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MEDICARE ANSWERS

How many Social Security credits do I need to qualify for Medicare?

Your Medicare is funded from money American citizens put into their Social Security accounts to be used for Medicare.

To be eligible for Social Security and Medicare benefits, you must accrue at least 40 Social Security credits. When you pay your Social Security taxes and work, you accrue credits. The number of advantages you obtain is independent of the number of credits. Your eligibility for Medicare, retirement or disability benefits, and survivor benefits for your family upon your death are all based on the number of credits you have accrued.

You earn credits by Earning Credits from Social Security

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Social Security utilizes the latest federal tax return provided by the IRS. If you're subject to higher premiums, we employ a sliding scale to compute the adjustments, which are based on your "modified adjusted gross income" (MAGI). Your MAGI consists of your total adjusted gross income and tax-exempt interest income. If you file your taxes jointly as "married, filing jointly" and your MAGI exceeds $206,000, you'll face higher premiums for both your Part B and Medicare prescription drug coverage. If you file your taxes under a different status and your MAGI surpasses $103,000, you'll also encounter higher premiums. Check the chart link of Modified Adjusted Gross Income (MAGI), which outlines the Modified Adjusted Gross Income (MAGI) chart to get an estimate of the premiums you can anticipate paying.

How Social Security Credits are Earned

Social Security Credits earned for 2024 works like this. Your overall income from wages and self-employment for the year determines how much credit you get. It is possible to work for four credits all year or to work for enough credits in a lot less time. Every year, the minimum amount of earnings required to obtain a credit may vary. You will receive one Social Security and Medicare credit in 2024 for every $1,730 in annual covered earnings. To receive the maximum 4 credits for the year, your income must be $6,920. It is possible that you will accrue more credits during your lifetime than what is required in order to qualify for benefits. You need 40 credits to be eligible for retirement and Medicare benefits.

Your Medicare or Medicare Advantage Part C benefit amount is not increased by these additional credits. When you get benefits, your monthly payment is determined by using the average of your earnings throughout the course of your working years rather than the entire number of credits earned.

How many credits do I need for Social Security disability benefits?

You must pass both the duration work test and the recent work test in order to be eligible for disability benefits.

Your age determines how many credits you need to pass the recent work exam. The following are the rules:

  1. Before age 24 - You may qualify if you have 6 credits earned in the 3-year period ending when your disability starts.
  2. Age 24 to 31 " In general, you may qualify if you have credit for working half the time between age 21 and the time your disability began. As an example, if you develop a disability at age 27, you would need 3 years of work (12 credits) out of the past 6 years (between ages 21 and 27).
  3. Age 31 or older - In general, you must have at least 20 credits in the 10-year period immediately before your disability began.

Full Social Security and Medicare Age Chart: Social Security disability benefits Age Chart.

If your income is higher, you'll be required to pay an extra premium for both Medicare Part B and Medicare prescription drug coverage. This additional amount is referred to as the "income-related monthly adjustment amount." Here's an explanation of how it operates:

  • Medicare Part B Premium assists in covering expenses related to doctors' services and outpatient care. It also includes coverage for additional medical services like physical and occupational therapy, as well as certain home health care. Typically, the government covers a significant portion, approximately 75%, of the Part B premium for most beneficiaries, with the remaining 25% covered by the beneficiary.
  • If it's determined that you're a higher-income beneficiary, you'll be required to contribute a larger percentage of the total cost of Part B, which is based on the income you typically report to the Internal Revenue Service (IRS). Your monthly Part B premiums will be set at 35%, 50%, 65%, 80%, or 85% of the total cost, depending on the income information you report to the IRS.
  • Medicare Part D Prescription Drug Coverage assists in covering the costs of your prescription medications. Typically, the government covers a significant portion of the total costs for this coverage, and the beneficiary covers the remaining portion. The specific costs of prescription drug plans can vary based on the plan you choose and whether you receive Extra Help, also known as the subsidy, to assist with your portion of the Medicare prescription drug coverage costs.
  • Some people aren't told that if you don't have creditable prescription drug insurance when you initially enroll in Original Medicare, and fail to enroll in a qualified prescription drug program, you may be subject to a penalty. Here are 3 Ways to Avoid Medicare Part D Late Enrollment Penalties.
  • If you're a higher-income beneficiary with Medicare prescription drug coverage, you'll be required to pay monthly premiums along with an additional amount. This additional amount is determined based on the information you report to the IRS. When you first apply for Original Medicare through your Social Security your account, it will be determined if you fall into the category for higher earning individuals. If you are in the higher income category you may have to pay more per month for Medicare Part B (medical) insurance because of how those premiums are calculated from Initial-Income-Related-Monthly-Adjustment-Amount-Notice, also known as IRMAA
  • Although individual plan premiums may vary, the law specifies using a base premium to calculate this amount. The additional payment you make is linked to the base beneficiary premium, not your specific premium amount. If you fall into the higher-income bracket, this extra amount will be deducted from your monthly Social Security payments, irrespective of your usual method of paying prescription plan premiums. In cases where the deducted amount exceeds your Social Security payment or if you don't receive monthly Social Security payments, you'll receive a separate bill from another federal agency. This agency could be either the Centers for Medicare & Medicaid Services or the Railroad Retirement Board.

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