Medicare Part A And Part B Eligibility Rules – Am I Eligible For Medicare Part A And Part B? (2026)
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2026 · AM I ELIGIBLE FOR MEDICARE PART A & PART B?
Are you age 65 or older?
You are eligible for
premium-free Medicare
Part A, but must pay a
premium for Part B.
Penalties may apply. See
“Will I Avoid Medicare
Enrollment Penalties?”
flowchart.
The standard Part B
premium is $202.90/month,
but penalties and income-
based adjustments may
apply.
You must pay a premium
for Medicare Part A and
Part B. If you choose to buy
into Part A, you must also
buy into Part B.
Are you a U.S. citizen or a
permanent legal resident
that has lived in the U.S.
for at least 5 years?
You are eligible for
Medicare Part A and B
after receiving such
disability benefits for 24
months.
See "Will I Avoid IRMAA
Surcharges On Medicare
Part B & Part D?"
flowchart.
30 to 39 credits:
The standard premium for
Part A is $311/month.
Fewer than 30 credits:
The standard premium for
Part A is $565/month.
How many Social Security
work credits do you or
your spouse have?
Are you a U.S. citizen or a
permanent legal resident
that has lived in the U.S.
for at least 5 years?
You may be eligible for
Medicare Part A and B if
you receive Social Security
Disability benefits and
meet certain
requirements.
You are eligible for
premium-free Medicare
Part A, but must pay a
premium for Part B.
You are eligible for
Medicare Part A and
Part B.
Are you entitled to receive
Social Security or RRB
benefits based on your
own earnings record or
your spouse’s (or would
you qualify for such
benefits based on
non-covered government
employment)?
Are you the dependent or
survivor of an individual
age 65 or over and entitled
to Part A, or the
dependent of an individual
under age 65 and entitled
to disability benefits?
Are you disabled?
Sorry, you are not eligible
for Medicare.
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Are you disabled and do
you receive Social Security
Disability benefits (or
certain disability benefits
from RRB)?
Yes
No
No
Yes
Do you have ALS or
End-Stage Renal Disease?
No
Yes
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