October 6, 2016
Medicare beneficiaries in West Virginia may have several Medicare coverage options. Find out about Original Medicare, Part A and Part B, and Medicare plan options available from insurance companies in West Virginia.
Original Medicare refers to Medicare Part A (hospital insurance) and Part B (medical insurance). Medicare Part A includes inpatient services in hospitals and skilled nursing facilities, limited home health services in certain situations, and hospice care. Medicare Part B may cover services and items including doctor visits, diabetic supplies, flu shots and other preventive services, and other medically necessary services and items. Some limitations and restrictions apply; for example, your care typically must be delivered by a provider that accepts Medicare assignment.
In West Virginia, as in every state, Medicare has certain eligibility requirements. You must be at least 65 years old or have a qualifying disability, and you must be an American citizen or permanent legal resident of at least five years in a row. Many Americans are automatically enrolled in Medicare when they turn 65 or have been receiving disability benefits for at least two years in a row.
If you don’t qualify for automatic enrollment, you can sign up using the information below.
To avoid late-enrollment penalties, you generally need to sign up during your Initial Enrollment Period (for most people, a seven-month period starting three months before your 65th birthday month, including your birthday month, and ending three months after your birthday).
To apply for Medicare Part A and Part B, you can contact Social Security:
If you get Railroad Retirement Board (RRB) benefits, call the RRB to apply for Medicare. Dial 1-877-772-5772 (TTY users, call 1-312-751-4701) Monday through Friday, from 9AM to 3:30PM.
Original Medicare doesn’t include prescription drug coverage (except for certain medications administered when you’re a hospital inpatient or outpatient in an office setting). Original Medicare may come with certain costs, such as copayments, coinsurance, and deductibles, depending on the service or item you receive.
In West Virginia, just as in all states, you may have a choice of various Medicare insurance options beyond Original Medicare. Here’s a summary of the Medicare plan options; availability can vary depending where in West Virginia you live. All of these types of Medicare insurance are sold by private companies that contract with Medicare.
As a West Virginia resident, you might find these additional resources helpful.
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