Medicare Blog

can you still receive medicare when married

by Kenton Durgan Published 2 years ago Updated 1 year ago
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If you’re married and haven’t worked in a paying job or didn’t work enough quarters, you may still qualify for premium-free Medicare Part A benefits through your spouse. Medicare Part B usually comes with a monthly premium.

Medicare if You're Married. You and your spouse's Medicare coverage might not start at the same time. Medicare is an individual plan (there is no family plan). However, you may be eligible for Medicare based on your spouse's work history -- even if you are not eligible on your own.Nov 17, 2020

Full Answer

Can my spouse get my Medicare if I have Medicare?

The spouse of a Medicare plan holder becomes eligible for their own plan upon turning 65 years of age, even if they never worked outside the home. The spouse qualifies based on their spouse’s work record.

Are Medicare Part A benefits free for married couples?

Part A benefits are free when you, a current or former spouse, have at least 40 calendar quarters of work or ten years of work history paying into Social Security. There’s no family plan for Medicare; plans are individual. Meaning, your spouse’s eligibility may not match yours.

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

If divorced, you must have been married for at least 10 years. Once you turn 65, you are eligible for free Medicare Part A through your former spouse, as long as they worked at least 10 years and paid Medicare taxes during that time.

Can a younger spouse get Medicare if the older one retires early?

However, in most circumstances, they would not be eligible for Medicare coverage until they reach the eligible age. If the younger spouse has coverage under the older spouse’s employer healthcare plan, but the older spouse plans to retire while the younger is still working, one option is enrolling in their own employer’s insurance plan.

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How does Medicare work for married couples?

Medicare has no family plans, meaning that you and your spouse must enroll for Medicare benefits separately. This also means husbands, wives, spouses and partners pay separate Medicare premiums.

Can I get Medicare if my spouse is still working?

Generally, if you have job-based health insurance through your (or your spouse's) current job, you don't have to sign up for Medicare while you (or your spouse) are still working. You can wait to sign up until you (or your spouse) stop working or you lose your health insurance (whichever comes first).

Does my spouse's income affect my Medicare?

No. Your eligibility for premium tax credit subsidies and the amount of your premium tax credit will be based on your family income. The amount your spouse pays for his Medicare, Part D, and supplemental insurance premium costs will not be taken into account.

Can my spouse get Medicare if I am 65?

Traditional Medicare includes Part A (hospital insurance) and Part B (medical insurance). To qualify for Medicare, your spouse must be age 65 or older. If your spouse is age 62 (or any age under 65), he or she could only qualify for Medicare by disability.

Can you have Medicare and employer insurance at the same time?

Can I have Medicare and employer coverage at the same time? Yes, you can have both Medicare and employer-provided health insurance. In most cases, you will become eligible for Medicare coverage when you turn 65, even if you are still working and enrolled in your employer's health plan.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

What benefits will I lose if I get married?

To receive SSDI, you have to fit the Social Security Administration's (SSA's) definition of disability, but you can be unmarried or married. Getting married won't ever effect SSDI benefits that you collect based on your own disability and your own earnings record.

Is Medicare premium based on joint income?

Medicare premiums are based on your modified adjusted gross income, or MAGI. That's your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.

Is Medicare based on household income or individual income?

You can get Medicare coverage no matter your income. Keep in mind that: Once you hit certain income levels, you'll need to pay higher premium costs. If your income is more than $91,000, you'll receive an IRMAA and pay additional costs for Part B and Part D coverage.

Can one spouse be on Medicare and the other not?

The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan.

Does Medicare cover my wife?

Medicare does not cover spouses specifically. However, some spouses qualify based on the work record of their spouse or a former spouse. Some spouses may qualify by reaching 65 years of age and having their own eligible work and tax record. Others, however, may not have worked for the required number of quarters.

Does Medicare cover a non-working spouse?

A non-working spouse can receive premium-free Medicare part A as long as the other partner is at least 62 years old and has satisfied Medicare's work requirements. For example, John is 65 years old and has never worked or paid Medicare taxes.

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

If divorced, you must have been married for at least 10 years. Once you turn 65, you are eligible for free Medicare Part A through your former spouse, as long as they worked at least 10 years and paid Medicare taxes during that time.

How much does Medicare pay in 2021?

Most people pay the standard premium, which is $148 per month in 2021. The more you make each year, the more you'll pay each month for Medicare.

What is Medicare Advantage Plan?

A Medicare Advantage plan is a type of plan offered by a private insurance company to provide you with all your Medicare Part A and Part B services. You may be charged a separate premium by the insurance company in addition to your Part B premium and may be eligible for additional benefits, including prescription drugs.

Do you have to pay deductibles for Medicare Part D?

Even if you and your spouse pick the same plan, you'll each have to meet the deductible before Medicare starts to pay anything toward your health care.

Can you sign up for Medicare separately?

Since you each must enroll in Medicare separately, one of you may be able to sign up before the other one, depending on your age. Your premiums may change because of your total income. There are no family plans or special rates for couples in Medicare. You will each pay the same premium amount that individuals pay.

Does Medicare coverage change if you are married?

The good news about marriage and Medicare is that your coverage won't change. Neither will your spouse's. Whether you're already married, thinking about getting married, or no longer married, here's what you need to know.

Does Medicare Part A have monthly premiums?

You will each pay the same premium amount that individuals pay. Here's what to know about costs: Medicare Part A, hospital coverage, has no monthly cost for most people who worked or have a spouse who worked and is eligible for Social Security. The other parts of Medicare do have premiums.

How old do you have to be to get Medicare?

In a case such as this, you must be at least 62 years old.

How long do you have to work to qualify for Medicare?

In the United States, as soon as you turn 65 you are eligible for Medicare benefits if you are citizen or have been a legal resident for five years or more and have worked for at least 40 quarters (10 years) paying federal taxes.

Can you get Medicare at different ages?

If you and your spouse are different ages, you will likely become eligible at different times. Primary Medicare recipients and their non-insured spouses are entitled to the same benefits under Medicare if both have reached the age of 65.

Do you have to enroll in Medicare Part B or D?

If you wish to sign up for Medicare Part B (Medical Insurance), and/or Part D (prescription drug insurance), you must enroll separately during your initial enrollment period, Open Enrollment or during Special Enrollment Period to avoid paying late enrollment penalties.

How long do you have to be married to qualify for Medicare?

You had Medicare-covered government employment. You have been married to someone with a qualifying work history for at least 12 months. You may also qualify for premium-free Part A at an earlier age if: You have received Social Security or Railroad Retirement Board disability payments for 24 months.

How much will Medicare pay for 2021?

In 2021, you’ll also pay $203 for your Part B deductible before your some of your Part B benefits kick in. After paying this amount, you’ll typically pay 20% of the Medicare-approved amount for medical expenses covered by Part B, including: Most doctor services. Outpatient therapy.

What is Medicare Part B premium?

This higher Part B premium amount is called the Medicare income-related monthly adjustment amount, or IRMAA. The higher your combined annual income, the more your Medicare Part B premiums will ...

How much is a hospital deductible in 2021?

Prices vary depending on how long you or your spouse worked and paid taxes. For hospital or other qualifying inpatient stays, you’ll pay a deductible ($1,484 per benefit period in 2021) before your Part A benefits kick in.

How many seniors are married in the US?

More than half of all Americans aged 65 or over are married, according to data from the U.S. census. In some states, such as Wyoming, Idaho and Utah, more than three in five seniors age 65 and above have tied the knot. If you’re considering getting married or are already living in wedded bliss, you may wonder how much Medicare plans will cost you.

Do married people pay Medicare?

Most married Medicare beneficiaries don’t pay monthly premiums for Medicare Part A. You’ll qualify for premium-free Part A at 65 if any one of the following applies to you: You worked and paid Medicare taxes for at least 40 quarters, or 10 years. You had Medicare-covered government employment.

Do you pay Medicare Part B if you are married?

Medicare Part B. As you are no longer part of a married couple, only your income from two years prior determines your monthly Part B premiums. In most cases, you’ll pay the standard monthly premium. However, if you filed your income taxes individually two years ago (2019) and your gross annual income was more than $88,000, ...

How many credits do you need to be self employed to qualify for Medicare?

Anyone born after 1929 must have a minimum of 40 work credits, or have 10 years’ worth of credits, to become eligible for Medicare . People born before this require fewer credits.

Can a spouse lose cobra?

This could lead to a period of lapsed coverage. When the younger spouse loses coverage because the older spouse transitions to Medicare, a group health insurance plan may still be possible through COBRA. This is a law that allows coverage to continue beyond the end of employment or an employer’s healthcare plan.

Does Medicare cover spouses?

Medicare does not cover spouses specifically. However, some spouses qualify based on the work record of their spouse or a former spouse. Some spouses may qualify by reaching 65 years of age and having their own eligible work and tax record. Others, however, may not have worked for the required number of quarters.

Can an older spouse retire with Medicare?

However, in most circumstances, they would not be eligible for Medicare coverage until they reach the eligible age.

Can a domestic partner enroll in Medicare without a penalty?

Unlike a spouse, a domestic partner cannot take advantage of waiting to enroll in Medicare Part B without paying a late enrollment penalty, and there are no special enrollment periods (SEP) for unmarried domestic partners.

Can a spouse be eligible for Medicare?

A person may qualify for Medicare based on the work record of their spouse. The spouse of a Medicare plan holder becomes eligible for their own plan upon turning 65 years of age, even if they never worked outside the home. The spouse qualifies based on their spouse’s work record. If a spouse has a disability, they may qualify at a younger age.

How old do you have to be to qualify for Medicare?

Qualifying for Medicare is different than Social Security benefits. You can be eligible for your spouse/ex-spouse Social Security benefits at age 62, and you won’t qualify for Medicare until age 65. Of course, you may be eligible for Medicare sooner if you have End-Stage Renal Disease or disability for at least two years.

Can my ex spouse get medicare?

Spouse & Ex-Spouse Eligibility for Medicare. There’s no family plan for Medicare; plans are individual. Meaning, your spouse’s eligibility may not match yours. For those currently married: Your spouse must be at least 65 years old, and you need to be married for at least a year.

Can you lose Medicare if your spouse dies?

If you lose Medicare coverage due to the death of a spouse, you become eligible for a Special Election Period; but, that period doesn’t last forever.

What happens if your spouse receives more than your spousal benefit?

If the spousal benefit is higher, he or she receives an additional amount to equal the spouse benefit amount. If your spouse does not qualify for an individual benefit, he or she may receive the spouse benefit amount of 50 percent of your benefits, if they are at full retirement age.

When does my spouse get my spousal benefits?

If your spouse is caring for your child who is younger than 16, your spouse may receive the full amount of spousal benefit at any age, and until the child turns 16. If your spouse receives a spouse’s benefit based on your work record, your retirement benefits are not reduced, you receive the full amount of your benefit.

What is the spousal benefit for a person who has not reached retirement age?

If you decide to opt for the spousal benefit but have not yet reached full retirement age yourself, that benefit will be less than 50 percent. This may still be a good option if you have not been working much through the years.

When does a widow receive Social Security?

A widow or widower who has reached full retirement age, and whose spouse did not receive Social Security benefits until 70 years old, receives the full benefit amount of the deceased spouse.

Does Social Security pay your spouse first?

Social Security pays your benefits first, but if the benefits you would receive through your spouse are higher than yours, you can receive a combination of these benefits to reach the amount you would receive as a spouse.

How long does it take to get Medicare for a foreign spouse?

If you don’t have sufficient credits, your foreign spouse could obtain Medicare only if he or she becomes an American citizen or has lived as a legal resident in the United States for at least five years .

Can same sex couples get Medicare?

Under the Defense of Marriage Act, same-sex couples—even if legally married under the laws of their state or their country—are not entitled to Medicare benefits on the basis of their domestic partner’s work record. Patricia Barry is a senior editor at the AARP Bulletin.

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