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Who Qualifies for Free Medicare Part A

Free Medicare Part A will start at age 65 as long as you are:

Who Qualifies for Free Medicare Part A
Brian Greenberg

Written by Brian Greenberg

CEO / Founder & Licensed Insurance Agent

Grant Desselle

Reviewed by Grant Desselle

Licensed Insurance Agent

Last updated: July 2022 | 3 min read

Who Qualifies for Free Medicare Part A at a glance

  • Qualify for free Medicare Part A at age 65 with 10 years of employment.
  • Receive Social Security or Railroad Retirement benefits to be eligible.
  • Collect Social Security Disability Insurance benefits after 24 months for eligibility.
  • Enroll manually if you miss the Initial Enrollment Period.
  • Automatic enrollment occurs for those turning 65 and receiving benefits.
  • Contact Social Security for specific eligibility questions.

Medicare Part A Free Eligibility:

Free Medicare Part A will start at age 65 as long as you are:

  • US citizen or permanent legal resident.
  • Completed 10 years of employment (40 calendar quarters) with Medicare payroll taxes deducted

Additional ways to qualify

If you are 65 years of age, you are eligible for free Medicare Part A if one of the following applies:

  1. You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).
  2. Your spouse (living or deceased, including divorced spouses) receives or is eligible to receive Social Security or RRB benefits.
  3. You or your spouse worked long enough in a government job through which you paid Medicare taxes.
  4. You are the dependent parent of a fully insured deceased child.
  5. You have been collecting Social Security Disability Insurance Benefits (SSDI) or Railroad Retirement Board (RRB) benefits, but have not yet filed for them yet.

Before age 65, you are eligible for Medicare Part A at no
cost if one of the following applies:

  1. Everyone eligible for Social Security Disability Insurance (SSDI) benefits is also eligible for Medicare after a 24-month qualifying period. The first 24 months of disability benefit is the waiting period for Medicare coverage.
  2. You receive a disability pension from the RRB and meet certain conditions.
  3. You’re the child or widow(er) age 50 or older, including a divorced widow(er), of a worker who has worked long enough under Social Security or in a Medicare-covered government job, and you meet the requirements of the Social Security disability program.
  4. You receive Social Security disability benefits because you have Lou Gehrig’s disease (amyotrophic lateral sclerosis).
  5. You have permanent kidney failure (end-stage renal disease) and you receive maintenance dialysis or a kidney transplant and one of the following applies:
    • You’re eligible for or receive monthly benefits under Social Security or the railroad retirement system.
    • You’ve worked long enough in a Medicare-covered government job.
    • You’re the child or spouse (including a divorced spouse) of a worker (living or deceased) who has worked long enough under Social Security or in a Medicare-covered government job.

Those who choose to enroll in Medicare after the enrollment period may be subject to a late enrollment penalty.

If you don’t meet these requirements, you may be able to get Medicare Part A by paying a monthly premium. Usually, you can purchase this coverage only during designated enrollment periods.

The medicare eligibility tool

Find out your Medicare Part A eligibility from medicare.gov. If you don’t see your situation, contact Social Security (or the Railroad Retirement Board if you get railroad benefits) to learn more about your specific eligibility or premium.

When Are You Eligible For Medicare Part A

Status

Details

Are you 65, but not taking retirement benefits?Requires manual enrollment during the Initial Enrollment Period (starts 3 months before your 65th birthday for 7 months total). If enrollment is missed during this time, penalties will apply or you must wait until General Enrollment begins (Jan 1- Mar 31)
Are you turning 65 AND receiving Social Security/ Railroad Retirement benefits?Medicare Part A enrollment should be automatic on the first day of the month you turn 65. You will receive your Medicare card about 3 months prior.
Are you under 65 and on disability from Social Security/ Railroad Retirement?After 24 months of disability coverage from Social Security/ Railroad Retirement, Medicare Part B enrollment is automatic starting the 25th
Have you been diagnosed with end-stage renal disease?Medicare coverage will begin the first day of the fourth month of dialysis treatment. NOTE: you must manually enroll if under 65.
Have you been diagnosed with ALS (Lou Gehrig’s disease?Automatic coverage when you start receiving Social Security disability benefits.You should receive card about 30 days after Social Security begins.

How To Enroll In Medicare Part A

To enroll:

  • You can enroll online at the Social Security website
  • Calling the Social Security Administration at 1-800-772-1213
  • Call the Medicare toll-free number at 1-800-MEDICARE (1-800-633-4227).
  • Visiting your local Social Security office

Additional Medicare Resources

  • HealthCare.gov
  • InsureKidsNow.gov
  • Medicaid.gov
  • CMS.gov
  • HHS.gov
  • USA.gov

Frequently asked questions

What are the age requirements for free Medicare Part A?+

You qualify for free Medicare Part A at age 65 if you have completed 10 years of employment with Medicare payroll taxes deducted.

How can I qualify for free Medicare Part A if I'm under 65?+

You can qualify if you receive Social Security Disability Insurance benefits after a 24-month waiting period or have certain conditions like end-stage renal disease.

What should I do if I miss the Initial Enrollment Period?+

If you miss the Initial Enrollment Period, you may face penalties or have to wait until the General Enrollment Period to enroll.

When does automatic enrollment for Medicare Part A occur?+

Automatic enrollment occurs on the first day of the month you turn 65 if you are receiving Social Security or Railroad Retirement benefits.

How can I enroll in Medicare Part A?+

You can enroll online at the Social Security website, call the Social Security Administration, or visit your local Social Security office.

What happens if I have end-stage renal disease?+

If diagnosed with end-stage renal disease, Medicare coverage begins the first day of the fourth month of dialysis treatment.

What if I have Lou Gehrig's disease?+

If you have Lou Gehrig's disease, you will receive automatic Medicare coverage when you start receiving Social Security disability benefits.

Where can I find more information about Medicare eligibility?+

You can use the Medicare eligibility tool at medicare.gov or contact Social Security for specific inquiries about your eligibility.

About the authors

Brian Greenberg

Written by

Brian GreenbergCEO / Founder & Licensed Insurance Agent

Brian is the founder and CEO of Insurancy and carries Life, Health, and Property & Casualty licenses in all 50 U.S. states. Since 2013, Brian has been a member of Million Dollar Round Table, a designation for the top 1% of financial advisors worldwide. Brian has been featured in Yahoo! Finance, Money.com, Entrepreneur.com, Life Happens, Forbes, MSN, and Good Financial Cents. Brian’s goal is to show customers the best products, the quickest answers to their questions, and provide expert advice.

Grant Desselle

Reviewed by

Grant DesselleLicensed Insurance Agent

Grant's past experience includes work as a licensed sales agent for Hagerty Insurance. He has reviewed thousands of existing auto policies across the nation and issued hundreds of new ones on everything ranging from classic cars undergoing restoration to modern exotics and motorcycles.

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