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How Chronic Disease Impacts Overall Wellness

There are times in life when things don’t quite go accordingly to plan, and sometimes these instances can influence our health for better or worse. Chronic disease is a concept that has been around for ages, but it is taking on more meaning as we learn more about what it is and how it impacts people. In this article, we will explore chronic disease in general and the ways that it might influence your overall wellness.


What is Chronic Disease?

Chronic disease is any kind of disease that is around for the long haul. These diseases can last a few months—or a lifetime. Presented in many different forms, chronic disease can impact our health immediately, and have long-lasting impacts as well. Since chronic disease is an active part of an individual’s life for a long amount of time, the impacts on overall health and wellness can be significant.


How Chronic Disease Influences Wellness

Anyone that has ever been diagnosed with a chronic disease will tell you that it changes the way that you live. Some of these diseases are present at birth, but chronic diseases can also show up later in life. Regardless of their duration, they can influence your wellness in some substantial ways.


Mental and Emotional Fatigue

Chronic disease is known to come with its fair share of mental and emotional fatigue. It can place limitations on the way that you live, forcing you to miss out on big events or even just causing you to wear down with time. Having a chronic disease can be a heavy weight on your life, particularly if it is left unmanaged. Many people struggle to balance chronic disease with maintaining their own mental health.


Physical Fatigue

With any chronic disease, there is generally a degree of physical fatigue. It might be the sapping exhaustion of living with chronic pain, or the drain on your body’s power and resources as your body responds to the disease. For some people, this fatigue can get worse at certain stages of the disease cycle, or it can just get worse with time.


Medication Stresses

Medication can have a big impact on your wellness, and most people with chronic diseases take one or several kinds of medication. It is common for medication to have side effects, and this can put added stress on your body and mind. These stressors can be frustrating, and sometimes they bring worse pain or discomfort.


The Takeaway

Everyone responds to chronic disease differently, and the disease that you have will come with its own hardships. It is clear why disease would impact us, but sometimes it is important to consider how they can impact us as well. To find comfort while living with chronic disease, we must address just how much it really affects us and find the support that we need to keep pushing through.

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Does My Medicare Plan Provide Coverage for My Spouse?

Does My Medicare Plan Provide Coverage for My Spouse?

When people say “my Medicare Plan” it is often hard to tell if they mean Original Medicare, a Medicare Advantage Plan, or a Medigap plan. In what follows, we are referred to Part A, hospital insurance, only.

Who Gets Covered on Whose Plan?

The answer to “does my Medicare cover my spouse” is always “no” because Medicare was designed from the very beginning as coverage for each individual, not couples. The real question is, “can my spouse be covered based on my Social Security earning record?”, and the answer there, as with so much else in Medicare, is “it depends.”

The Role of Work

To be eligible for Social Security, and therefore for Medicare, one normally must have worked in covered employment for 40 quarters, or ten years. The variations come in when one spouse meets the 40-quarter requirement and the other doesn’t.

If one spouse meets the 40-quarter requirement and the other doesn’t, the nonworking spouse is covered based on the earnings record of the working spouse when both turn 65. No premium is charged. Part A is free. 

If the working spouse is at least 62 and the non-working spouse is over 65, the non-working spouse is eligible for Medicare as soon as the working spouse turns 62. No premium is charged. If the working spouse is younger than 62, the spouse over 65 can get Medicare Part A by paying a premium until the working spouse attains 62. The premium for Part A is $471 per month in 2021 if you spouse worked less than 30 quarters and $259 if your spouse worked between 20 and 39 quarters. 

The Effects of Divorce and Marriage

A divorced spouse may be eligible for Medicare at 65 based on a spouse’s earnings record if they were married to the former spouse for at least ten years. To qualify based on your spouse’s earnings record, you must have been married at least a year.

If you’re widowed or a widower and were married for at least nine months, you can qualify on your deceased spouse’s earnings record. 

If there were multiple marriages and divorces, you can qualify for Medicare based on the earnings record of only one spouse.

The Effect of Disability

Those who receive Social Security disability are eligible for premium-free Medicare after two years from the date they were found disabled. Because of the way Social Security treats disability earnings, you may qualify based on your own earnings record even if you do not have 40 quarters (ten years) of covered employment. 

If all the foregoing is less than clear to you, you’re not alone. If you have questions, contact your local Social Security office, which also handles Medicare issues. You can also call 1-800-MEDICARE to contact Medicare directly.