Medicare is the federal insurance available to seniors age 65 and over as well as individuals with certain disabilities. If you qualify for Social Security, you are probably eligible for Medicare. You can find several resources in San Jose and throughout Santa Clara County.
Medicare consists of four parts: A, B, C, and D.
Part A covers your medically necessary hospitalization, skilled nursing care, home health care, and hospice care.
Part B covers your medical insurance so that you can access preventative care, go to physician appointments, use durable medical equipment, and receive services like x-rays and laboratory testing at your physician’s office. There is a monthly premium.
Part C allows private third-party insurances to provide you with care and services, including HMOs and PPOs.
Part D is an outpatient prescription drug coverage that charges a monthly premium.
In 2014, there were 5.11 million Medicare beneficiaries in the State of California.
In California, the total Medicare spending in 2014 was $28.6 billion.
Santa Clara County is home to 220,836 Medicare beneficiaries.
The total Medicare spending in the county is $1.26 billion.
The average age for a Medicare beneficiary in Santa Clara County is 73.
39 percent of Medicare spending in the county pays for inpatient care.
Skilled nursing accounts for 11 percent of the county’s Medicare spending.
Home health care accounts for 4 percent of Santa Clara County’s Medicare spending.
There are 10 Medicare regional hubs in the United States with the closest one located in San Francisco. You may not be aware, but you can enroll in Medicare at your local Social Security Administration (SSA) office. The SSA is available to answer your questions, assist you with forms, and replace lost or damaged cards. You can call the toll-free phone number at 1-800-772-1213 to learn more and find additional offices in Santa Clara County.
San Jose Social Security Office 280 S. First Street, Room 244 2nd Floor San Jose, CA 95113
San Jose Social Security Office 6140 Cottle Road San Jose, CA 95123 Office Hours for both locations Monday – Friday 9AM to 4PM (Wednesdays until 12PM)
You can create an online account at MyMedicare.gov to find general information, enroll in the program, and manage claims. The toll-free phone number 1-800-MEDICARE can also lend assistance.
You should use a Medicare provider to avoid any unnecessary fees. Medicare.gov launched the Physician Compare search engine tool to help seniors locate providers that accept Medicare. Just simply enter the city or zip code and the tool gives the search results of within a few miles of your desired location. You can expand your search to include Santa Clara County or all of California.
The tool displays the contact information for 73 family practice health care providers and 19 geriatric care providers in San Jose.
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