9
(over)
Agreement Between the United States And Germany
What you need to know
about Medicare
Medicare is the U.S. national health insurance
program for people age 65 or older or who are
disabled. Medicare has four parts:
• Hospital insurance (Part A) helps pay
for inpatient hospital care and certain
follow-up services.
• Medical insurance (Part B) helps pay for
doctors’ services, outpatient hospital care
and other medical services.
• Medicare Advantage plans (Part C) are
available in many areas. People with
Medicare Parts A and B can choose to
receive all of their health care services
through a provider organization under Part C.
• Prescription drug coverage (Part D) helps
pay for medications doctors prescribe for
medical treatment.
You are eligible for free hospital insurance at
age 65 if you have worked long enough under
U.S. Social Security to qualify for a retirement
benet. People born in 1929 or later need 40
credits (about 10 years of covered work) to
qualify for retirement benets.
Although the agreement between the United
States and Germany allows the Social Security
Administration to count your German credits to
help you qualify for U.S. retirement, disability
or survivors benets, the agreement does not
cover Medicare benets. As a result, we cannot
count your credits in Germany to establish
entitlement to free Medicare hospital insurance.
For more information about Medicare,
call our toll-free number, 1-800-772-1213,
and ask for the publication, Medicare
(Publication No. 05-10043) or visit Medicare’s
website at www.medicare.gov.
Claims for benets
If you live in the United States and wish to apply
for U.S. or German benets:
• Visit or write any U.S. Social
Security ofce; or
• Phone our toll-free number, 1-800-772-1213,
7 a.m. to 7 p.m. any business day. People
who are deaf or hard of hearing may call our
toll-free TTY number, 1-800-325-0778.
You can apply for German benets at any
U.S. Social Security ofce by completing an
application form SSA-2490.
If you live in Germany and wish to apply for U.S.
or German benets, contact:
• The Federal Benets Unit at the U.S.
Consulate General in Frankfurt (phone
69-7535-2496) to le for U.S. benets; or
• Any German Social Security ofce to le for
German benets.
You can apply with one country and ask to
have your application considered as a claim for
benets from the other country. Information from
your application will then be sent to the other
country. Each country will process the claim
under its own laws—counting credits from the
other country when appropriate—and notify you
of its decision.
If you have not applied for benets before, you
may need to provide certain information and
documents when you apply. These include
the worker’s U.S. and German Social Security
numbers, proof of age for all claimants,
evidence of the worker’s U.S. earnings in the
past 24 months and information about the
worker’s coverage under the German system.
You may wish to call the Social Security
ofce before you go there to see if any other
information is needed.
Payment of benets
Each country pays its own benet. U.S.
payments are made by the U.S. Department
of Treasury each month and cover benets
for the preceding month. German benets are
paid monthly, in advance, through the German
Postal System.
Absence from U.S. territory
Normally, people who are not U.S. citizens
may receive U.S. Social Security benets
while outside the U.S. only if they meet certain
requirements. Under the agreement, however,