What Age Can You Get Medicare in SC?

Eligibility for Medicare in South Carolina

In South Carolina, as in the rest of the United States, individuals are generally eligible for Medicare when they reach the age of 65. At this age, most people qualify for full Medicare benefits if they have worked and paid Medicare taxes for at least 10 years. Additionally, those younger than 65 may also qualify if they have a qualifying disability or certain health conditions, such as End-Stage Renal Disease or Amyotrophic Lateral Sclerosis (ALS).

6 Things Medicare Does Not Cover

While Medicare offers substantial health coverage, it does not cover all medical expenses. Here are six services or items that are typically not covered:

1. **Long-term Care:** Medicare does not pay for extended long-term care in a nursing home.

2. **Most Dental Care:** Routine dental exams, cleanings, and dentures are generally not covered.

3. **Eye Exams for Prescriptions:** Vision care, including eyeglasses or contact lenses, is typically not included unless following cataract surgery.

4. **Hearing Aids:** These are generally not covered, which can be a significant expense for seniors.

5. **Foot Care:** Routine foot care, such as corns or calluses removal, is not covered unless medically necessary.

6. **Cosmetic Surgery:** Procedures considered cosmetic are not eligible for coverage under Medicare.

Cost of Medicare in South Carolina

The cost of Medicare can vary based on several factors including the specific plans chosen and additional coverage needs. Generally:

- **Part A:** Most people do not pay a premium for Medicare Part A (Hospital Insurance) if they have worked and paid Medicare taxes.

- **Part B:** The standard monthly premium for Part B (Medical Insurance) for most people is set annually and is around $185 in 2025.

- **Part C and D:** Costs for Medicare Advantage (Part C) and Prescription Drug Plans (Part D) vary based on the chosen plans and providers. Additional costs in the form of deductibles, copayments, and coinsurance may also apply.

Understanding the nuances of Medicare is crucial for making informed choices about healthcare coverage. It's recommended to review your specific needs and speak with a Medicare advisor or representative to ensure you get the coverage that best meets your personal health circumstances in South Carolina.