Centers for Medicare & Medicaid Services Announce Eligibility and Enrollment for Same-Sex Spouses

April 9, 2014

Just this past week, the Centers for Medicare & Medicaid Services (CMS) took the latest step in implementing the Supreme Court’s decision overturning the Defense of Marriage Act (DOMA) with its announcement that same-sex spouses will be recognized in administering several aspects of the Medicare program, regardless of where the couple lives.

Now that Medicare is no longer prevented by DOMA from recognizing same-sex marriages for determining entitlement to, or eligibility for, Medicare, CMS is working with the Social Security Administration to conduct eligibility determinations and to enroll seniors and individuals with certain disabilities in the program.

According to analysis from the Center for American Progress:

"Eligibility for Medicare Part A and Part B coverage is particularly important for these families, who are disproportionately likely to be uninsured. Medicare Part A coverage is often available without paying a monthly premium, making it important for the many lesbian, gay, and bisexual people who struggle to afford coverage."

Along with processing Medicare enrollment, Social Security will also process requests for people who previously applied for a Special Enrollment Period but were denied because of DOMA as well as requests for reductions in late-enrollment penalties for many same-sex spouses.

This announcement from CMS is a critical step toward ensuring equitable and affordable access to healthcare and Social Security for married same-sex couples and their families. Click here to learn more about the CMS Medicare announcement.

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