like a regular spousal benefit, you can get up to 50% of an ex-spouse's benefit -- less
if you claim before full retirement age. And the beauty of it is that your ex never needs
to know because you apply for the benefit directly through the Social Security
Administration.
Taking a benefit on your ex's record has no effect on his or her benefit or the benefit of
your ex's new spouse. And unlike a regular spousal benefit, if your ex qualifies for
benefits but has yet to apply, you can still take a benefit on the ex's record if you have
been divorced for at least two years.
Note: Ex-spouses can also take a survivor benefit if
their ex has died first, and like any survivor benefit, it will
be worth 100% of what the ex-spouse received. If you remarry after age 60, you will
still be eligible for the survivor benefit.
It Can Pay to Delay
Once you hit full retirement age, you can choose to wait to take your benefit. There's
a big bonus to delaying your claim -- your benefit will grow by 8% a year up until age
70. Any cost-of-living adjustments will be included, too, so you don't forgo those by
waiting.
While a spousal benefit doesn't include delayed retirement credits, the survivor
benefit does. By waiting to take his benefit, a high-earning husband, for example,
can ensure that his low-earning wife will receive a much higher benefit in the event
he dies before her. That extra 32% of income could make a big difference for a
widow who has lost her husband's stream of Social Security income.
One option for a spouse who is delaying his benefit but still wants to bring some
Social Security income into the household is to restrict his application to a spousal
benefit only. To use this strategy, the spouse restricting his or her application must
be at full retirement age. So the lower-earning spouse, say the wife, applies for
benefits on her own record.
The husband then applies for a spousal benefit only, and he
receives half of his wife's benefit while his own benefit
continues to grow. When he's 70, he can switch to his own, higher
benefit. Exes at full retirement age can use the same strategy -- they can apply to
restrict their application to a spousal benefit and let their own benefit grow.
File and Then Suspend
Here's a Social Security claiming strategy that's perfectly legal and potentially
lucrative. Let's say a husband decides he wants to delay taking his benefit until age 70
to maximize the amount of his monthly check. But he wants his wife to be able to take
a spousal benefit, because it would be higher than her own benefit.
To make that happen, the husband, who must be at full retirement age, can file for his
benefits and then immediately suspend them. Because he has applied for benefits, his
wife can now take a spousal benefit based on his record. And because he suspended
his own benefit, his benefit will earn delayed retirement credits for each year he waits
until age 70.
Uncle Sam Wants His Take
Most people know that you pay tax into the Social Security Trust Fund, but did you
know that you may also have to pay tax on your Social Security benefits once you start
receiving them? Benefits lost their tax-free status in 1984, and the income thresholds
for triggering tax on benefits haven't been increased since then.
As a result, it doesn't take a lot of income for your benefits to be pinched by Uncle
Sam. For example, a married couple with a combined income of more than $32,000
may have to pay income tax on up to 50% of their benefits. Higher earners may have to
pay income tax on up to 85% of their benefits.
Passing the Earnings Test
Bringing in too much money can cost you if you take Social Security benefits early
while you are still working. With what is commonly known as the earnings test, you will
forfeit $1 in benefits for every $2 you make over the earnings limit, which in 2012 is
$14,640. Once you are past full retirement age, the earnings test disappears and you
can make as much money as you want with no impact on benefits.
But the good news is that any benefits forfeited because earnings exceed the limits
are not lost forever. At full retirement age, the Social Security Administration will
refigure your benefits going forward to take into account benefits lost to the test.
For example, if you claim benefits at 62 and over the next four years lose one full year
of benefits to the earnings test, at age 66 your benefits will be recomputed -- and
increased -- as if you had taken benefits three years early, instead of four. That
basically means the lifetime reduction in benefits will be 20% rather than 25%.
-------------------------------------------
How the Retirement Estimator Works
The Retirement Estimator gives estimates based on your actual Social Security
earnings record. Please keep in mind that these are just estimates. We can’t provide
your actual benefit amount until you apply for benefits. And that amount may differ
from the estimates provided because:
Your earnings may increase or decrease in the future.
After you start receiving benefits, they will be adjusted for cost-of-living increases.
Your estimated benefits are based on current law. The law governing benefit amounts
may change because, by 2033, the payroll taxes collected will be enough to pay only
about 75 cents for each dollar of scheduled benefits.
Your benefit amount may be affected by military service, railroad employment or
pensions earned through work on which you did not pay Social Security tax.
Who Can Use the Retirement Estimator
You can use the Retirement Estimator if:
You have enough Social Security credits at this time to qualify for benefits and
You are not:
Currently receiving benefits on your own Social Security record;
Waiting for a decision about your application for benefits or Medicare;
Age 62 or older and receiving benefits on another Social Security record; or
Eligible for a Pension Based on Work Not Covered By Social Security.
Social Security credits
Credits are the "building blocks" we use to find out whether you have the minimum
amount of covered work to qualify for each type of Social Security benefits. If you stop
working before you have enough credits to qualify for benefits, your credits will stay on
your record. If you return to work later on, you can add more credits so that you can
qualify. No benefits can be paid if you do not have enough credits.
Benefits Planner: How Credits Are Earned
When you work and pay Social Security taxes, you earn up to a maximum of four
"credits" for each year. The way you earn a credit has changed over the years.
Before 1978, employers reported your earnings every 3 months and we called credits
"quarters of coverage," or QCs. Back then, you got a QC or credit if you earned at least
$50 in a 3-month calendar quarter.
In 1978, employers started reporting your earnings just once a year. Credits are now
based on your total wages and self-employment income during the year, no matter when
you did the actual work. You might work all year to earn four credits, or you might earn
enough for all four in a much shorter length of time.
The amount of earnings it takes to earn a credit has changed since 1978. In the year
2012, you must earn $1,130 in covered earnings to get one Social Security or Medicare
work credit and $4,520 to get the maximum four credits for the year.
During your lifetime, you probably will earn more credits than the minimum number you
need to be eligible for benefits. These extra credits do not increase your benefit amount.
Your average earnings over your working years determine how much your monthly
payment will be.
Benefits Planner: Number Of Credits Needed For Disability Benefits The number of work credits needed for disability benefits depends on your age when you become disabled. Generally you need 40 credits, 20 of which were earned in the last 10 years ending with the year you become disabled. However, younger workers may qualify with fewer credits. The rules are as follows:
Before age 24--You may qualify if you have 6 credits earned in the 3-year period ending when your disability starts.
Age 24 to 31--You may qualify if you have credit for working half the time between age 21 and the time you become disabled. For example, if you become disabled at age 27, you would need credit for 3 years of work (12 credits) out of the past 6 years (between ages 21 and 27).
Age 31 or older--In general, you need to have the number of work credits shown in the chart below. Unless you are blind, you must have earned at least 20 of the credits in the 10 years immediately before you became disabled. Born after 1929, Became Disabled At Age: Number of Credits You Need: 31 through 42 - 20 credits needed
Related Websites USA.gov Benefits.gov MyMoney.gov Regulations.gov ''Other Government Websites. --
''Find Medicare Plans, Find Health and Drug Plans Apply Online for Medicare Now
''Find Out if Medicare Covers Your Test, Item or Service Get Extra Help with Prescription Drug Costs
''Find Out How Medicare Works with Your Other Insurance Get a New Medicare Card. --
|
Benefits Planner: Number Of Credits Needed For Survivors Benefits
The number of credits you need to have family members be eligible for survivors benefits depends on your age when you die. The younger you are, the fewer
credits you need, but nobody needs more than 40 credits (10 years of work).
Under a special rule, we can pay benefits to your children and your spouse who is caring for the children even if you don't have the number of credits needed.
They can get benefits if you have credits for one and one-half year's work (6 credits) in the three years just before your death.
Note: If you are already receiving retirement or disability benefits at the time of your death, we will pay your survivors based on that entitlement. We will not
have to determine your credits again.
Medicare Plans & Coverage: Part A, Part B, Part C, Part D
Medicare Financial Academy School Guide provides simple explanations regarding Medicare plans and Medicare health insurance coverage including
Medicare Part A-B-C DAND MEDIGAP COVERAGE
Medicare (United States)
Medicare is a national social insurance program, administered by the U.S. federal government, that guarantees access to health insurance for
Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease. As a social insurance program,
Medicare spreads the financial risk associated with illness across society to protect everyone, and thus has a somewhat different social role from
private insurers, which must manage their risk portfolio to guarantee their own solvency.
Medicare Part A (Hospital Insurance)
What is Part A (Hospital Insurance)?
Part A is hospital insurance that helps cover inpatient care in hospitals, skilled nursing facility, hospice, and home health care.
How Much Does Part A Cost?
Most people don’t pay a Part A premium because they paid Medicare taxes while working. This is called "premium-free Part A."
If you aren't eligible for premium-free Part A, you may be able to buy Part A if you meet one of these conditions:
You're 65 or older, and you have (or are enrolling in)
Part B, and you meet the citizenship or residency requirements.
You're under 65, disabled, and your premium-free Part A coverage ended because you returned to work. (If you’re under 65 and disabled,
you can continue to get premium-free Part A for up to 8.5 years after you return to work.)
In most cases, if you choose to buy Part A, you must also have Part B and pay monthly premiums for both.
Medicare offers all enrollees a defined benefit. Hospital care is covered under Part A and outpatient medical services are covered under
Part B.
To cover the Part A and Part B benefit Medicare offers a choice between an open-network single-payer plan (traditional Medicare) and a
network plan (Medicare Advantage, or
Medicare Part C), where the federal government pays for private health coverage. A majority of Medicare enrollees have traditional
Medicare (76 percent) over a Medicare Advantage plan (24 percent).
Medicare Part D covers outpatient prescription drugs exclusively through private plans, either standalone prescription drug plans or
through Medicare Advantage plans that offer prescription drugs
Medicare Benefits
Medicare is our country’s health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for
Medicare, too, including those who have disabilities and those who have permanent kidney failure.
The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care.
Apply for Medicare Benefits
Medicare is financed by a portion of the payroll taxes paid by workers and their employers. It also is financed in part by monthly premiums
deducted from Social Security checks.
Medicare has four parts:
Hospital Insurance - helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care
and hospice care.
Medical Insurance - helps pay for doctors’ services and many other medical services and supplies that are not covered by hospital
insurance.
People with Medicare Parts A and B can choose to receive all of their health care services through one of these provider organizations
under Part C.
Prescription Drug Coverage - helps pay for medications doctors prescribe for treatment.
Costs for Part B
Most people pay the Part B premium of $115.40 each month.
If your modified adjusted gross income as reported on your IRS tax return from 2 years ago (the most recent tax return information
provided to Social Security by the IRS) is above a certain amount, you may pay more.
Social Security will notify you if you have to pay more than the standard premium of $115.40 each month. The amount you pay can change
each year depending on your income. If you have to pay a higher amount for your Part B premium and you disagree (for example, if your
income goes down), use this form to contact Social Security.
Part B Late Enrollment Penalty
If you don't sign up for Part B when you're first eligible, you may have to pay a late enrollment penalty for as long as you have Medicare. Your
monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn't sign up for it.
Knowing when you can get Medicare can sometimes be confusing. This tip sheet is designed to help you learn more about enrollment in the
different parts of Medicare, including who can sign up, when you can sign up, and how the timing can affect your costs.
Note
If you live in Puerto Rico you will not receive Medicare Medical Insurance (Medicare Part B) automatically. You will need to sign up for it
during your initial enrollment period or you will pay a penalty.
To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office.
You can find your local Social Security office by using our Office Locator.
How Do I Get Part A?
Most People Get Parts A & B Automatically
Are you already getting benefits from Social Security or the Railroad Retirement Board (RRB)?
In most cases, you'll automatically get Part A and Part B starting the first day of the month you turn 65.
If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month.
Are you under 65 and disabled?
You automatically get Part A and Part B after you get disability benefits from Social Security or certain disability benefits from the RRB for 24
months.
Do you have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig's disease)?
You automatically get Part A and Part B the month your disability benefits begin.
Do you live in Puerto Rico and get benefits from Social Security or the RRB?
Y
ou automatically get Part A.
If you want Part B, you need to sign up for it.
If You Get Medicare Automatically
If you're automatically enrolled, you'll get your red, white, and blue Medicare card in the mail 3 months before your 65th birthday or your 25th
month of disability.
You Might Need to Sign Up for Parts A & B
You need to sign up for Medicare Parts A and B if:
You aren't getting Social Security or Railroad Retirement Board benefits (for instance, because you're still working)
When Can You Sign Up for Parts A & B?
Medicare Part B (Medical Insurance)
What is Part B (Medical Insurance)?
Part B helps cover medically-necessary services like doctors' services, outpatient care, durable medical equipment, home health services, and
other medical services. Part B also covers some preventive services. Check your Medicare card to find out if you have Part B.
How Much Does Part B Cost?
If you have Part B, you pay a Part B premium each month. Most people will pay the standard premium amount. Social Security will contact some
people who have to pay more depending on their income. If you don't sign up for Part B when you're first eligible, you may have to pay a late
enrollment penalty.
Medicare.gov – the Official U.S. Government Site for Medicare
Medicare Prescription Drug Coverage (Part D)
Medicare offers prescription drug coverage to everyone with Medicare. If you decide not to join a Medicare drug plan when you’re first eligible, and
you don’t have other creditable prescription drug coverage, or you don’t get Extra Help, you’ll likely pay a late enrollment penalty.
To get Medicare prescription drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare.
Each plan can vary in cost and drugs covered.
Medicare Part D is a federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States. It was enacted as
part of the Medicare Modernization Act of 2003 (MMA) and went into effect on January 1, 2006.
Medicare Advantage (Part C)
What is a Medicare Advantage Plan (Part C)?
A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. Medicare Advantage
Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare.
If you join a Medicare Advantage Plan, the plan will provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. Medicare
Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Most include Medicare
prescription drug coverage (Part D).
Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. These companies must follow rules
set by Medicare. However, each Medicare Advantage Plan can charge different out-of-pocket costs and have different rules for how you get services
(like whether you need a referral to see a specialist or if you have to go to only doctors, facilities, or suppliers that belong to the plan for
non‑emergency or non-urgent care). These rules can change each year.
Different Types of Medicare Advantage Plans
Health Maintenance Organization (HMO) Plans
Preferred Provider Organization (PPO) Plans
Private Fee-for-Service (PFFS) Plans
Special Needs Plans (SNP)
There are other less common types of Medicare Advantage Plans that may be available:
HMO Point of Service (HMOPOS) Plans— An HMO plan that may allow you to get some services out-of-network for a higher cost.
Medical Savings Account (MSA) Plans - A plan that combines a high deductible health plan with a bank account. Medicare deposits money into the
account (usually less than the deductible). You can use the money to pay for your health care services during the year.
How Much Does a Medicare Advantage Plan Cost?
In addition to your Part B premium, you usually pay one monthly premium for the services included. Each Medicare Advantage Plan can charge
different out of-pocket costs. Your out-of-pocket costs in a Medicare Advantage Plan depend on:
Whether the plan charges a monthly premium.
Whether the plan pays any of your monthly Part B premium.
Whether the plan has a yearly deductible or any additional deductibles.
How much you pay for each visit or service (copayments or coinsurance).
The type of health care services you need and how often you get them.
Whether you follow the plan’s rules, like using network providers.
Whether you need extra benefits and if the plan charges for them.
The plan’s yearly limit on your out-of-pocket costs for all medical services.
What Does a Medicare Advantage Plan Cover?
In all types of Medicare Advantage Plans, you’re always covered for emergency and urgent care. Medicare Advantage Plans must cover all of the
services that Original Medicare covers except hospice care. Original Medicare covers hospice care even if you’re in a Medicare Advantage Plan.
Medicare Advantage Plans aren’t supplemental coverage. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental,
and/or health and wellness programs. Most include Medicare prescription drug coverage (Part D).
How to Join a Medicare Advantage Plan
Not all Medicare Advantage Plans work the same way, so before you join, take the time to find and compare Medicare Health Plans in your area.
Once you understand the plan’s rules and costs, you may be able to join by completing a paper application, calling the plan, or enrolling on the plan's
Web site. Medicare also has information on quality to help you compare plans.
A Few Extra Things You Should Know about Medicare Advantage Plans
You can only join a plan at certain times during the year. In most cases, you're enrolled in a plan for a year.
As with Original Medicare, you still have Medicare rights and protections, including the right to appeal.
Check with the plan before you get a service to find out whether they will cover the service and what your costs may be.
You must follow plan rules, like getting a referral to see a specialist or getting prior approval for certain procedures to avoid higher costs. Check with
the plan.
Insurance (Medigap)?
You can buy a Medicare Supplement Insurance (Medigap) policy, sold by private insurance companies, to help pay some of the health care costs
Medicare doesn't cover. You have a 6-month Medigap open enrollment period to buy a Medigap policy.
Medigap Open Enrollment Period
This period starts the first month you're 65 and enrolled in Part B. During the Medigap Open Enrollment Period, you have a guaranteed right to buy
any Medigap policy sold in your state regardless of your health status. Once this period starts, it can't be delayed or replaced.
Medicare Supplement Insurance (Medigap) Open Enrollment Period
Medicare Supplement Insurance (Medigap) policies, sold by private insurance companies, help pay some of the health care costs that Medicare
doesn’t cover. You have a 6-month Medigap Open Enrollment Period which starts the first month you’re 65 and enrolled in Part B.
This period gives you a guaranteed right to buy any Medigap policy sold in your state regardless of your health status. Once this period starts, it can’
t be delayed or replaced.
For more information, visit www.medicare.gov/publications to
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When Can I Sign Up for Medicare Advantage (Part C) or Medicare Prescription Drug Coverage (Part D)?
There are specific times when you can sign up for Medicare Advantage (Part C) and Medicare prescription drug coverage (Part D), or make
changes to coverage you already have:
1. When you first become eligible for Medicare or when you turn 65, during your Initial Enrollment Period. See page 6.
2. During certain open enrollment periods that ha
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Retirement Planner:
How You Apply For
Retirement Benefits Or
Medicare?
You Can Apply
Online - Use our Social Security
Retirement/Medicare Benefit
Application to apply for retirement,
spouse's, ex-spouse's or Medicare
benefits.
By phone - Call us at
1-800-772-1213. If you are deaf or
hard of hearing, you can call us at
TTY 1-800-325-0778.
In person - Visit your local Social
Security office. (Call first to make
an appointment.)
If you do not live in the U.S. or one of
its territories you can also - Contact
the nearest U.S. Social Security
office, U.S. Embassy or consulate.
APPLY FOR SOCIALSECURITY &
MEDICARE BENEFITS
Reminders:
You must be at least 61 years and 9 months old to apply
for retirement benefits.
If you are already age 62, you may be able to start your
benefits in the month you apply.
You should apply for benefits no more than four
months before the date you want your benefits to start.
Benefits are paid the month after they are due. (If your
benefits start in April, you will receive your first benefit
payment in May.)
If you are not getting Social Security and you are not
ready to retire, you should still use our online
retirement benefit application to sign up for just
Medicare three months before your 65th birthday
APPLY FOR
SOCIALSECURITY &
MEDICARE BENEFITS
When You Apply
Please be ready to supply the
information we need to approve
your application for these
benefits:
Information You Need To Apply
For Retirement Benefits Or
Medicare - Form SSA-1
Information You Need to Apply
for Spouse's or Divorced
Spouse's Benefits - Form SSA-2
Information You Need To Apply
for Child's Benefits - Form SSA-4