Am I Eligible for Medicare?
Teton Medicare • July 25, 2023

July 25, 2023


Medicare  / By Teton Medicare



medicare earlier hospital insurance disability benefits


One of the biggest questions people have about Medicare is:  Am I eligible for Medicare?  There’s a short answer and a long answer. The short answer is that there are three groups of people  eligible for Medicare : people 65 and older, younger people with End Stage Renal Disease, and younger people with disabilities. Read on to learn more about the long answer.



People 65 and Older



The biggest group of Medicare recipients is people 65 and older. Of the 61 million enrolled in Medicare in 2019, 53 million were enrolled because they were 65 and older. In order to be considered eligible due to age alone, you must be 65 and older and fulfill the following criteria:



      • You must be a U.S. citizen or permanent legal resident who has lived in the U.S. for at least 5 years.


      • You or your spouse must have worked to earn 40 credits – usually at least 10 years – during which you paid Medicare taxes.



    Younger People with Disabilities



    You can qualify for Medicare even if you’re not 65. To qualify for Medicare as a younger person with disabilities, you must have a disability according to Social Security and also:



        • Must be a U.S. citizen or permanent legal resident who has lived in the U.S. for at least 5 years


        • Must have been entitled to Social Security Benefits for at least 24 months (not necessarily consecutively); or


        • Receive a disability pension from the railroad retirement board and meet certain conditions; or


        • Have Amyotrophic Lateral Sclerosis/Lou Gehrig’s disease.



      People with End-Stage Renal Disease



      The last group of people  eligible for Medicare  are people with End Stage Renal Disease, ESRD. These are people whose kidney function has deteriorated to the point that they need dialysis or a kidney transplant. In order to qualify, your doctor must document your ESRD. You must also:



          • Be a U.S. citizen or permanent legal resident who has lived in the U.S. for at least 5 years.


          • You and/or your spouse must have paid social security taxes for a certain length of time depending on your age.



         Questions?



        health insurance / medical insurance - railroad retirement board benefits

        Three groups of people are  eligible for Medicare : people 65 and older, younger people with disabilities, and younger people with ESRD. Depending on which group you belong to, you must also meet the requirements described above. For any and all Medicare questions, contact us at Teton Medicare today.


        The post Am I Eligible for Medicare? first appeared on Teton Medicare LLC.

        insurance
        October 1, 2025
        Are you curious about how life insurance fits into your retirement plans? Check out this blog to learn more, and make sure you're prepared!
        insurance guidance
        September 25, 2025
        Get expert insurance guidance to choose the right coverage for your needs. Protect your finances with clear advice and tailored solutions from trusted professionals.
        medicare coverage
        By Kelli Schmatz September 3, 2025
        Choosing a Medicare plan is one of the most important decisions you can make. Here are the top mistakes to avoid when choosing medicare coverage.
        Show More →