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Who Is Eligible For Medicare



This article will summarize who is eligible for Medicare in the U.S. and when. Hopefully, you will learn something new about the Medicare program that could help you out in the long run! The person should have lived for at least nine months before turning 65 years old to be eligible for the full benefits of being on a specific type of plan called original Medicare.




Original Medicare refers to the government program, including Part A Hospital Insurance and Part B Medical insurance. Part A consists of both hospital services and skilled nursing facility services. If an individual is in the hospital, then Medicare will cover the costs of staying there. If the individual is transferred to a nursing facility because they need more care than they can get at a hospital, then Medicare would cover their stay at that facility. Part B covers doctor’s services, outpatient care, and other services not covered by Part A. A prescription drug plan is also available through part B, called Part D.

Who is eligible for Medicare?

If you have been diagnosed with diabetes, or are at risk of developing it, then Medicare Part B may be able to help you. If you lived in the United States and were born between 1945 and 1964, this should apply to you. You must also meet the other requirements listed below for Medicare to help pay for your treatment. The following persons are eligible for Medicare:

  1. A person under the age of 65 is entitled to Medicare, has been a U.S. resident for five years without having to work out of the country, and is receiving Social Security Benefits.
  2. U.S citizens or permanent residents are working abroad for an American company, so long as they have worked for at least five years in the United States in the past.
  3. A person on disability insurance who are not eligible for Medicaid because their disability began before they would be eligible
  4. An individual on veterans’ disability, who has worked for at least three years during the ten years, and where the person has a covered service-connected disability rating.
  5. A person with benefits under TAA would be eligible for Medicare under Title II but is working or would begin to work, making more than $1,310 of wages per month.
  6. A person with benefits under dislocated workers would be eligible for Medicare under Title II but is working or would begin to work, making more than $1,310 of wages per month.
  7. Certain non-citizens in the U.S. have been here for at least five years and will be eligible for a Social Security Benefit by March 31st of the following year also meet this criterion.
  8. The spouse and children of a person who meets this criterion.
  9. A disabled individual eligible for Medicare and Social Security but has neither received their benefits nor been deemed ineligible by the following March 31st.
  10. An individual under the age of 65 is not otherwise eligible for Medicare due to their citizenship status. They would be eligible if they were U.S citizens for five years but have not worked enough quarters in the U.S.
  11. An individual who is on Social Security and who would be eligible for Medicare if they were a U.S. citizen but does not make $1,310 in wages a month.
  12. An individual who is eligible for Title II and is a U.S. citizen but would lose its sanctity by working making more than $1,310 in wages a month.
  13. An individual who has Medicare Part D coverage who does not make at least $1,310 of wages per month.
  14. A person on Supplemental Security Income who works more than the qualifying hours would be eligible for Medicare.
  15. A person who has coverage under the Railroad Retirement Act and would be eligible for Medicare. It is important to note that if the parent of a child under the age of 19 is suitable for Medicare, their child will also qualify for Medicare.

Whichever type of Medicare you are eligible for, there are benefits! For most people, Medicare benefits are a perfect thing overall. If you qualify for them, you know that you will be able to afford to pay the premiums to appear on your health insurance. Addition, If you have gotten your Medicare premium bill in the mail, there are services that mean you can still pay your Medicare online. Today we have our health insurance policies, and President Johnson started the Medicare program in 1965. It was one of the best things that ever happened to us all.

Federal legislation enacted in 1965 created Medicare under Title XVIII of the Social Security Act, since renamed Title II. It is a social insurance program funded by general revenues and administered by the U.S. Social Security Administration. It guarantees that all eligible persons will access necessary medical care, regardless of income or pre-existing medical conditions. Individual states were not allowed to implement Medicare but had to develop their plans for medical insurance for the elderly and disabled.