Born with Down's Syndrome

Does this individual receive Medicare automatically, or do they have to apply?
"Medicare has specific criteria for children under the age of 18 years who wish to claim disability benefits or enroll in Medicare.

The SSA does not pay disability benefits to a young person until they reach 18 years of age. Therefore, a person with a disability does not qualify for Medicare until they are 20 years of age.

An exception to this rule applies to people who are 18 years of age and have ALS. They qualify for Medicare benefits once they reach this age."
 
Children under 18 may qualify for Medicaid/CHIP.

Medicaid/CHIP covers almost half of all U.S. children with special health care needs, though the share varies by state. These children are more likely to be low-income, a member of a racial or ethnic minority group, and younger than those children covered by private insurance alone.

Children with special health care needs covered by both Medicaid/CHIP and private insurance have the greatest health care needs, and children with Medicaid/CHIP only are more likely to have greater health needs compared to those with private insurance only.
While families of Medicaid/CHIP-only children with special health care needs are more likely to face financial difficulty, they find their health care more affordable than those with private insurance only due to Medicaid’s cost-sharing protections.

Even though children with special health care needs covered by Medicaid/CHIP-only have greater health care needs, they are more likely than those with private insurance alone to report that their benefits are always adequate to meet their needs, allow them to see needed providers, and meet their behavioral health needs, reflecting Medicaid’s robust benefit package.

https://www.kff.org/medicaid/issue-...needs-coverage-affordability-and-hcbs-access/
 
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