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How to Qualify for Medicare

Medicare is a federal health insurance program primarily designed for individuals aged 65 and older, but there are other eligibility criteria as well. Here’s a structured overview of how you can qualify:

1. Age Requirement

  • You must be at least 65 years old.
  • You can apply for Medicare three months before your 65th birthday.
  • Coverage automatically starts the month you turn 65 if you are receiving Social Security benefits.

2. Disability Criteria

  • If you are under 65, you can qualify after receiving Social Security Disability Insurance (SSDI) for 24 months.
  • Individuals with End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS) can qualify immediately.

3. Citizenship and Residency

  • You must be a U.S. citizen or a permanent legal resident for at least five years.
  • Eligibility also depends on your residency status in the U.S.

4. Enrollment Periods

To enroll in Medicare, you need to be aware of different enrollment periods:

  • Initial Enrollment Period: 7 months around your 65th birthday.
  • General Enrollment Period: Each year from January 1 to March 31.
  • Special Enrollment Period: May apply if you delayed coverage due to employer health insurance.

Understanding the eligibility criteria and enrollment periods is crucial for successfully obtaining Medicare coverage. For personalized assistance, consider contacting the Social Security Administration or visiting the official Medicare website.

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