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Medicare in San Francisco

Nearly 15% of people who live in San Francisco county have Medicare. That means almost 124,000 individuals throughout the county participate in the program, and the demographic is overwhelmingly seniors ages 65 and older. If you’re trying to find information on the program or locate Medicare-friendly doctors and service providers in your area, there are resources available both in person in San Francisco and online that can help you get answers to your questions.

Understanding Medicare

At age 65, American seniors become eligible to participate in the federal insurance program, Medicare. In some circumstances, adults under that age also qualify, usually as the results of a diagnosis of a specific medical condition. The program consists of four parts, Parts A, B, C, and D, that together provide comprehensive medical coverage for seniors.

Part A gives seniors insurance in hospital care, approved skilled nursing and home health care, and hospice care situations.

Part B gives seniors insurance for doctor visits, covered rehabilitation and outpatient services, x-rays, lab tests, mental health care, and medical equipment needs.

Part C is an opt-in plan provided by a private insurance company and approved by Medicare that gives you all of the services covered in Parts A and B, and is often called Medicare Advantage. These MA plans will also often supply additional benefits like prescription medication, vision, dental, or buy-back incentives that return a portion of your monthly Medicare costs to you.

Part D gives seniors an optional add-on insurance option for prescription drug coverage.

San Francisco snapshot of Medicare beneficiaries

123,900 people in San Francisco County received Medicare benefits in 2014.

In 2014, in San Francisco County, the average age of a Medicare beneficiary was 72 years old.

According to 2014 statistics, claims on inpatient care in San Francisco County made up 46% of the total amount spent in claims that year.

According to 2014 statistics, claims on home health care in San Francisco County were six percent of the total amount spent in claims that year.

2014 statistics also tell us that skilled nursing care made up nine percent of the total amount of claims in the county for 2014.

Where to go in San Francisco for Medicare assistance

Seniors with questions on benefits, or who want in-person assistance with applying for Medicare benefits, or requesting a replacement for a lost card can visit a local Social Security Administration office. There are two in San Francisco located at:

Address: 1098 Valencia St, San Francisco, CA 94110 Phone:(800) 772-1213

Address: 560 Kearny St, San Francisco, CA 94108 Phone:(800) 772-1213

If you’re trying to determine which is closest to you, visit this website and input your zip code.

A second great resource for Seniors with Medicare questions who are looking for guidance on the plan, determining if a Medicare Advantage plan is right for you, and understanding the benefits is the San Francisco County HICAP office. They are located at:

601 Jackson Street, 2nd Floor San Francisco, CA 94111 Phone: (415) 677-7520

Locating San Fransisco providers who accept Medicare online

The Medicare website is one of the best resources available to San Francisco seniors for finding doctors, nursing homes, or other medical providers like dialysis centers or home health care agencies who accept Medicare patients. The tool allows you to search by a variety of criteria, like zip code, the type of doctor you’re looking and if the provider participates in Medicare assignment.

You’ll find the contact information, hospital privileges, provider location, and more, under each individual listing on the site.

Learn more about Financial Assistance for San Francisco Seniors here:

Medicaid in San Francisco

San Francisco Veterans Benefits

Social Security for San Francisco Seniors

Top San Francisco Senior Discounts

San Francisco Family Caregiver Benefits

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