Medicare is a national health insurance program currently serving around 44 million Americans. While it is commonly associated with people aged 65 and older, individuals under 65 who have a qualifying disability or chronic condition and receive Social Security Disability Insurance (SSDI) are also eligible. If you are approved for SSDI, you typically qualify for Medicare after a 24-month waiting period from the date of your first benefit check.
How to Enroll in Medicare?
For individuals with disabilities, the first step toward Medicare coverage is applying for Social Security Disability benefits. The Social Security Administration (SSA) has strict criteria, generally requiring that your condition significantly limits your ability to work and is expected to last at least one year or result in death.
Once approved for SSDI, you are automatically enrolled in Medicare after a 24-month waiting period. On the 25th month of receiving benefits, you’ll be enrolled in Original Medicare, which includes:
- Part A – Hospital insurance
- Part B – Medical insurance
To further navigate these steps and access disability-related resources, platforms like Path-Now can be incredibly helpful. Path-Now is a dedicated resource hub designed to connect individuals with disabilities in California to services that fit their personal needs, including guidance on enrolling in Medicare and managing benefits.
The Benefits of Medicare in California
Medicare offers substantial support to Californians with intellectual and developmental disabilities. Under Part A and Part B, individuals gain access to hospital services, medical equipment, outpatient care, and preventive services.
Additionally, beneficiaries may opt to enroll in:
- Part C (Medicare Advantage) – Includes additional services like vision, dental, and wellness programs. Special Needs Plans (SNPs) under Part C are specifically tailored to those with chronic or disabling conditions.
- Part D – Prescription drug coverage to help reduce the cost of necessary medications.
The right Medicare plan ensures you receive accessible, quality care and services designed to meet your unique needs. Whether it’s finding the right healthcare provider, therapy service, or assistive device, Path-Now can connect you to personalized resources to help you live more independently and comfortably.
Medi-Cal
n California, Medi-Cal is the state’s Medicaid program offering additional support for low-income individuals, including people with disabilities. If you qualify for both Medicare and Medi-Cal (known as dual eligibility), Medi-Cal helps cover your Medicare premiums, deductibles, and services that Medicare doesn’t cover, such as long-term care and transportation.
Medi-Cal covers:
- Physician and specialist visits
- Hospital stays
- X-rays and lab tests
- Nursing home care
- Ambulance services (when providers accept Medi-Cal)
For many, navigating both Medicare and Medi-Cal can be overwhelming. That’s where Path-Now steps in — it simplifies the process of finding and accessing dual eligibility support, community services, and local programs that cater to your situation.
Discover Support with Path-Now
People with disabilities living in California are entitled to a range of benefits under Medicare and Medi-Cal. But finding the right services — from medical care to therapy, employment support, transportation, and recreational programs — can be complex.
That’s why Path-Now exists: to provide a one-stop platform where individuals with disabilities, families, and caregivers can explore tailored resources in their area. Whether you’re looking for help enrolling in Medicare, understanding your benefits, or seeking local support programs, Path-Now is here to guide you every step of the way.
