Owen Clinic
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Medicare

Medicare is a federal government health care program designed exclusively for people age 65 or older, some people under 65 and people with permanently kidney failure. HIV positive people declared permanently disable may be eligible for this health care program under the HIV/AIDS Policy.

Table of Contents

Medicare Eligibility Pathways for People with HIV/AIDS

Eligibility Category Eligibility Criteria
Individuals age 65 and older Sufficient number of work credits to qualify for Social Security payments
Individuals under age 65 with permanent disability Sufficient number of work credits to qualify for SSDI payments due to disability; eligible for Medicare after receiving SSDI payments for 24 months
Individuals with End-Stage Renal Disease (ESRD) or Lou Gehrig’s disease of any age Sufficient number of work credits to qualify for SSDI; eligible for Medicare as soon as they start receiving SSDI payments (no waiting period)

Medicare divides its benefits into parts: Part A, Part B, Part C and Part D. You can be eligible for Part A only, Part B only or both.

Service Type/Part Description
Part A Institutional Services
Home Health Services
Home Intravenous Drugs
Hospices Care
Inpatient Hospital Care
Respite Care
Nursing Facility Care
Part B Professional Services
Physician and practitioner services
Blood Supplies
Home Health Services
Immunosuppressive drugs
Inpatient/Outpatient medical services and supplies
Outpatient hospital treatment
Part C Advantage Plan
Patient may choose to join a Medicare Advantage Plan such as MSA; PFFS; SNP; HMO; or PPO
Part D Prescription Drugs
Barbiturates, benzodiazepines, coughs and colds (symptomatic relief) and non-prescription drugs (insulin, syringes and smoking cessation products).
ADAP can help cover some of the Medicare co-pay for prescription drugs.

Where to apply

You can apply for Medicare in any of the following ways:

Local Department of Socials Services
Offices and Phone

Social Security Office

8505 Aero Dr.
San Diego, CA 92123
Phone: 1-800-772-1213
TTY 1-800-3250778
Office Hours: M - F: 9 a.m. - 3:30 p.m.

1333 Front St.
San Diego, CA 92101
Phone 1-800-772-1213
TTY : 1-800-325-0778
Office Hours : M - F: 9 a.m. - 3:30 p.m.

Apply online for Medicare

www.socialsecurity.gov/medicareonly/

How can I be better informed?

To get better informed of what Medicare plan you're eligible for and which one to choose:

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