Medicare Eligibility

Your first question may be “Am I eligible for Medicare”? Generally, adults are eligible for Medicare if they or their spouse worked for at least ten years in Medicare-covered employment and are 65 years old. They also must be a citizen or permanent resident of the United States. If an individual is not 65, they might also qualify for coverage if they have a disability or end-stage renal disease (permanent kidney failure requiring dialysis or transplant).

medicare eligibility and health

Simple Guidelines for Medicare Eligibility

Medicare Eligibility for Adults 65 and Over

Individuals can get Part A at age 65 without having to pay premiums if:

  • They already get retirement benefits from Social Security or the Railroad Retirement Board
  • They are eligible to get Social Security or Railroad benefits but have not yet filed for them
  • They or their spouse had Medicare-covered government employment

 

Medicare Eligibility for Adults Under 65

Individuals under 65 can get Part A without having to pay premiums if:

  • They have received Social Security or Railroad Retirement Board disability benefit for 24 months
  • They are a kidney dialysis or kidney transplant patient

If participants meet one of these conditions, they don’t have to pay a premium for Part A. However they will have to pay for Part B if they want it. Part B is deducted from the individual’s Social Security, Railroad Retirement, or Civil Service Retirement check. If they don’t get any of the above payments, Medicare will send them a bill for their Part B premium every three months.

medicare eligibility
medicare eligibility - cool senior

Contact Us

Have questions about enrolling in Medicare health insurance plans? Let us help. Contact us through this form or by calling 888-888-7511, and we’ll connect you with a licensed agent.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Untitled
By providing your name and contact information you are consenting to receive calls, text messages and/or emails from a licensed insurance agent about Medicare Plans at the number provided, and you agree such calls and/or text messages may use an auto-dialer or robocall, even if you are on a government do-not call registry. This agreement is not a condition of enrollment. This is a solicitation for insurance.