Medicare Blog

can you get medicare/medicaid when you have not worked in the last 10+ years and only 53 years old?

by Orland Ernser Published 2 years ago Updated 1 year ago
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You can still get Medicare if you never worked, but it will likely be more expensive. Unless you worked and paid Medicare taxes for 10 years — also measured as 40 quarters — you will have to pay a monthly premium for Part A. This may differ depending on your spouse or if you spent some time in the workforce.

Full Answer

Do I qualify for Medicare Part A If I’ve never worked?

If you’ve never worked, you may still qualify for premium-free Medicare Part A. This is based on your spouse’s work history or if you have certain medical conditions or disabilities.

Will I be automatically enrolled in Medicare at age 65?

You won’t be automatically enrolled in Medicare at age 65 unless you’re claiming Social Security benefits. 1 But if you’re not retired yet, you may not be claiming those benefits, and you’ll need to proactively choose which parts of Medicare to enroll in and when.

Can I get Medicare if I have a bad work history?

These do not affect your ability to get Medicare Part B, which is medical coverage for visits to doctor’s offices and outpatient care, coverage for medical equipment, and Medicare Part D, which is coverage for prescriptions. Most people have to pay into these services, regardless of work history.

How long do you have to be on disability to get Medicare?

Social Security Disability Insurance (SSDI) recipients If you have a disability and have been receiving SSDI benefits for at least 24 months (2 years), you will automatically be enrolled in premium-free Medicare at the beginning of the 25th month.

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Can you get Medicare with no work history?

There's no work history requirement to enroll in Medicare Part B. You can enroll as long as you're at least 65 years old. Once you enroll in Medicare Part B, you will pay a monthly premium of $170.10 in 2022. Your premium may be more if your income is higher.

What would make you ineligible for Medicare?

Did not work in employment covered by Social Security/Medicare. Do not have 40 quarters in Social Security/Medicare-covered employment. Do not qualify through the work history of a current, former, or deceased spouse.

Can you get Medicare without being retired?

The Bottom Line. You won't be automatically enrolled in Medicare at age 65 unless you're claiming Social Security benefits. 1 But if you're not retired yet, you may not be claiming those benefits, and you'll need to proactively choose which parts of Medicare to enroll in and when.

Does everyone automatically get coverage under Medicare?

Yes. You automatically get Part A and Part B after you get disability benefits from Social Security or certain disability benefits from the RRB for 24 months. If you're automatically enrolled, you'll get your Medicare card in the mail 3 months before your 65th birthday or your 25th month of disability.

Can I get Medicare at 55?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

Who qualifies for Medicaid?

To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups (PDF, 177.87 KB).

Can you get Medicare at 65 even if you don't retire?

You can enroll in Medicare if you're not retired, but do you need to? Most Americans can enroll in Medicare Parts A and B at age 65, regardless of whether they're still working or not. However, many workers with employer health benefits may not need to.

How do you pay for Medicare Part B if you are not collecting Social Security?

If you have Medicare Part B but you are not receiving Social Security or Railroad Retirement Board benefits yet, you will get a bill called a “Notice of Medicare Premium Payment Due” (CMS-500). You will need to make arrangements to pay this bill every month.

Can you get Medicare at 62?

What Are the Age Requirements for Medicare? Medicare is health insurance coverage for people age 65 and older. Most people will not qualify for Medicare at age 62. At age 62, you may meet the requirements for early retirement but have not met the requirements for Medicare coverage.

Can you have Medicare and Medicaid?

Medicaid is a state and federal program that provides health coverage if you have a very low income. If you are eligible for both Medicare and Medicaid (dually eligible), you can have both. They will work together to provide you with health coverage and lower your costs.

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

How do I qualify for dual Medicare and Medicaid?

Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. To be considered dually eligible, persons must be enrolled in Medicare Part A (hospital insurance), and / or Medicare Part B (medical insurance).

Can You Get Medicare if You Never Paid into Social Security?

The Federal Insurance Contributions Acts (FICA) establishes that every working American must contribute 6.2% of their pay to Social Security and 1....

Medicare Eligibility for People Who've Never Worked?

Regardless of your work history, you are eligible for Medicare at age 65 (or younger in some cases) if you’re a U.S. citizen. Your work history com...

Can You Get Medicare if You've Worked Less Than 10 Years ?

If you want to enroll in Medicare, have worked less than 10 years and aren’t eligible based on a spouse’s work history or a qualifying disease or d...

Can I avoid paying a Part A premium at age 65 by not enrolling?

Yes. No one is forcing you to enroll in Medicare Part A at age 65, but make sure you have a plan. If you don’t sign up for Part A at age 65 because...

Can you get Medicare Advantage if you've worked less than 10 years ?

Yes, because if you’re eligible for Original Medicare. then you also are eligible for Medicare Advantage. With Original Medicare or Medicare Advant...

How old do you have to be to get Medicare Part A?

In order to get these benefits, you must be at least 65 years of age and a United States citizen or a legal resident in the United States for a minimum of five years.

How long do you have to be married to get Medicare?

If you are currently married and your spouse qualifies for social security benefits and Medicare Part A premiums, you can apply as long as you have been married for at least a year prior to submitting the application. If you are divorced, you may be eligible if your former spouse is, as long as you were married for at least ten years.

How much is the 2020 Medicare premium?

If you have more than 30 credits, but less than 40 credits, you will be able to pay a slightly smaller amount at around $252.00 ( per 2020 costs ). You also have the option to continue working after you reach the age of 65 until you have earned the necessary 40 credits, in which case you will qualify for the free premium ...

How long does Medicare take to enroll?

Medicare has an Initial Enrollment Period (IEP) of 7 months. During that time, a person can enroll for Medicare Part A and Part B: during the 3 months before the month a person turns 65. during the month a person turns 65 (birthday month) before the end of 3 months after the month in which a person turns 65.

When does the SSA keep track of the quarters?

September 30. December 31. The SSA keeps track of each 3-month quarter a person works and pays their social security and Medicare taxes. Each quarter contributes to a person’s eligibility for Medicare Part A.

What is the Medicare Part B copayment?

For Medicare Part B, this comes to 20%. Copayment: This is a fixed dollar amount that an insured person pays when receiving certain treatments. For Medicare, this usually applies to prescription drugs.

Can a non working spouse get Medicare?

In addition, a non-working spouse may get Medicare Part A without having to pay a premium for the following reasons: The person is married and their spouse is eligible for Social Security benefits. They must be married for a minimum of 12 months before applying. The person is divorced from their spouse, and the former spouse is eligible ...

Do you have to pay deductibles for Part B?

There may also be deductibles and coinsurance. If a person chooses to buy Part A, they must also have Part B, which covers medically necessary and preventive services. The Part B monthly premium can vary depending on income, and a person must also pay deductibles and coinsurance.

Do you have to pay Medicare premiums if you have never worked?

Summary. While most people don’ t pay a monthly premium for Medicare Part A, a person who has never worked may be eligible, in certain circumstances, to get premium-free Part A. However, they may have to buy Part A and Part B. A person should check to make sure they aware of premiums, deductibles, and coinsurance, as well as deadlines for enrollment.

Can a married person get Medicare?

A married person may qualify for Medicare Part A and not have to pay the premium, because their eligibility is based on a spouse’s work history. In general, a person needs a minimum of 40 calendar quarters of work to be eligible for Part A. However, if they do not meet that requirement, their spouse’s work record may allow them to get coverage ...

What happens if you don't get Social Security at 65?

If you’re still working at age 65 and you’re not claiming Social Security benefits, the government will not automatically enroll you in Medicare Part A, which covers hospital stays. 1 

How long do you have to enroll in Part B?

If it doesn’t, you should enroll in Part B to avoid paying the premium penalty that’s imposed if you don’t enroll in Part B within eight months of becoming eligible for it. 1 .

Who is eHealth Medicare?

If you qualify for Medicare and are ready to look at plans, eHealth Medicare, an independent insurance broker and partner of Investopedia, has licensed insurance agents at <833-970-1257 TTY 711>; who can help connect you with Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Part D plans.

How old do you have to be to get medicare?

You become eligible for Medicare once you turn 65 years old if you’re a U.S. citizen or have been a permanent resident for the past 5 years. You can also enroll in Medicare even if you’re covered by an employer medical plan. Read on to learn more about what to do if you’re eligible for Medicare and are still employed. Share on Pinterest.

How long can you keep your group health plan?

However, if you or your spouse is employed when you become eligible, you may be eligible for an 8-month special enrollment period. During a special enrollment period, you can keep your existing group health plan for as long as it’s available. If you leave that employer or the employer terminates your coverage, you will typically have this 8-month ...

What is Medicare Part B?

Medicare Part B is the part of Medicare that provides medical insurance. You can use it to cover various outpatient services, such as: doctors’ appointments. durable medical equipment like wheelchairs, walkers, and oxygen equipment. laboratory testing, such as blood tests and urinalysis.

Is it mandatory to sign up for medicare?

It is not mandatory to sign up for Medicare. In fact, you may prefer the healthcare coverage offered by your employer. However, if you defer or decline Medicare coverage, you could pay some form of penalty.

Does Medicare help with medical expenses?

If you work for a small company (fewer than 20 employees) or have a health insurance plan through your employer with minimal coverage, enrolling in Medicare may help reduce your medical expenses. Medicare will often become the primary payer in these cases and may provide better coverage than you currently receive.

How many years do you have to work to get Social Security?

The actual amount you need to have worked in the past ten years varies depending on your age. A worker in his early 30s needs to have worked and paid into FICA at least five of the past ten years to be eligible for Social Security Disability Insurance benefits.

What to do if you don't feel the SSA has come to the right decision?

As always, if you do not feel that the SSA has come to the right decision, it’s a good idea to consult a lawyer who is well versed in Social Security Disability Insurance law. Your chances of having your Social Security Disability claim accepted improve considerably when you have adequate legal representation.

Does Social Security Disability Insurance take into account personal income?

Social Security Disability Insurance, on the other hand, does not take into account your personal possessions or certain forms of other income, though having additional income may have some tax implications. Get My Free Evaluation.

Does SSI take into account your work history?

Supplemental Security Income (SSI) is needs based, and does not place an emphasis on work history. You will still need to demonstrate that you are disabled, but you will not need to have worked five out of the last ten years to qualify. SSI takes into account your possessions and all other income.

Can I get Social Security Disability if I have not done so?

If you have not done so, you are generally not eligible for Social Security Disability payments. There is a notable exception to this rule, however. If you can prove that your disability started before the date that your Social Security Disability Insurance ran out (known as the Date Last Insured, or DLI), you may still be eligible ...

Do I need to sign up for Medicare when I turn 65?

It depends on how you get your health insurance now and the number of employees that are in the company where you (or your spouse) work.

How does Medicare work with my job-based health insurance?

Most people qualify to get Part A without paying a monthly premium. If you qualify, you can sign up for Part A coverage starting 3 months before you turn 65 and any time after you turn 65 — Part A coverage starts up to 6 months back from when you sign up or apply to get benefits from Social Security (or the Railroad Retirement Board).

Do I need to get Medicare drug coverage (Part D)?

You can get Medicare drug coverage once you sign up for either Part A or Part B. You can join a Medicare drug plan or Medicare Advantage Plan with drug coverage anytime while you have job-based health insurance, and up to 2 months after you lose that insurance.

How long do you have to work to get SSDI?

Here's the recent work test: Typically, if you are 31 or older, you must have worked at least 5 of the last 10 years to keep up your SSDI coverage.

When does SSDI lapse?

Like all insurance policies, SSDI coverage will lapse after a certain amount of time if you don't pay the premium—meaning, if you stop paying FICA taxes into the Social Security system. The date when your federal disability insurance (SSDI) lapses is called the DLI (date last insured). It may seem counterintuitive that someone who has worked most ...

What is the full name of Social Security disability insurance?

This is because SSDI, created under Title 2 of the Social Security Act, is a disability "insurance program," hence its full name, Social Security disability insurance (SSDI). FICA taxes are the premiums that all working citizens in the U.S. pay (whether they want to or not) for SSDI coverage (and Social Security retirement benefits). ...

What is financial need for SSI?

For SSI, "financial need " means having low income and owning countable assets valued at no more than $2,000. Countable assets do not include one's primary residence and one's primary automobile. For more information, see our section on SSI eligibility requirements.

How many credits do you need to work to get disability?

Put another way, you will need to have earned 20 credits (one quarter of work equals one credit) in the 10 years immediately before you became disabled. There is an exception to this rule for certain blind applicants. For information on the duration of work test, see our article on work credits required for Social Security disability.

Can I get disability if I haven't worked for a long time?

There are ways to get disability even if you haven't worked for a long time. Social Security disability (SSDI) is a federal disability program available to those who have worked enough, in recent years, to have paid a significant amount into the Social Security system through FICA taxes deducted from their paychecks.

Can I get SSDI if I haven't paid FICA taxes?

It may seem counterintuitive that someone who has worked most of his or her adult life could be denied SSDI after paying thousands or even tens of thousands into the Social Security system. However, SSDI is not a savings account, but a federal disability insurance program, and if you haven ''t paid FICA taxes in the last 10 years you may find ...

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