Sherman R . Ross, LLC and Associates

Medicare Advocates and Insurance Brokers

  • Home
  • Russell
  • Justin
  • Medicare Basics
    • The History of Medicare
    • Medicare 101
    • Enroll in Medicare
    • Medicare Supplements (Medigap Coverage)
    • Medicare Advantage (Part C)
  • Part B
    • The Part B Premium
    • What Is Credible Coverage?
    • Employer Based Coverage
    • TriCare For Life
  • Part D
    • Part D (Prescription Drug Coverage)
    • The Coverage Gap (The Donut Hole)
    • The Part D Late Enrollment Penalty
  • Workshops
  • FAQs
    • Important Links
  • Contact

What Is Credible Coverage?


Part A

Everyone who qualifies receives Part A of Medicare – like it or not. But Hey!, It’s Free, so why not? Right? You still have to enroll in Part A only when you are first eligible, but if you forget, don’t worry, there is NO PENALTY for not enrolling in Part A of Medicare. You just won’t have it if you forget.

Part B

If you have some other types of Health Care currently, you may have Creditable Health Coverage and may not have to enroll in Part B of Medicare. As long as you keep your Creditable Coverage up until the point to where you do enroll in Part B (Like retiring after you are 65) Then there WILL NOT be a penalty assessed for not taking Part B when you were first eligible, as long as you had Creditable Coverage up until the point when your Medicare Benefits are effective. (At age 65 for most folks)

Forms of Creditable Coverage Accepted by Medicare

• Most Employer Based plans in the United States are considered Creditable. If you work for an overseas employer that may not be the case.

• Coverage from a spouse’s Employer Based Coverage. Again, most of the time – yes, BUT find out from your Human Resources Dept. first.

• Retirement Plan or Pension Plan based coverage

• Coverage from a spouse’s Retirement or Pension Coverage

Forms of NON Creditable Coverage

• VA Medical coverage is not creditable according to Medicare (Though, using the VA for Prescription Drug Coverage is a creditable alternative to Part D)

• Reimbursement or Indemnity plans. These plans pay you directly when you need Medical Treatment. They are NOT Creditable (Be careful here, there are a lot of these plans sold as alternative health coverage, they are NOT Creditable Coverage)

• Coverage from an overseas employer. Most of these are NOT Creditable. Be sure to check first!

Most important step here is to always ASK the right people. Human Resources Departments are required to know if the Insurance Coverage is Creditable or not. The LAST place to go for Medicare advice is the Social Security Office. They WILL NOT know if your coverage is Creditable, but they always seem to offer some advice anyway – right or wrong.

Sign up for a Medicare Workshop coming soon in your area
Register for email notification of upcoming workshops
Contact Russell Directly with Medicare Questions

Confused by Medicare?
You are NOT alone.

You’re invited to attend our Turning 65 Workshop for people who need to enroll in Medicare within the next few months. Some of the topics we will address at the workshop include: What do you have to do to enroll in Medicare? What does it cost and when does it begin? There are dozens of Medicare Supplement Plans available. Do you know the single most important thing about them? Knowing this one thing can save you a lot of money!

82% of Seniors Are Confused About Medicare Supplements and Advantage Plans

FORT LAUDERDALE, FL--(Marketwire - May 22, 2013) - Slightly over 10,000 people turn 65 every day. Upon turning 65, most of us receive part A and opt for Part B. Next, the daunting task of choosing between a Medicare Supplemental Insurance plan and a Medicare Advantage plan arrives.


Copyright © 2019 - 2025 · Russell Ross | Privacy Policy |
Proudly Developed & Hosted by Cullen Web Services