Medicare Blog

medicare when spouse is under 65

by Dr. Robbie Howe I Published 2 years ago Updated 1 year ago
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What are the rules for Medicare eligibility if you’re under 65?

  • Receiving Social Security for disability
  • End stage renal disease (ESRD)
  • Amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease)
  • Other disabilities
  • Spouses of people 65 and older on Medicare

Full Answer

Will my non working spouse get Medicare at age 65?

Your non-working spouse is eligible for premium-free Medicare Part A coverage at the age of 65 based on your work record and if you meet the necessary requirements for Medicare coverage mentioned above. Medicare automatically enrolls you (and a dependent, non-working spouse) in Original Medicare.

Does Medicare cover a younger spouse?

Your Medicare insurance doesn’t cover your spouse – no matter whether your spouse is 62, 65, or any age. But in some cases, a younger spouse can help you get Medicare Part A with no monthly premium. Traditional Medicare includes Part A (hospital insurance) and Part B (medical insurance).

Is spouse covered under Medicare?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.

Do Your Medicare benefits cover your spouse?

Your personal Medicare insurance policy does not cover anyone but you. Your spouse or family members cannot be included in your coverage. For your spouse to have Medicare coverage, he or she must have a separate, individual policy.

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Can a younger spouse get Medicare?

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.

Will my non-working spouse who turns 65 before me get Medicare at age 65?

Medicare can be available to anyone – including a non-working spouse – who is at least 65 years old and a U.S. citizen or legal resident of at least five years. You may even qualify for Medicare before 65 if you have a qualifying disability or health condition.

When can my wife get Medicare?

age 65When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits. Until you're age 62, your spouse can receive Medicare Part A, but will have to pay the premiums if they don't meet the 40 quarters of work requirement.

Can I enroll in Medicare under my spouse?

To qualify for Medicare, you need to have paid into the Social Security system. Just like with Social Security benefits, you can qualify for Medicare coverage under your spouse's record.

How do I apply for spousal Medicare benefits?

Form SSA-2 | Information You Need to Apply for Spouse's or Divorced Spouse's Benefits. You can apply: Online, if you are within 3 months of age 62 or older, or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

Can I go on Medicare at 62?

En español | Nobody can become eligible for Medicare before age 65, unless he or she qualifies at an earlier age on the basis of receiving Social Security disability benefits.

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.

Do husband and wife pay separate Medicare premiums?

You and your spouse pay separate premiums for Medicare benefits under Medicare Part B, and Medicare Part D if you sign up for it. If one or both of you choose to enroll in a Medicare Advantage plan, you will continue to pay separately the Medicare Part B premium and possibly a separate plan premium.

Can a stay at home mom get Medicare?

For example, stay-at-home-moms are eligible for Medicare even if they haven't worked and paid Medicare taxes. As long as their husbands have, they may enroll during their Initial Enrollment Period.

Can I get AARP health insurance at 62?

Full AARP membership is available to anyone age 50 and over.

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What is the number to call Senior65?

To learn more call a Senior65 agent at 800-930-7956.

What is the phone number for Medicare?

If you have an urgent matter or need enrollment assistance, call us at 800-930-7956. By submitting your question here, you agree that a licensed sales representative may respond to you about Medicare Advantage, Prescription Drug, and Medicare Supplement Insurance plans.

What is Medicare for 2021?

Last Updated: Apr 27, 2021 2:19 pm. Original Medicare is federal health coverage for those 65 and older and for those younger than 65 with a disability, but what happens with a younger spouse’s health coverage when you enroll in Medicare? Many Medicare-eligible citizens wonder whether their younger spouse (especially non-working younger spouse) ...

What is the gap in Medicare?

If you decide to enroll in Medicare when you’re first eligible at 65, Medigap can fill in the gaps of Original Medicare. Some of these gaps are Medicare’s deductibles, copays, coinsurance, and an additional 365 hospitalization days.

Does Medicare cover younger spouses?

Medicare does not cover younger spouses, unless they have a disability, until they turn 65. There are a few options for your younger spouse to maintain health insurance, especially if they do not have their own job-based insurance: You can continue working until your younger spouse meets Medicare requirements, and delay your Part B enrollment.

Can a disabled spouse get Medicare?

However, younger spouses who have a disability can enroll in a Medicare Advantage plan. This might be a good choice for a younger spouse to limit their out of pocket costs and have extras offered like drug, hearing, vision, and dental coverage.

When can a spouse receive Medicare?

Now let’s look at when your spouse is older than you and your spouse didn’t meet the 40 quarters requirement, but you do. When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits.

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

You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits.

How to apply for Medicare Part A?

To qualify for Medicare Part A benefits at age 65 based on your spouse’s work history, you must meet one of the following requirements: 1 You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. 2 You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits. 3 You are widowed, but were married for at least 9 months before your spouse died, and they qualified for Social Security benefits. You must now be single.

How long does it take to get Medicare if you don't work?

Medicare is a benefit for individuals who worked and paid Social Security taxes for at least 40 quarters of work, which is roughly about 10 years. If a person’s spouse didn’t work, they may still qualify for Medicare Part A based on their spouse’s work history when they turn age 65.

What is the number to call for Medicare?

If you have further questions about Medicare benefits, you can call the Social Security Administration (SSA) at 800-772-1213 or visit your local SSA office for more information. Read this article in Spanish.

What is Medicare Advantage?

One of these options is Medicare Advantage (Part C), which bundles both Part A and Part B together and offers additional coverage and benefits. If extra coverage, like dental, vision, or hearing care, is important to maintaining your individual health, give some thought to whether original Medicare or Medicare Advantage will work best for you.

Does Medicare affect spouse's health insurance?

Medicare is an individual insurance system, but there are times when one spouse s eligibility may help the other receive certain benefits. Also, the amount of money you and your spouse make combined may affect your Medicare Part B insurance premiums.

Enrolling in Medicare at 65

If you want to enroll when you are turning 65, you can enroll in Medicare Parts A & B, Part D prescription drug coverage or a Medicare Advantage (Part C) plan. You can also look at adding a Medicare supplement insurance plan to Original Medicare (Parts A & B) to help with the out-of-pocket costs of Medicare.

Enrolling in Medicare Part A at 65

Many people who are covered by a spouse’s employer plan choose to either wait to enroll until they lose their spouse’s employer coverage or choose to only enroll in Part A since Part A usually has no premium.

Delaying Medicare Enrollment

Just because you are turning 65, doesn’t necessarily mean you have to get Medicare right now. If you decide that waiting to enroll in Medicare is the best option both financially and in terms of healthcare coverage for you, just follow Medicare’s rules, and you’ll avoid enrollment penalties when you do enroll.

When Would I Enroll If I Delay or Only Take Part A?

If you are able to delay enrolling in either all or part of Medicare, you will have a Special Enrollment Period of eight months that begins when the employer coverage is lost or when your spouse retires. During this time, you’ll be able to enroll in Medicare Parts A & B. You can also enroll in a Part D prescription drug plan.

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