Who qualifies for Medicare?

Nobody is automatically eligible for Medicare. To qualify you need to meet specific requirements. The requirements are:

  • You’re a U.S. citizen or a permanent legal resident who has lived in america for a minimum of five years
  • Your partner has worked enough to qualify for Social Security or railroad retirement benefits — normally with got 40 credits from about ten decades of work — even if you’re still not getting these advantages
  • Your partner is a government worker or retiree who hasn’t paid to Social Security but has compensated Medicare payroll taxes while working

Notice: Getting 40 credits via payroll taxes while functioning ensures you won’t need to pay premiums for Part A benefits (mostly coverage for inpatient hospital care). You don’t require any work credits to qualify for Section B (mostly physicians’ services and outpatient care) or to get Section D (prescription drug coverage).

It is also possible to qualify for Part A benefits in your spouse’s work record whether or not he/she is 62 years old and you are 65 years old. You could also qualify on the work record of a partner. After the 2015 judgment of the Supreme Court, individuals in same-sex unions can qualify for Medicare in their partner’s work record, no matter where they had been wed or where they reside.

  • You have been eligible for Social Security disability benefits for 24 weeks (which need not be sequential )
  • You get a disability retirement from the Railroad Retirement Board and fulfill specific states
  • You have Lou Gehrig’s disease (amyotrophic lateral sclerosis)
  • You’ve permanent kidney failure requiring regular dialysis or a kidney transplant — and you or your partner has paid Social Security taxes for a particular period of time, based upon your age.

Provided that you are a U.S. citizen or have been a legal resident for at least five years, you can still get          complete Medicare benefits at age 65 or older by:

You pay $411 at 2016, the premium For those who have fewer than 30 working hours. In case you’ve got 30      to 39 hours, then you pay $234 per month, less at 2014. You may cover these premiums if you keep on              working till you gain 40 hours.

  • Paying the exact same monthly premiums for Part B, which covers doctor visits and other health care services, along with other enrollees pay.
  • Spending exactly the exact same monthly premium for Part D prescription drug coverage as the others registered in the drug program you select.

You are able to enroll without even purchasing Part A, if you would like to. But should you get into a, B must be enrolled in by you. If you are registered in either B or A you can get Part D. You can’t enroll in a Medicare Advantage program (for example, an HMO or PPO) or purchase a Medigap supplemental insurance coverage unless you are registered in both A and B.


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