Medicare: Preparing for 65


At YWCA Health Access, we believe that access to health care is a right, and that an important component of health care access is having coverage.

Across the country and in Washington state, the number of people 65 and over is growing. The 65+ population in Washington is expected to be 13.9 next year, and is expected to rise to 18.1 by 2030. As our population ages, it becomes more and more important that seniors understand the services available to them and know how to access them. Most people 65 and older have at least one medical health condition – like diabetes or high blood pressure – so it becomes especially important to receive regular health care to stay on top of these chronic conditions.

MyLocalHealthGuide.com recently published information on Medicare and what is important to know as you approach age 65. Below are some key pieces of information about Medicare. Read the full, original article here, and pass on the information to others in your life who may benefit.

Remembering the difference among Medicare plans can be difficult. Here are the different options available.

  • Original Medicare (Parts A and B) is a federal insurance program that offers basic coverage for hospital care and medical expenses and no coverage for prescriptions. Beneficiaries typically must pay a premium for Part B coverage. Many find they need additional coverage for services not covered by Original Medicare.
  • Medicare Supplement plans pay some of the costs that Original Medicare doesn’t cover, including deductibles and coinsurance. Beneficiaries must pay an additional premium.
  • A Medicare Prescription Drug Plan (PDP), or Medicare Part D, provides prescription drug coverage, helps lower prescription drug expenses and protects against higher costs in the future. Beneficiaries must pay an additional premium.
  • Medicare Advantage (Part C) typically provides extra benefits, services and often prescription drug coverage. Beneficiaries may or may not pay an additional premium.

Did you know there are certain times when you can enroll in Medicare plans? To get coverage starting in 2015, seniors must review plan options and enroll during the window October 15-December 7, 2014. But if you are turning 65 before October, you’re able to enroll earlier in the year. There’s a special Initial Enrollment Period when you can enroll: this window includes the three months before your 65th birthday, the month of your birthday, and the three months following.

For more information about Medicare, how to enroll and other considerations, check out these resources:

Can I sign up for health coverage before Open Enrollment starts?


In Washington, Open Enrollment for people to sign up for health insurance in 2015 is scheduled for November 15, 2014 – February 15, 2015. This means that most people in Washington state aren’t able to sign up for health insurance until mid-November, and coverage won’t begin until January 1, 2015.

However, if you are eligible, you are able to enroll in Medicaid at any time. Medicaid is health coverage for individuals and families with low incomes. For example, if your income is $16,105 or less for a household of one person or if the household income for a family of four is $32,913 or less – you are likely eligible for Medicaid. Visit this page to learn more about Medicaid, how to apply, and how to renew coverage.

If you think you might be eligible for Medicaid, visit the Washington HealthPlanFinder page to check your eligibility and to apply. You’ll need your household monthly income, you and all household members’ Social Security numbers, and your immigration information, if that applies to you.

During this time that Open Enrollment is closed, it may still be possible to enroll in health coverage through Washington HealthPlanFinder – if you have a qualifying life event or a complex situation related to applying in the Marketplace. A qualifying life event includes if you’ve recently moved to Washington, if you have had certain changes in your income, if your household size changes – like if you marry, divorce, or have a baby – or if your citizenship status changed.

You may also be able to apply for insurance through the Marketplace due to a complex situation. For a list of qualifying complex situations, click here. Examples include if a serious medical condition kept you from enrolling during Open Enrollment in 2013-2014, if there were a system error related to immigration status when you were trying to enroll online, or if you’re a victim of domestic abuse and weren’t previously allowed to enroll and receive advance payments of the premium tax credit separately from your spouse.

Learn more about Washington state-specific information on special enrollment. And to get help enrolling in health coverage through the Marketplace, learn more about certified in-person assisters and contact an organization with in-person assisters in your area, ready to support you. You’re even welcome to reach out to the YWCA’s Outreach & Enrollment Specialist, Hodo Hussein. She may be enrolling community members at a site near you! Email Hodo at hhussein@ywcaworks.org or call at 206.436.8674.

You have insurance, now what?


Open enrollment through the Washington Health Benefit Exchange has come to a close, and lots of people living in WA have health insurance for the first time.

Enrolling in health coverage was the first step! Now – how do we learn about how to use our health insurance to help us stay healthy?

Public Health – Seattle & King County’s most recent blog post shares tips on how to use your insurance, now that you have it. Read more below!

Get Covered!


December is a super busy month for many of us – spending time with family for the holidays, taking care of some last minute shopping, wrapping things up at work for the end of the year – all to get ready for 2014. Don’t forget that the new insurance plans offered through the Washington Health Exchange start on January 1st, 2014 if you get your enrollment taken care of by mid-December 2013! If you can’t enroll by mid-December, don’t worry. If you enroll in late December, your coverage will begin on February 1st.

Let the YWCA and other organizations in King County help you sign up for health insurance. See us at one of the following enrollment events in Seattle.

YWCA Staff will be at these following events:
Tuesday 12/3 @ 1-5: Downtown Public Library
Friday 12/6 @ 9-1: WorkSource Downtown
Tuesday 12/10 @ 1-5: Downtown Public Library
Thursday 12/19 @ 9-12:30: Mary’s Place (homeless women only)
Friday 12/20 @ 9-1: WorkSource Downtown

December enrollment events at public libraries that other organizations will be attending to help you enroll in coverage: 
Wednesdays (4, 11, 18) @ 2-7pm: Northgate (10548 Fifth Ave NE)
Thursdays (5, 12, 19, 26) @ 2-6pm: Douglas Truth (2300 E. Yesler Way)
Saturdays (7, 14, 21) @ 11-2: Highpoint (3411 SW Raymond St)
Sunday 12/1 @ 1-5: Broadview (12755 Greenwood Ave N)
Wednesday 12/11 @ 11-3: Delridge (5426 Delridge Way SW)
Thursday 12/12 @ 4-8pm: Columbia City  (4721 Rainier Ave S)

You can also access other enrollment events across King County at the Public Health website.

Join us @ an upcoming Health Insurance Enrollment Event!


Have you been thinking about signing up for health insurance through Washington’s Healthplanfinder? Confused by the process? Have questions about your options?

YWCA Health Care Access offers navigation and enrollment support to King County community members and will be attending upcoming enrollment events to offer our assistance. Join the YWCA at one of the events listed below! We’ll be there to answer your questions and help you walk through the enrollment process.

Tuesday 11/5 @ 1-5pm – Downtown Seattle Public Library – 1000 4th Ave., Seattle

Wednesday 11/6 @ 1-5pm – Renton Public Library – 2531 Rainier Ave. S, Renton

Wednesday 11/6 @ 3-7pm – Valley View Library – 17850 Military Rd. S, SeaTac

Saturday 11/9 @ 10-2pm – Wildrose Tavern – 1021 E. Pike St., Seattle (Also at this event will be mammogram screenings – for more information, contact Ingrid Berkhout at 206.461.4493.)

Tuesday 11/12 @ 1-5pm – Downtown Seattle Public Library – 1000 4th Ave., Seattle

Saturday 11/16 @ 10-12pm – First AME Church (in partnership with AARTH) – 1522 14th Ave., Seattle

Tuesday 11/19 @ 1-5pm – Downtown Seattle Public Library – 1000 4th Ave., Seattle

Saturday 11/23 @ 12-4pm – Valley View Library – 17850 Military Rd. S, SeaTac