Medicare is a health insurance program administered by the federal government of the United States that provides coverage to individuals aged 65 and older, and certain younger individuals with disabilities or special circumstances. Surely you’re wondering who can acquire Medicare? Let us clarify it for you:

Eligibility for Medicare is primarily determined by three key criteria:

  1. Age 65 or older: Most people become eligible for Medicare when they turn 65, even if they are still working or not receiving Social Security benefits. This age requirement is based on the principle of providing health coverage to American citizens as they reach retirement age and may need more medical attention.
  2. Disability or other special circumstances: Medicare also covers individuals under 65 who have a qualified disability according to Social Security criteria. This includes people who have been receiving Social Security disability benefits for at least 24 consecutive months. Those with End-Stage Renal Disease (ESRD) requiring dialysis or kidney transplant, as well as those with Lou Gehrig’s disease (Amyotrophic Lateral Sclerosis, ALS), may also be eligible.
  3. Citizenship or legal residence in the U.S.: To be eligible for Medicare, one must be a U.S. citizen or legal resident who has lived in the United States for at least five consecutive years. This requirement helps ensure that the program benefits those who have contributed to the system and reside in the country.

It’s important to note that Medicare consists of several parts, each with different coverages and costs. Part A provides hospital coverage, Part B covers medical and outpatient services, Part C (Medicare Advantage) offers an alternative to the original Medicare program, and Part D covers prescription drugs.

Additionally, some beneficiaries may choose to supplement their Medicare coverage with supplemental insurance plans (Medigap) to help cover costs that Medicare doesn’t fully cover, such as deductibles and copayments.

Medicare is a vital program that provides health coverage to a wide range of people in the United States, from individuals aged 65 and older to those with disabilities or specific medical conditions. Its flexible structure and multiple parts ensure that beneficiaries can access necessary healthcare to maintain their health and well-being throughout their lives.

Interested in getting information? Connect today with a licensed Medicare agent by calling 786-453-8070.