Medicare Starter Kit
You qualify for full Medicare benefits at age 65 or older if:
- You are a U.S. citizen or a permanent legal resident; and
- You or your spouse has worked long enough to be eligible for Social Security or railroad retirement benefits — usually having earned 40 credits from about 10 years of work — even if you are not yet receiving these benefits; or
- You or your spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working.
Note: You can qualify for Medicare on your spouse's work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court's ruling on the Defense of Marriage Act in June 2013, people in same-sex marriages may qualify on their spouse's work record if they live in
the state where they were wed or in another state that recognizes same-sex marriage, or if they are civilian or military employees of the federal government. It's currently unclear whether same-sex couples outside of these categories have the same rights — but if you're in this position, you should apply anyway.
You qualify under age 65 if:
- You have been entitled to Social Security disability benefits for at least 24 months (which need not be consecutive); or
- You receive a disability pension from the Railroad Retirement Board and meet certain conditions; or
- You have Lou Gehrig's disease (amyotrophic lateral sclerosis), which qualifies you immediately; or
- You have permanent kidney failure requiring regular dialysis or a kidney transplant — and you or your spouse has paid Social Security taxes for a certain length of time, depending on your age.
how old to receive medicare