I have been diagnosed with ESRD and will need a transplant.
I haven’t yet applied for Medicare.
Can I get a Covered CA – QHP- Qualified Health Plan – ObamaCare instead?
According to federal guidance, people with ESRD who have not applied for Medicare are eligible for premium tax credits if their income is between 100% and 400% of the federal poverty limit (FPL). This group can buy a Qualified Health Plan (QHP) Covered CA, instead of enrolling in Medicare. This federal guidance does not address the issue of someone with ESRD whose income is above 400% of the FPL and is ineligible for a premium tax credit and whether they can buy a QHP instead of Medicare. It also does not address the issue of whether a person in this situation whose income is between 100% and 250% of the FPL is eligible for any cost-sharing subsidy.
If you are considering a QHP instead of Medicare you should carefully compare all the costs and benefits associated with both a QHP and Medicare before making your decision. Please read the answer to #5 and 6. You should also know that if you do not enroll in Medicare Part A before you have a transplant, you will not be eligible for Medicare’s immunosuppressive medication benefit under Part B, even if you decide to enroll in Medicare later. In addition, you might be charged a late enrollment penalty and have a delay before benefits begin if you apply for Medicare in the future. For more help with this difficult decision, contact your local HICAP for assistance or ask your question in the FAQs / Ask Us a Question below. You don’t have to put in your name. Copied from ca health advocates.org/
You cannot buy additional coverage through Covered California if you have premium-free Part A. Policies sold through Covered California are intended to be primary coverage. Medicare is your primary coverage, and it is illegal for anyone to sell you coverage that duplicates your Medicare benefits.
NOTE: This information also applies to people younger than 65 whose benefits begin the first month they receive disability benefits because they have Amyotrophic Lateral Sclerosis (ALS), better known as Lou Gehrig’s Disease, and to people younger than 65 who have Medicare because of a disability and are receiving Social Security Disability Insurance.
Obamacare PROHIBITS discrimination or different rates based on health! ‘‘§2701 Page 37 HR 3590 FAIR HEALTH INSURANCE PREMIUMS.
Medicare Publication # 11694 Medicare & Covered CA
Scan Foundation Summary on Chronic Care Act
home-delivered meals, transportation for nonmedical needs, pest control, indoor air quality equipment (e.g., air conditioner for someone with asthma), and minor home modifications (e.g., permanent ramps, widening of hallways or doorways to accommodate wheelchairs). Listening
telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. Learn More Health IT.gov * Telehealth * Modern Health Care *
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