2018 Medicare Plans And Medicare Enrollment Information

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Bariatric (Weight-Loss) Surgery
As the employee, you may continue to contribute to your HSA as long as you are not enrolled in any parts of Medicare. You can then schedule a time to meet with the surgeon to discuss your options and the fees associated with them. Medicare uses tax records from two years prior to calculate your monthly premiums. Depending on which product is ordered, your supplier may not be able to deliver this equipment to you without a written order or certificate of medical necessity from your doctor or healthcare provider. Members may not see a specialist without a referral from their PCP. Note that individuals who wish to remain with their existing plan from one year to the next need do nothing.


Obesity is a disease not a lifestyle

Any part of the gain that is more than the recovery of an amount you previously deducted is taxable as a capital gain. If you receive an amount in settlement of a personal injury suit, part of that award may be for medical expenses that you deducted in an earlier year. If it is, you must include that part in your income in the year you receive it to the extent it reduced your taxable income in the earlier year.

You sued this year for injuries you suffered in an accident last year. You deducted those expenses on last year's tax return. Your settlement didn't itemize or allocate the damages. If you receive an amount in settlement of a damage suit for personal injuries, part of that award may be for future medical expenses.

If it is, you must reduce any future medical expenses for these injuries until the amount you received has been completely used. You were injured in an accident. If you received workers' compensation and you deducted medical expenses related to that injury, you must include the workers' compensation in income up to the amount you deducted.

If you received workers' compensation, but didn't deduct medical expenses related to that injury, don't include the workers' compensation in your income. If you are a person with disabilities, you can take a business deduction for expenses that are necessary for you to be able to work. A physical or mental disability for example, blindness or deafness that functionally limits your being employed, or. A physical or mental impairment for example, a sight or hearing impairment that substantially limits one or more of your major life activities, such as performing manual tasks, walking, speaking, breathing, learning, or working.

Impairment-related expenses are those ordinary and necessary business expenses that are: For goods and services not required or used, other than incidentally, in your personal activities, and. If you are self-employed, deduct the business expenses on the appropriate form Schedule C, C-EZ, E, or F used to report your business income and expenses.

Enter the amount that is unrelated to your impairment on Schedule A Form You must use a reader to do your work. You use the reader both during your regular working hours at your place of work and outside your regular working hours away from your place of work.

The reader's services are only for your work. You can deduct your expenses for the reader as business expenses. If you were self-employed and had a net profit for the year, you may be able to deduct, as an adjustment to income, amounts paid for medical and qualified long-term care insurance on behalf of yourself, your spouse, your dependents, and your children who were under age 27 at the end of The insurance plan must be established under your trade or business and the deduction can't be more than your earned income from that trade or business.

You can't deduct payments for medical insurance for any month in which you were eligible to participate in a health plan subsidized by your employer, your spouse's employer, or an employer of your dependent, or your child under age 27, at the end of You can't deduct payments for a qualified long-term care insurance contract for any month in which you were eligible to participate in a long-term care insurance plan subsidized by your employer or your spouse's employer.

If you qualify to take the deduction, use the Self-Employed Health Insurance Deduction Worksheet in the Instructions for Form to figure the amount you can deduct. But if any of the following applies, don't use that worksheet. If you can't use the worksheet in the Instructions for Form , use the worksheet in Pub. When figuring the amount you can deduct for insurance premiums, don't include amounts paid for health insurance coverage with retirement plan distributions that were tax-free because you are a retired public safety officer.

You take this deduction on Form If the insurance policy covers your nondependent child who was under age 27 at the end of , you can claim the premiums for that coverage on Form Generally, family health insurance premiums don't increase if coverage for an additional child is added.

If this is the situation, no allocation would be necessary. If the premiums did increase such as where coverage was expanded from single to family to add the nondependent child , you can allocate the amount on Form to the nondependent child and any excess amounts not attributable to that child would be eligible to be claimed on Schedule A. Kate is self-employed in and has self-only coverage for health insurance. She changes to family coverage only to add her year-old nondependent child to the plan.

The facts are the same as in Example 1 , except that Kate had family coverage when she added her year-old nondependent child to the policy. The health coverage tax credit HCTC is a tax credit that pays The HCTC acts as partial reimbursement for premiums paid for qualified health insurance coverage.

You must elect the HCTC. Once you make the election to take the HCTC for an eligible coverage month, you can't take the premium tax credit for the same coverage in that coverage month and for all subsequent coverage months during your tax year in which you're eligible to take the HCTC.

If you have qualified health insurance that covers anyone besides yourself and your qualifying family member s , you may not be able to take into account all of your payments. You can't treat an amount as paid for insurance for yourself and qualifying family members unless all of the following requirements are met.

The charge for insurance for yourself and qualifying family members is either separately stated in the contract or furnished to you by the insurance company in a separate statement. The amount you paid for insurance for yourself and qualifying family members isn't more than the charge that is stated in the contract or furnished by the insurance company. The amount stated in the contract or furnished by the insurance company isn't unreasonably large in relation to the total charges under the contract.

Also, see the Instructions for Form If you have questions about a tax issue, need help preparing your tax return, or want to download free publications, forms, or instructions, go to IRS. Find free options to prepare and file your return on IRS. The Tax Counseling for the Elderly TCE program offers free tax help for all taxpayers, particularly those who are 60 years of age and older. TCE volunteers specialize in answering questions about pensions and retirement-related issues unique to seniors.

You can go to IRS. See if you qualify to use brand-name software to prepare and e-file your federal tax return for free. Getting answers to your tax questions. You can print the entire interview and the final response for your records. You can also download and view popular tax publications and instructions including the instructions on mobile devices as an eBook at no charge. Or, you can go to IRS. View the amount you owe, pay online or set up an online payment agreement.

The fastest way to receive a tax refund is to combine direct deposit and IRS e-file. Direct deposit securely and electronically transfers your refund directly into your financial account. Eight in 10 taxpayers use direct deposit to receive their refund. This applies to the entire refund, not just the portion associated with these credits. The quickest way to get a copy of your tax transcript is to go to IRS.

If you prefer, you can: This includes any type of electronic communication, such as text messages and social media channels. Download the official IRS2Go app to your mobile device to check your refund status.

The IRS uses the latest encryption technology to ensure your electronic payments are safe and secure. You can make electronic payments online, by phone, and from a mobile device using the IRS2Go app. Paying electronically is quick, easy, and faster than mailing in a check or money order. Pay your individual tax bill or estimated tax payment directly from your checking or savings account at no cost to you.

Debit or credit card: Choose an approved payment processor to pay online, by phone, and by mobile device. Offered only when filing your federal taxes using tax preparation software or through a tax professional.

Electronic Federal Tax Payment System: Best option for businesses. Check or money order: Mail your payment to the address listed on the notice or instructions. You may be able to pay your taxes with cash at a participating retail store. Apply for an online payment agreement IRS. Once you complete the online process, you will receive immediate notification of whether your agreement has been approved. Please note that it can take up to 3 weeks from the date you mailed your amended return for it to show up in our system and processing it can take up to 16 weeks.

Keep in mind, many questions can be answered on IRS. Before you visit, go to IRS. Taxpayers can find information on IRS. The IRS TACs provide over-the-phone interpreter service in over languages, and the service is available free to taxpayers. Our job is to ensure that every taxpayer is treated fairly and that you know and understand your rights under the Taxpayer Bill of Rights.

And our service is free. If you qualify for our assistance, you will be assigned to one advocate who will work with you throughout the process and will do everything possible to resolve your issue. TAS can help you if:. We have offices in every state, the District of Columbia, and Puerto Rico. You can also call us at Our Tax Toolkit at TaxpayerAdvocate.

These are your rights. TAS works to resolve large-scale problems that affect many taxpayers. If you know of one of these broad issues, please report it to us at IRS. LITCs represent individuals whose income is below a certain level and need to resolve tax problems with the IRS, such as audits, appeals, and tax collection disputes.

In addition, clinics can provide information about taxpayer rights and responsibilities in different languages for individuals who speak English as a second language. Services are offered for free or a small fee.

To find a clinic near you, visit TaxpayerAdvocate. For you and your family. Individuals abroad and more. EINs and other information. Get Your Tax Record. Bank Account Direct Pay. Debit or Credit Card. Payment Plan Installment Agreement. Standard mileage and other information. Instructions for Form Request for Transcript of Tax Return. Employee's Withholding Allowance Certificate. Employer's Quarterly Federal Tax Return. Employers engaged in a trade or business who pay compensation.

Popular For Tax Pros. Apply for Power of Attorney. Apply for an ITIN. Ordering forms and publications. Useful Items - You may want to see: Spouse Dependent Exception for adopted child. Qualifying Child Adopted child. Child of divorced or separated parents. Qualifying Relative Support claimed under a multiple support agreement. Decedent What if the decedent's return had been filed and the medical expenses weren't included?

What Medical Expenses Are Includible? Improvements to property rented by a person with a disability. Retired public safety officers. Health reimbursement arrangement HRA. Payments for future medical care. Maintenance and personal care services. Nursing Home Nursing Services Employment taxes. Transportation expenses you can't include.

Premiums paid by you. Premiums paid by you and your employer. Premiums paid by your employer. More than one policy. Impairment-Related Work Expenses Impairment-related expenses defined. Child under age Getting tax forms and publications. Access your online account Individual taxpayers only. Delayed refund for returns claiming certain credits. Getting a transcript or copy of a return. Using online tools to help prepare your return.

Resolving tax-related identity theft issues. Checking on the status of your refund. Making a tax payment. What if I cant pay now? Checking the status of an amended return. Understanding an IRS notice or letter. Contacting your local IRS office. Getting tax information in other languages. How Can You Reach Us? Publication - Introductory Material. Forms and Instructions U. Publication - Main Content.

The person was a qualifying child defined later or a qualifying relative defined later , and The person was a U. Exception for adopted child. Is your son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, half brother, half sister, or a descendant of any of them for example, your grandchild, niece, or nephew , Was: Under age 19 at the end of and younger than you or your spouse, if filing jointly , Under age 24 at the end of , a full-time student, and younger than you or your spouse, if filing jointly , or Any age and permanently and totally disabled,.

The child is in the custody of one or both parents for more than half the year, The child receives over half of his or her support during the year from his or her parents, and The child's parents: Are divorced or legally separated under a decree of divorce or separate maintenance, Are separated under a written separation agreement, or Live apart at all times during the last 6 months of the year.

Son, daughter, stepchild, or foster child, or a descendant of any of them for example, your grandchild , Brother, sister, half brother, half sister, or a son or daughter of any of them, Father, mother, or an ancestor or sibling of either of them for example, your grandmother, grandfather, aunt, or uncle , Stepbrother, stepsister, stepfather, stepmother, son-in-law, daughter-in-law, father-in-law, mother-in-law, brother-in-law, or sister-in-law, or Any other person other than your spouse who lived with you all year as a member of your household if your relationship didn't violate local law,.

Support claimed under a multiple support agreement. Constructing entrance or exit ramps for your home. Widening doorways at entrances or exits to your home. Widening or otherwise modifying hallways and interior doorways.

Installing railings, support bars, or other modifications to bathrooms. Lowering or modifying kitchen cabinets and equipment. Moving or modifying electrical outlets and fixtures. Modifying fire alarms, smoke detectors, and other warning systems.

Adding handrails or grab bars anywhere whether or not in bathrooms. Modifying hardware on doors. Modifying areas in front of entrance and exit doorways. Grading the ground to provide access to the residence. Use this worksheet to figure the amount, if any, of your medical expenses due to a home improvement. Enter the amount you paid for the home improvement 1. Enter the value of your home immediately after the improvement 2. Enter the value of your home immediately before the improvement 3.

Subtract line 3 from line 2. This is the increase in the value of your home due to the improvement 4. Subtract line 4 from line 1. These are your medical expenses due to the home improvement 5. Medical expenses, or Work-related expenses for purposes of taking a credit for dependent care. Hospitalization, surgical services, X-rays, Prescription drugs and insulin, Dental care, Replacement of lost or damaged contact lenses, and Long-term care subject to additional limitations.

Employer-Sponsored Health Insurance Plan. Payable in equal yearly installments or more often, and Payable for at least 10 years, or until you reach age 65 but not for less than 5 years. Insurance Premiums You Can't Include. Life insurance policies, Policies providing payment for loss of earnings, Policies for loss of life, limb, sight, etc.

The lodging is primarily for and essential to medical care. The lodging isn't lavish or extravagant under the circumstances. Qualified Long-Term Care Services. Required by a chronically ill individual, and Provided pursuant to a plan of care prescribed by a licensed health care practitioner. Be guaranteed renewable, Not provide for a cash surrender value or other money that can be paid, assigned, pledged, or borrowed, Provide that refunds, other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract must be used only to reduce future premiums or increase future benefits, and Generally not pay or reimburse expenses incurred for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses.

Qualified long-term care premiums up to the following amounts. Imported medicines and drugs. Teaching Braille to a visually impaired person, Teaching lip reading to a hearing disabled person, or Giving remedial language training to correct a condition caused by a birth defect. Bus, taxi, train, or plane fares or ambulance service, Transportation expenses of a parent who must go with a child who needs medical care, Transportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is traveling to get medical care and is unable to travel alone, and Transportation expenses for regular visits to see a mentally ill dependent, if these visits are recommended as a part of treatment.

Travel that is merely for the general improvement of one's health. The food doesn't satisfy normal nutritional needs, The food alleviates or treats an illness, and The need for the food is substantiated by a physician. Start This is the starting of the flowchart. Decision 1 Was any part of your premiums paid by your employer? Continue To End Decision 3 Did you pay any part of the premiums?

See Premiums paid by you and your employer. Continue To End End This is the ending of the flowchart. Use this worksheet to figure the amount of excess reimbursement you must include in income when both you and your employer contributed to your medical insurance and your employer's contributions aren't included in your gross income.

Enter the amount contributed to your medical insurance for the year by your employer 1. Enter the total annual cost of the policy 2. Divide line 1 by line 2 3. Enter the amount of excess reimbursement 4. Multiply line 3 by line 4. This is the amount of the excess reimburse- ment you must include as other income on Form 5.

Use this worksheet to figure the amount of excess reimbursement you must include as income on your tax return when a you are reimbursed under two or more health insurance policies, b at least one of which is paid for by both you and your employer, and c your employer's contributions aren't included in your gross income. If you and your employer didn't share in the cost of at least one policy, don't use this worksheet.

Enter the reimbursement from your employer's policy 1. Enter the reimbursement from your own policy 2. Add lines 1 and 2 3. Divide line 1 by line 3 4. Enter the total medical expenses you paid during the year. If this amount is at least as much as the amount on line 3, stop here because there is no excess reimbursement 5. Multiply line 4 by line 5 6.

Subtract line 6 from line 1 7. Enter employer's contribution to the annual cost of the employer's policy 8. Enter total annual cost of the employer's policy 9. Divide line 8 by line 9. This is the percentage of your total excess reimbursement you must report as other income Multiply line 7 by line This is the amount of your total excess reimbursement you must report as other income on Form Use this worksheet if you deducted the cost of medical equipment or property in one year and sold the equipment or property in a later year.

This worksheet will give you the adjusted basis of the equipment or property you sold. Enter the cost of the equipment or property 1. Enter your total includible medical expenses for the year you included the cost in your medical expenses 2. If your allowable itemized deductions for the year you purchased the equipment or property weren't more than your AGI for that year, stop here. This is the adjusted basis of the equipment or property. If your allowable itemized deductions for the year you purchased the equipment or property were more than your AGI for that year, complete lines 6 through 11 5.

Subtract line 5 from line 1 6. Enter your total allowable itemized deductions for the year the cost was included in your medical expenses 7. Divide line 6 by line 7 8. Enter your AGI for the year the cost was included in your medical expenses 9.

Subtract line 9 from line 7 Multiply line 8 by line 10 Add line 5 to line If your allowable itemized deductions for the year you purchased the equipment or property were more than your AGI for that year, this is the adjusted basis of the equipment or property Use the following worksheet to figure total gain or loss on the sale of medical equipment or property that you deducted in an earlier year.

Enter the amount that the medical equipment or property sold for 1. Enter your selling expenses 2. Subtract line 2 from line 1 3. Enter the adjusted basis of the equipment or property from Worksheet D, line 5, or line 12, if applicable 4. Subtract line 4 from line 3.

This is the total gain or loss from the sale of the medical equipment or property 5. A physical or mental disability for example, blindness or deafness that functionally limits your being employed, or A physical or mental impairment for example, a sight or hearing impairment that substantially limits one or more of your major life activities, such as performing manual tasks, walking, speaking, breathing, learning, or working.

Necessary for you to do your work satisfactorily, For goods and services not required or used, other than incidentally, in your personal activities, and Not specifically covered under other income tax laws. You had more than one source of income subject to self-employment tax. You are using amounts paid for qualified long-term care insurance to figure the deduction.

For more information, see Pub. Preparing and filing your tax return. You may also be able to access tax law information in your electronic filing software.

Access your tax records online. Review the past 18 months of your payment history. Every Medicare Part C plan varies in cost and coverage, based on the insurance company. MSA is explained in further detail below. Medicare Part D is used to cover prescription drug needs and is associated with a private health insurance company.

A participant can also get prescription drug coverage through their Medicare Part C plan. The purpose of Part D is to subsidize the costs of generic and name brand prescription drugs. The fact that certain drugs are discounted more than others also benefits the participant. They are then able to shop around and compare the prices of name brand and generic medications, based on what best fits their financial constraints.

A newly qualified Medicare participant must also sign up for their prescription drug coverage when they first become eligible. Their failure to do so will mean that the participant must pay a tax on top of their normal premiums when they do sign up outside of the enrollment period. A person who wishes to switch their Medicare Part D plan to a different insurance company can do so from January 1 to February Otherwise, Medicare requires the participant to sign up for a drug prescription plan either through Part D or Part C.

This enrollment period starts within three months before and after turning 65 years old or three months before and after the 25th month of receiving Social Security or RRB disability benefits. Technically, the term of enrollment lasts seven full months and commences three months prior to the month that the Medicare enrollment necessity event is triggered. The month that the Medicare enrollment is triggered is month four; the three months subsequent to month four equate to seven months.

A participant does not fall into the donut hole until they have reached a certain threshold. Generally, the deductible amount, if there is one at all, varies per drug plan. In , Part D recipients will pay 44 percent of the cost for generic drugs. Under Obamacare, the amount that the Part D plan will pay will increase each year.

And, the amount that the participant is responsible to pay will decrease until the year , when the participant will only be responsible for 25 percent of the costs of generic medications.

In , Part D will pay for 65 percent of the cost of a brand name drug and the Part D recipient will pay for the remaining 35 percent. Although Plan D will cover a larger percentage of a brand name drug, the overall cost of these drugs is much higher than generics.

As such, it may not be financially feasible for many people. The catastrophic coverage will pick up a larger majority of the cost of prescription drugs and will only pass a small coinsurance or copayment amount to the participant.

If you or your spouse worked for 10 years and paid Medicare taxes along the way, then you most likely have the required work credits needed 40 to receive premium-free Part A.

Enrollees are also eligible for premium-free Part A if they receive Social Security or Railroad Retirement Board disability benefits or have an end-stage renal disease.

Premium rates for have not yet been released. This happened in and , so most enrollees pay a lower amount. The deductible is the same for everyone. Rates for have not yet been released. In , IRMAA surcharges will be based on a new income tier system that will effectively reclassify some enrollees into higher income brackets, forcing them to pay more than they might have in previous years.

Surcharge amounts have not been announced for , but the income tiers based on annual earnings are as follows:. Medicare calculates income based on tax returns from two years prior.

For determinations, the government will use your tax return. As stated previously, the cost of a Part C plan will vary, depending on the company and type of plan chosen.

The monthly premium for Medicare Part D also varies depending on plan and income level. As with Part B, income determinations are made using tax returns from two years prior, and the same income tiers that Part B has are used to determine additional charges for prescription drug coverage. If you do not enroll in Part D coverage when you first become eligible for Medicare, you will have to pay a penalty for the same number of months that you went without Part D coverage.

The monthly premiums for the different Medicare plans are generally seen as affordable to participants. However, what can be unaffordable and financially taxing is the deductibles and copayments.

For this reason, many participants opt to take on Medigap insurance, in addition to their traditional Medicare plans. The cost of the Medigap policy varies, depending on the insurance company and the type of coverage offered. Medigap policies are offered by private insurance companies and will cover things that Parts A and B do not cover. They also help deflect some of the costs of coinsurance, copays and deductibles incurred from Parts A and B.

Medigap insurance will typically cover claims accrued outside of the United States as well. It is against the law for an insurance company to write a Medigap policy if the participant also has an MSA. Some Medicare Part C plans offer high deductibles and will not begin full coverage of claims until the deductible is satisfied. In these instances, many participants also choose to take on a Medicare Medical Savings Account. An MSA is a special type of savings account designed to help pay high annual deductibles.

The plan then deposits some money into the account. The participant is also encouraged to deposit money in the account as available.

Money in the account is safe and secure and is also not taxed upon withdrawal, so long as the money is used to cover healthcare-related expenses, such as deductibles or copays.

Participants are required to submit a special form with their annual tax return that explains how the money was used in order to avoid taxation. At the end of the year, any money left over in the MSA will either roll over to the next year, or it can be withdrawn. If withdrawn and not used for healthcare-related purposes, the money will be taxed as income.

Generally, neither dental nor eye care is covered under Medicare Part A or B. However, these benefits can be covered if there is some special type of care received during a hospital stay, in which case, it would fall under Part A coverage.

Some Medicare Part C plans may cover dental and eye care. If so, you can use money from a Medicare Medical Savings Account to cover the costs of dental and eye care. Otherwise, you may have to pay for a private dental or eye care insurance policy in order to get these types of services covered. In some instances, you may choose to have insurance through both Medicare and a private insurance company to maximize your coverage.

When that happens, there are specific rules to determine which policy will pay a claim first. Then, they will send the remaining amount on the bill to the secondary payer, the Medicare policy. Under the leadership of President Lyndon B. Johnson, Congress passed Medicare in Medicare was part of the Social Security Act.

It was designed to benefit and promote the health and wellness of citizens who were over the age of 65, without consideration of their income level and medical history. Prior to the creation of Medicare, senior citizens faced exorbitant medical bills and high health insurance premiums, often with little recourse in addressing these costs. The concept of Medicare has remained the same for almost 50 years. However, the quality of coverage has increased over the years as amendments have been passed requiring Medicare to cover more for participants.

For instance, hospice care only became a requirement in , and the eligibility requirements were expanded in to allow persons younger than 65 who had certain disabilities and medical conditions to obtain Medicare coverage. Medicare Part A is funded in large part by the payroll tax levied on employers and employees the Medicare Tax. Part B and Part D costs are partially funded by the premiums paid by participants. The portion of the federal budget allocated to Medicare spending is growing each year as more BabyBoomers become eligible to enroll in Medicare.

Updated April 17th, Most Common Misconceptions About Medicare For Signing up for health insurance is tough enough without realizing too late that you missed an important step. January 1 to February January 1 to March This is the general enrollment period for Medicare. April 1 to June During this period, you can add a Part D prescription drug plan if you signed up for Medicare Part B during the general enrollment window. You can also use this period to sign up for Medicare Advantage if you have Part A already and used the general enrollment period to enroll in Part B.

October 15 to December 7: This is the open enrollment period, which differs from general enrollment. There are four reasons you might get automatically enrolled into Medicare: Most people do not pay a monthly premium for Medicare Part A hospital insurance. This is because work-based taxes pay for this portion of Medicare.

Medicare Part B requires a monthly premium from everyone, but the amount varies based on your income level and when you sign up.

Above that threshold, Medicare charges more per month for Part B. Links to various non-Aetna sites are provided for your convenience only. Medicare Health insurance Dental coverage Vision coverage Medicaid. Medicare Plans through an employer Medicaid Student health plans International plans. All health resources Living healthy Understanding health care Managing health.

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