Medicare Coverage and ALS
If you have been diagnosed as having Amyotrophic Lateral Sclerosis (ALS) you will be automatically enrolled in Original Medicare, the month your Social Security disability benefits begin. Its best to apply for Medicare benefits as soon as you have been diagnosed, since a waiting period may need to be satisfied first.
You still have the right to make Medicare coverage choices, such as adding Medicare Part D prescription drug coverage or choosing a Medicare Advantage plan.
Medicare Coverage and ESRD
You may get Medicare benefits at any age if you have ESRD and one of the following applies :
- You are eligible for Medicare based on your work record.
- You are already getting Social Security or Railroad Retirement Board benefits, or you are eligible for benefits.
- Your spouse or parent meets one of the above requirements.
Medicare coverage starts the fourth month you receive dialysis treatments.
Medicare coverage could start the first month you receive treatments if all of these apply:
- You attend a home dialysis training program provided by a Medicare-certified training facility.
- Your doctor expects you to complete the training and be able to do your own dialysis treatments.
- You maintain regular dialysis treatments throughout the usual required waiting period.
You must enroll in Original Medicare Parts A and B yourself. Once you have both Part A and Part B, you may make other Medicare coverage choices, such as adding Medicare Part D prescription drug coverage or choosing a Medicare Advantage plan.
If you are 65 or older, or disabled, and are already enrolled in Part A, you may enroll in Part B without penalty if you are approved for Medicare based on ESRD. You may also have an existing Part B late enrollment penalty removed.