Generally, people become eligible for Medicare coverage at the age of 65. However, there are two circumstances in which you can get coverage at 62, or even sooner. In some cases, coverage will begin automatically. If not, you must enroll yourself by submitting an application to the Social Security Administration.
Traditional Requirements
You automatically become eligible for Medicare health insurance at 65. It's available to American citizens or legal permanent residents who have worked a sufficient number of years. You may also qualify if you or your spouse worked for or retired from the government and had Medicare deductions taken from each paycheck. You also qualify for Medicare based on your spouse's record if you're at least 65 and your spouse is 62 or older and has worked a minimum of 10 years.
Qualifying With Disability
You are automatically enrolled in Medicare once you have received either Social Security or Railroad Retirement Board disability benefits for two years. For example, if you are 62 and began receiving disability benefits at 60, you qualify for Medicare. On the other hand, if your benefits started at age 61, you aren't Medicare-eligible until you turn 63. People who have been diagnosed with Amyotrophic Lateral Sclerosis, or Lou Gehrig's disease, are eligible for Medicare in the same month they get disability benefits.
Qualifying With Renal Disease
People with end-stage renal disease also qualify for Medicare regardless of age. End-stage renal disease is permanent kidney failure, and a person must have a kidney transplant or routine dialysis to stay alive. People with end-stage renal disease must enroll themselves in Medicare.
Enrolling in Medicare
If you're 62 and were automatically enrolled in Medicare due to disability benefits, you will get your insurance card in the mail. No additional action is needed on your part. People with end-stage renal disease must submit an application on the Social Security Administration website, at a local Social Security office, or by phone at (800) 772-1213. Social Security will need that person's complete medical history, including hospital records, clinical and laboratory findings, and physicians' treatment notes.
References
- Medicare.gov: Enrolling in Medicare Part A and Part B
- AARP: Do You Qualify for Medicare?
- Medicare.gov: Glossary - M
- Medicare.gov: When and How to Sign Up for Part A and Part B - I'm Under 65 and Have a Disability
- U.S. Social Security Administration: Medicare Coverage if You're Disabled
- Medicare.gov: Glossary - E
- Medicare.com: Getting Medicare Under Age 65
- U.S. Social Security Administration: How to Apply Online for Just Medicare
- Nolo: Social Security Disability Benefits and Kidney Failure
- Centers for Medicare and Medicaid Services. "2019 Medicare Trustees Report," Page 12. Accessed Apr. 13, 2020.
- Medicare. "What's Medicare?" Accessed Apr. 13, 2020.
- Medicare. "Part A Costs." Accessed Apr. 13, 2020.
- Social Security Administration. "How You Earn Credits," Page 2. Accessed Apr. 13, 2020.
- Social Security Administration. "Social Security Credits." Accessed Apr. 13, 2020.
- Social Security Administration. "How You Earn Credits," Page 3. Accessed Apr. 13, 2020.
- Social Security Administration. "Your Options: Working, Applying for Retirement, or Both?" Accessed Apr. 13, 2020.
- Social Security Administration. "Social Security Handbook: When Is a Spouse Entitled to Spouse's Insurance Benefits on the Worker's Social Security Record?" Accessed Apr. 13, 2020.
- Social Security Administration. "Benefits for Your Spouse." Accessed Apr. 13, 2020.
- Social Security Administration. "If You Are Divorced." Accessed Apr. 13, 2020.
- Social Security Administration. "General Information." Accessed Apr. 13, 2020.
- Social Security Administration. "Is There a Waiting Period for Social Security Disability Benefits?" Accessed Apr. 13, 2020.
- Centers for Medicare and Medicaid Services. "End-Stage Renal Disease (ESRD)." Accessed Apr. 13, 2020.
- Social Security Administration. "Program Operations Manual System (POMS)." Accessed Apr. 13, 2020.
- Social Security Administration. "Trial Work Period." Accessed Apr. 13, 2020.
- Social Security Administration. "Spotlight on Impairment–Related Work Expenses -- 2019 Edition." Accessed Apr. 13, 2020.
Writer Bio
Based on the West Coast, Mary Jane Freeman has been writing professionally since 1994, specializing in the topics of business and law. Freeman's work has appeared in a variety of publications, including LegalZoom, Essence, Reuters and Chicago Sun-Times. Freeman holds a Master of Science in public policy and management and Juris Doctor. Freeman is self-employed and works as a policy analyst and legal consultant.