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What benefits can I claim if I am over 65?

3 min read

The National Council on Aging reports that many older adults are eligible for benefits they don't even know exist. Understanding the financial landscape is crucial, so if you are wondering, What benefits can I claim if I am over 65? this guide will help you discover the programs and financial aid available to help secure a comfortable and healthy retirement.

Quick Summary

Individuals over 65 are eligible for major federal programs like Medicare and Social Security, plus potential access to Supplemental Security Income (SSI), housing assistance, prescription drug help, and specific tax benefits, with eligibility often tied to income and resources.

Key Points

  • Medicare at 65: Most people become eligible for Medicare at age 65, which provides federal health insurance for hospital stays, doctor visits, and more.

  • Social Security Timing: Your Social Security retirement benefit is based on your earnings history, but the amount you receive is affected by the age at which you begin claiming it, with delaying past full retirement age increasing payments.

  • Low-Income Support: Seniors with limited income and assets may qualify for Supplemental Security Income (SSI), Medicaid, or Medicare Savings Programs to cover essential living costs and healthcare expenses.

  • Prescription Help: Programs like Medicare's 'Extra Help,' State Pharmaceutical Assistance Programs (SPAPs), and manufacturer-run Patient Assistance Programs (PAPs) can significantly lower prescription drug costs.

  • Housing and Utilities: Affordable housing is available through HUD programs like Section 8 and Section 202, while LIHEAP can assist with heating and cooling costs for low-income seniors.

  • Comprehensive Search: Use resources like the National Council on Aging's BenefitsCheckUp to easily screen for eligibility across multiple state and federal programs at once.

In This Article

Essential Federal Benefit Programs

Turning 65 is a key milestone for eligibility for several cornerstone government programs. While eligibility varies based on your work history and income, most seniors over 65 can and should enroll in the following.

Medicare: Your Health Insurance Foundation

Medicare is the federal health insurance program for people age 65 or older. It has several parts:

  • Medicare Part A (Hospital Insurance): Covers inpatient hospital stays and some other services, often premium-free for those with sufficient work history.
  • Medicare Part B (Medical Insurance): Covers doctors' services and outpatient care; requires a monthly premium.
  • Medicare Part C (Medicare Advantage): Private plans combining Part A and B, often with drug coverage and extra benefits.
  • Medicare Part D (Prescription Drug Coverage): Helps cover drug costs through private plans.
  • Medigap: Private insurance helping pay costs not covered by Original Medicare (Parts A & B).

Social Security Retirement Benefits

You can start Social Security benefits as early as 62, but claiming at 65 is early for many, potentially resulting in a reduced monthly benefit compared to waiting until your full retirement age (FRA). The amount you receive is based on your earnings history and claiming age; delaying past your FRA until age 70 can increase payments.

Supplemental Security Income (SSI)

SSI provides monthly cash for low-income seniors aged 65+ with limited resources, helping with basic needs like food and shelter.

Additional Government and Private Benefits

Many other programs exist to assist seniors with healthcare, housing, and daily living costs.

Medicare Savings Programs (MSPs)

State-run MSPs help low-income Medicare beneficiaries with costs like premiums and deductibles. Types include Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB).

Prescription Drug Assistance

Several options help manage drug costs:

  • Extra Help: Assists eligible individuals with Medicare Part D costs.
  • State Pharmaceutical Assistance Programs (SPAPs): State-specific aid for low-income seniors.
  • Patient Assistance Programs (PAPs): Offered by drug companies for low-income individuals.

Housing and Utility Assistance

  • HUD Programs: Provide rental assistance and affordable senior housing options.
  • LIHEAP: Assists with home energy costs.

Financial and Nutritional Programs

  • SNAP: Provides monthly grocery benefits on an EBT card for low-income seniors.
  • CSFP: Distributes monthly packages of nutritious food.
  • Tax Relief: Seniors may qualify for a higher standard deduction and credits like the Credit for the Elderly.
  • Senior Discounts: Many businesses offer discounts; organizations like AARP also provide deals.

Understanding Eligibility Requirements and Applying

Eligibility depends on your financial situation. Organize documents like proof of identity, income statements, and tax returns.

How to Prepare for Your Application

  1. Gather documentation: Collect necessary personal and financial records.
  2. Estimate eligibility: Use tools like NCOA's BenefitsCheckUp to find eligible programs.
  3. Contact local agencies: Area Agencies on Aging (AAAs) offer application help. Find your local AAA using the Eldercare Locator (https://www.usa.gov/aging).
  4. Enroll in Medicare: If not automatically enrolled via Social Security, sign up during your Initial Enrollment Period around age 65.
  5. Re-evaluate regularly: Periodically check for program changes or new options.

Comparing Major Senior Assistance Programs

Feature Social Security Medicare SSI (Aged 65+) SNAP Extra Help (LIS)
Purpose Retirement Income Health Coverage Cash for Essentials Food Purchasing Part D Cost Savings
Eligibility Work history, age Age 65+ (most) Low income & resources Low income & resources Low income & resources
Primary Admin. SSA CMS SSA State/USDA SSA/CMS
Timing Claim starting at 62 Initial enrollment period at 65 Anytime after age 65 Monthly enrollment Anytime (if eligible)

Conclusion

A range of government and private programs support seniors financially and with healthcare needs. Understanding what benefits you can claim over 65, including Medicare, Social Security, and aid for housing, prescriptions, and nutrition, is vital for a secure retirement. Utilizing these resources and seeking guidance from agencies can help you find the support needed to thrive.

Frequently Asked Questions

Medicare is a federal health insurance program for people 65 or older, regardless of income. Medicaid is a joint federal and state program providing health coverage to low-income individuals and families, which can also include seniors.

Not necessarily. While you may be automatically enrolled in Medicare if you already receive Social Security, you will need to actively enroll in Medicare if you haven't started receiving Social Security. Other benefits require a separate application.

You can apply for Social Security retirement benefits online at the Social Security Administration (SSA) website, by calling their toll-free number, or by visiting a local SSA office. It's recommended to apply several months before you want your benefits to start.

Yes, you can work while receiving Social Security benefits. If you are past your full retirement age, your earnings will not reduce your benefits. If you are younger than your full retirement age, your benefits may be temporarily reduced if you earn over a certain limit.

Yes, seniors over 65 can claim a higher standard deduction on their federal taxes. They may also be eligible for other tax credits, which can be explored with the IRS or a tax professional.

You can find help through your local Area Agency on Aging, by using online tools like BenefitsCheckUp from the National Council on Aging, or by contacting the specific government agency that manages the program you are interested in.

If you have limited income and resources, you can apply for the Medicare Extra Help program, which significantly reduces Part D costs. You can also explore State Pharmaceutical Assistance Programs (SPAPs) or Patient Assistance Programs (PAPs) offered by drug manufacturers.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.