Medicare eligibility primarily extends to individuals who are sixty-five years of age or older. However, there are additional criteria that can qualify certain younger individuals for the program. Individuals under sixty-five may be eligible if they have a disability, a condition known as End-Stage Renal Disease, or Amyotrophic Lateral Sclerosis, commonly referred to as Lou Gehrig’s disease.
To qualify for Medicare, individuals also need to be citizens or permanent residents of the United States. Typically, people who have worked for a minimum of ten years, or have a spouse who has paid Medicare taxes for that duration, will be entitled to receive Medicare benefits without payment of a premium for Part A, which covers hospital insurance.
Those who do not qualify for premium-free Part A may still obtain coverage by paying a premium. It is also important to note that individuals who are already receiving benefits from the Social Security Administration or the Railroad Retirement Board will be automatically enrolled in Medicare when they reach sixty-five.
In addition, individuals with specific health conditions or qualifying situations might also be eligible. For more detailed information tailored to individual circumstances, the official Medicare website offers resources that can guide potential beneficiaries on eligibility requirements and enrollment.
If you need to call Medicare customer service, now that you have the answers that you needed, click the button below. You can either call them on your phone or use our free AI-powered phone to dial for you, get a rep for you, and more.
Find a list of many popular Medicare questions with answers or step by step guides on our FAQ page below. Or ask a whole new question and get an answer right away.