Who is Eligible for Medicare?
Most people are eligible to get Medicare when they reach the age of 65. Some people who are younger (ages 18 to 65) and have certain disabilities that prevent them from working can also get Medicare. To get Medicare Parts A & B (Original Medicare), the following criteria must be met.
United States citizenship OR
Have lived in the United States legally for at least 5 years nonstop.
Medicare Eligibility Age
Age 65 or older, OR
Over 18 and under age 65 AND meet one of these conditions:
Have received Social Security disability benefits, or SSDI, for at least 2 years, OR
Have been diagnosed with Lou Gehrig’s Disease, also called Amyotrophic Lateral Sclerosis (ALS), AND
Are starting to get Social Security disability. Usually, you can get Medicare the 6th month after Social Security found that your disability started, OR
Have been diagnosed with End-Stage Renal Disease, sometimes called ESRD, AND
Have been on dialysis for 3 months OR
Have had a kidney transplant.
The details of Medicare eligibility go beyond just turning 65 and being a United States citizen. For unique situations, one or more of the scenarios below may be applicable.
Eligible for Medicare but need coverage for a non-working spouse.
Turning 65 and still working
A veteran with VA benefits
Turning 65 and NOT working
A veteran with TRICARE
Losing existing coverage
A veteran with CHAMPVA
Under 65 and have a disability
Have (or may get) COBRA coverage
Under 65 and am living with ALS
Living in a nursing home
Under 65 and living with ESRD
Receiving Railroad Retirement (RR) Benefits
A federal, state or local government worker
A U.S. citizen living outside of the United States
Living in Puerto Rico
Have retiree coverage
Going to be released from the prison system soon