Social Security Flashcards

1
Q

Amount needed for 1 quarter of coverage in 2023

A

1 Quarter = $1,640

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2
Q

Who is eligible to receive SS benefits

A

-disabled insured worker under age 65
-retired insured worker age 62 or older.
-spouse of a retired or disabled worker who is at least 62 OR is caring for a child under age 16 or disabled child
- Divorced spouse of retired or disabled worker, if ex spouse is age 62 and married to worker for 10 years or more and didn’t remarry by age 60

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3
Q

Temporary Reduce benefit - early retirement above threshold

A

Threshold - $21,240

Benefit reduced by $1 for every $2 of benefit

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4
Q

Temporary Reduce benefit - FRA above threshold

A

Threshold - $56,250

Year in which you reach age of retirement benefit is reduced by $1 for every $3

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5
Q

Permanently reduced benefit - Early retirement

A

First 3 years - Reduced by 5/9 * # of months of early retirement up to 3 years

Any amount of time over 3 years - Reduced by 5/12 * # of months of early retirement above 3 years

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6
Q

Taxation of benefits - single hurdles

A

*Between $25k & $34k - benefits 50% of benefits taxed.
* Above $34k - 85% of benefits can be taxed

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7
Q

Taxation of benefits - MFJ hurdles

A

*Between $32k & $44k - benefits 50% of benefits taxed.
* Above $44k - 85% of benefits can be taxed

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8
Q

Definition of Disability

A
  • physical/mental impairment for 5 months that is expected to prevent the worker from performing substantial work for at least one year or result in death
  • Benefits start in 6th month following the 5th month waiting period of impairment
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9
Q

Eligibility for SS disability

A
  • Age 31 & older: Fully insured (has 40 quarters) and earned 20 quarters of the last 40 quarters
  • Age 24-30: Worker earned 1/2 quarter available since age 21
  • Age 21-24: Earned 6 quarters in the last 12 quarters
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10
Q

Survivorship eligibility

A
  • worker fully insured or currently insured
  • Child under age 18 (19 if still in HS)
  • Child disabled before age 22
  • Spouse with child under the age of 16
  • Fully insured, benefit starts at age 60
  • One time lump sum of $255 to beneficiary
  • Currently insured = NO coverage for spouse
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11
Q

Medicare Age

A

65 or older

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11
Q

Medicare Benefits

A
  • Spouses can qualify at age 65 on the other spouses record

-Auto enrolled if receiving retirement benefits, or at any age if receiving SS disability for 2 years

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11
Q

Medicare Part A - When does the Benefit Period start and end

A

begins on the first day the insured is in the hospital and ends after 60 days of no further skilled care.

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11
Q

Medicare Part A

A

Hospital Insurance

  • Places include inpatient hospital care and home health care.
  • Semi-private room, meals, operating and recovery room, lab tests, x-rays.
  • Hospice Coverage.
  • Skilled nursing care facility following a covered hospital stay
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12
Q

Benefit Period Amount paid by the insured

A

The deductible is $1,600 per benefit period.
* The first 60 days is just the deductible.

  • Beyond the 60th day, coinsurance amounts:
  • $400 for days 61-90, per day.
  • $800 for days 91-150 for each lifetime reserve day. There are only a total of 60 lifetime reserve days.
  • $200 per day for skilled nursing care days 21-100. The first 20 days following a hospital stay are covered 100%.
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13
Q

Medicare Part B Coverage

A

doctor visits,
lab tests, ambulance,
outpatient therapy,
clinical research,
durable medical equipment
Mental health (inpatient & outpatient)
Getting a second opinon
Home health care

Covers initial preventative visit and annual wellness visit

14
Q

Medicare Part B - What is not covered

A
  • Dental care, dentures.
  • Cosmetic surgery.
  • Hearing aids.
  • Eye exams.
15
Q

Medicare Part B - Enrollment

A

individuals are auto enrolled, unless they opt out

16
Q

Medicare Part B - Premium, deductible, and Coinsurance

A

Premium - $164.90 per month which is deducted from SS. Premiums raise at certain income levels ($94k Single) ($194k MFJ)

Deductible - $226 per year

Coinsurance - 80% after deductible is met. No stop loss

17
Q

Medicare Part C

A

Medicare Advantage (Similar to HMO, PPO, or POS)

Must own part A & part B

Coverage includes vision, dental, and hearing

18
Q

Medicare Part D

A

Prescription drugs

19
Q

Apply for medicare

A

enrolled automatically if youre receiving SS benefit

Must enroll if insured is 65 and not receiving SS