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Once a person enrolls in Part A, a separate CMS-L564 form is to be completed as you (or the spouse with the group plan) leave large current employer.
- yet another golden nugget from SCG. Thank you.
Lol, because who among us - other than competent HR benefits people - would know this? 1992 wasn't the dark ages, I can believe my large employer at the time would do this. Smaller, less professionally run businesses, not so much. This is a clearly a case of not knowing what you don't know - and an unfair expectation.
Who cautioned mom/dad at the time they refused Part B she needed this form every time employer coverage changed? Yes, we all know we need to file a tax return. Most of us are clueless on the more obscure SS/Medicare regs.
Agreed. It’s not right that SS is demanding the impossible. The OP isn’t the first person to face this. Why are there no alternative ways to prove coverage?
Have you contacted Medicare directly for help with this ?
If not, do call them at 800-633-4227 and if necessary ask to be referred to the Medicare Ombudsman for assistance, Refer them to the SEP application form where only the word "current" is used.
"Have health insurance through your job, your spouse’s job (or a family member’s job if you’re disabled) and lose your group health plan coverage"
Good Luck........BTW, there is an 8 month window to accomplish a SEP application.
Have you contacted Medicare directly for help with this ?
If not, do call them at 800-633-4227 and if necessary ask to be referred to the Medicare Ombudsman for assistance, Refer them to the SEP application form where only the word "current" is used.
"Current employment" simply means that large group retiree plans do not qualify as creditable coverage for the Part B Special Enrollment Period (SEP). You are mis-interpreting current to mean "most recent". In health insurance terminology, it refers to coverage through active employment, not most recent employment.
To qualify for the Part B SEP, a person must prove continuous large group coverage through active employment since Part A enrollment. I 100% agree with calling Medicare if the OP has not already done so because there are other ways of proving active employment coverage besides the official forms.
Agreed. It’s not right that SS is demanding the impossible. The OP isn’t the first person to face this. Why are there no alternative ways to prove coverage?
But I dont understand what is the real purpose or the real thought process behind requiring proof of prior coverage? what does it prove?
"Current employment" simply means that large group retiree plans do not qualify as creditable coverage for the Part B Special Enrollment Period (SEP). You are mis-interpreting current to mean "most recent". In health insurance terminology, it refers to coverage through active employment, not most recent employment.
To qualify for the Part B SEP, a person must prove continuous large group coverage through active employment since Part A enrollment. I 100% agree with calling Medicare if the OP has not already done so because there are other ways of proving active employment coverage besides the official forms.
but stay at home moms dont have active employment only their spouses do. so its not every person has to prove active employment
but stay at home moms dont have active employment only their spouses do. so its not every person has to prove active employment
Coverage under spouse's group health plan is acceptable. Because mom was disabled, she needs to prove she had continuous coverage under hubby's plan from the time she was Medicare eligible.
This link should help clarify - see fifth bullet point under 'when do you use this appication':
Coverage under spouse's group health plan is acceptable. Because mom was disabled, she needs to prove she had continuous coverage under hubby's plan from the time she was Medicare eligible.
This link should help clarify - see fifth bullet point under 'when do you use this appication':
But I dont understand what is the real purpose or the real thought process behind requiring proof of prior coverage? what does it prove?
My understanding is it is a way to make sure you didn’t game the system. I don’t really understand either how they can put such steep penalties against those who can’t really afford it, but that’s the way it is.
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- yet another golden nugget from SCG. Thank you.
