What does the letter after my Medicare number mean?
Published on 2011-11-09 14:50:28
Category: General Medicare
We have been getting more questions from people asking what the letters mean in their Medicare claim number. Here is an explaination and chart of the letter meaning provided by the Social Security Administration:
The Social Security number followed by one of these codes is often referred to as a claim number. Social Security assigns these codes once you apply for benefits. These letter codes may appear on correspondence you receive from Social Security or on your Medicare card. They will never appear on a Social Security card.
For example, if the wage earner applying for benefits and your number is 123-45-6789, then your claim number is 123-45-6789A. This number will also be used as your Medicare claim number, once you are eligible for Medicare.
Primary claimant (wage earner)
Aged wife, age 62 or over
Aged husband, age 62 or over
Young wife, with a child in her care
Aged wife, age 62 or over, second claimant
Young wife, with a child in her care, second claimant
Divorced wife, age 62 or over
Young husband, with a child in his care
Child - Includes minor, student or disabled child
Aged Widow, age 60 or over
Aged widower, age 60 or over
Aged widow (2nd claimant)
Aged widower (2nd claimant)
Surviving Divorced Wife, age 60 or over
Surviving Divorced Mother
Surviving Divorced Father
Disabled claimant (wage earner)
Aged wife of disabled claimant, age 62 or over
Uninsured – Premium Health Insurance Benefits (Part A)
Uninsured - Qualified for but refused Health Insurance Benefits (Part A)
Uninsured - Entitled to HIB (Part A) under deemed or renal provisions; or Fully insured who have elected entitlement only to HIB
Medicare Qualified Government Employment (MQGE)
MQGE aged spouse
Disabled Surviving Divorced Wife
NOTE: This list is not complete, but shows the most common beneficiary codes.
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Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
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Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits
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The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll
during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
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Beneficiaries can appoint a representative by submitting CMS Form-1696.