Medicare Blog

how qualifies for medicare

by Dashawn Kassulke Published 3 years ago Updated 2 years ago
image

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).

How much can you make to qualify for Medicare?

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). You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and …

What are the criteria to meet eligibility for Medicare?

You qualify for full Medicare benefits if: You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least five years and; You are receiving Social Security or railroad retirement benefits or have worked long enough to be eligible for those benefits but are not yet collecting them.

What is the minimum age to qualify for Medicare?

Medicare is our country's health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare too, including those with disabilities and those who have permanent kidney failure. The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care.

Who doesn't qualify for Medicare?

May 28, 2019 · As long as you meet the citizenship/legal residence requirements described above, you may be eligible for Medicare when you are younger than age 65 if one of the following circumstances applies to you: You have been receiving Social Security disability benefits for at least 24 months in a row.

image

Here are the requirements to be eligible for health care coverage

En español | For more than 55 years, Medicare has provided health insurance to Americans 65 and older as well as to people with disabilities. But qualifying for the program is not automatic. Here’s how to determine if you are eligible.

Other ways to get Medicare coverage

If you do not qualify on your own or through your spouse’s work record but are a U.S. citizen or have been a legal resident for at least five years, you can get full Medicare benefits at age 65 or older. You just have to buy into them by:

Who can Apply for Medicare Online?

Any qualifying individual can apply for Medicare online, however, you can only sign up during the initial enrollment period and then between January 1 and March 31 of each year.

Can I Get Medicare at 62?

Some people begin to claim retirement benefits from social security at age 62 and might wonder if they can also get Medicare benefits at that time. Generally, the answer is no.

Who Can Get Premium-Free Medicare Part A?

You can qualify for premium-free Medicare Part A if you qualify for Original Medicare and have the appropriate work history as described above (i.e. paid Medicare taxes for 10 years). Generally, you have to pay a premium for Medicare Part B, but there are options for those with limited income and limited assets.

Learn More About Medicare Eligibility Requirements

If you’re curious about your Medicare eligibility and want to talk to a licensed insurance agent, we’re here to help. Simply give us a call at 1-866-955-0898 (TTY 711) or visit our website to review your options today!

What you should read next

Medicare Part D offers important prescription drug coverage and is part of both Original Medicare and Medicare Advantage. As a result, it’s important to understand the Medicare Part D phases that occur each year. There are four Medicare Part D stages. Depending on your drug costs, you may not reach all four in a given year.

Medicare eligibility: Understanding who is eligible for Medicare

Medicare coverage is not available to everyone. To receive benefits under this federal insurance program, you have to meet Medicare eligibility requirements.

What does it mean to be eligible for Medicare?

Some people might confuse two types of Medicare eligibility: eligibility for Medicare, and eligibility for premium-free Medicare Part A. How you qualify for Medicare is described below. How you qualify for premium-free Part A is described later on.

Age 65 or older: who is eligible for Medicare?

If you are age 65 or older, you are generally eligible to receive Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) if you are a United States citizen or a permanent legal resident who has lived in the U.S. for at least five years in a row.

Younger than age 65: who is eligible for Medicare?

As long as you meet the citizenship/legal residence requirements described above, you may be eligible for Medicare when you are younger than age 65 if one of the following circumstances applies to you:

Who is eligible for premium-free Medicare Part A?

There’s a monthly premium for Medicare Part A. You generally don’t have to pay a Part A premium if either of these applies to you:

How do you receive your Medicare benefits when you meet Medicare eligibility requirements at age 65?

If you meet Medicare eligibility requirements and you have received Social Security benefits for at least four months prior to turning age 65, you will typically get Medicare Part A and Part B automatically the first day of the month you turn age 65.

How do you receive your Medicare benefits when you meet Medicare eligibility requirements for people younger than age 65?

If you receive Social Security benefits for 24 months, usually you will automatically be enrolled in Medicare Part A and Part B at the beginning of the 25th month.

Is Medicare ever free?

By and large, Medicare is not considered free. Because you have been contributing to your Medicare services through taxes throughout your life, you will have contributed money to Medicare regardless of the current cost of your copayments or premiums.

Is Medicare Part B based on income?

Yes, Medicare Part B pricing is based on income. However, coverage is federally regulated, which means that Medicare Part A is usually a $0 premium, but Part B requires a monthly premium that is based on your tax filings.

What is the difference between Extra Help and the Medicare Savings Program?

When investigating affordable Medicare options, you've likely come across the names Extra Help and Medicare Savings Progam.

How do I qualify for Medicare financial assistance?

Income limits change every year, so if you aren’t sure about your qualification, don’t count yourself out yet!

Reaching age 62 can affect your spouse's Medicare premiums

Although reaching age 62 does not qualify you for Medicare, it can carry some significance for your spouse if they receive Medicare benefits.

Medicare eligibility for people under 62

There are a few exceptions for Medicare age limits that can allow people younger than 65 and under age 62 to enroll in Medicare.

Can a 62 year old get Medicaid?

Yes. Medicaid qualification is based on income, not age. While Medicaid eligibility differs from one state to another, it is typically available to people of lower incomes and resources including pregnant women, the disabled, the elderly and children.

Get answers to your Medicare questions and enroll in a plan

If you have further questions about Medicare eligibility, contact a licensed insurance agent today. A licensed agent can help answer your questions and help you compare Medicare Advantage plans (Medicare Part C) that are available where you live.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9