When
you are covered by Long-Term Disability and are eligible
for Medicare coverage, your University medical insurance
plan becomes the secondary (or complementary) payer. This
means that Medicare pays first on most of your medical insurance
claims and your UM medical insurance plan pays second.
This ensures you the same level of coverage you had before
you became eligible for Medicare.
If
you live outside the U.S., Medicare does not apply.
Your
UM medical plans are designed to work with Medicare benefits,
and it is important that you and your dependents enroll
in Medicare when you first become eligible.
Medicare
Plans
Medicare is a federal
medical insurance program which is generally available to
persons age 65 or older. It might also be available before
age 65 for certain disabled individuals, or persons with
end-stage renal disease (chronic kidney failure).
Original
Medicare Plan is the traditional pay-per-visit arrangement.
You can go to any doctor, hospital or other medical care
provider who accepts Medicare. You must pay the deductible,
then Medicare pays its share and you pay your share. The
Original Medicare Plan has two parts: Part A - Hospital
Insurance, and Part B - Medical Insurance. If you enroll
in Health
Alliance Plan you keep your original Medicare coverage.
Important
Information About Medicare for You and Your Dependents
To ensure that you receive the highest level of benefits
from your UM medical plan, you and your dependents must
sign up for Medicare Parts A and B when you first become
eligible. If you do not sign up for Medicare, your UM plan
will not pay for anything which Medicare would have paid.
To avoid gaps in your coverage, it is best to enroll for
Medicare benefits as soon as you or your dependents qualify.
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