Medicare Part A And Part B Eligibility Rules – Am I Eligible For Medicare Part A And Part B? (2026)

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 IRMAASurcharges On MedicarePart 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.YesNoYesNoYesNoYesNoYesNoAre you disabled and do you receive Social Security Disability benefits (or certain disability benefits from RRB)?YesNoNoYesDo you have ALS or End-Stage Renal Disease?NoYesSTART HERE
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 Dejan Ilijevski, MBA, MS

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