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Here’s Why You Won’t Qualify for Medicare

Here’s Why You Won’t Qualify for Medicare

November 09, 2022
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Here’s Why You Won’t Qualify for Medicare, Even After Turning 65

Written by Carmen Garcia

Medicare is a government-sponsored health insurance program for people aged 65 and older and those with certain disabilities or medical conditions. But did you know that not everyone will qualify? Here’s why you may not be eligible for premium-free Medicare, even if you’re 65 or older.

You Haven’t Worked for at Least 10 Years

Most Medicare recipients won’t pay a premium for Medicare Part A (hospital coverage). This is because over the years you worked, your earnings were taxed and paid into the Federal Insurance Contributions Act, which funds Medicare. To be eligible for Medicare Part A at no cost, you must have worked a minimum of 40 quarters or ten years. If you know that you do not meet the work requirements, you may still be able to qualify through a current, former, or deceased spouse or if you have certain medical conditions or disabilities.

You Worked, But Not Long Enough

You can still get Medicare Part A coverage even if you or your spouse don’t fully meet the work requirement of 10 years. Here’s how 1:

  • If you have between 30-39 quarters of work history, you can expect to pay $278 a month in 2023
  • If you have less than 30 quarters of work history, you can expect to pay $506 per month in 2023
  • If you or your spouse can continue working and accumulate 40 quarters, you will not have to pay a premium for Medicare Part A

What If You Don’t Meet Any of the Requirements?

If you are over age 65 and neither you nor your spouse meet the work requirements, or you’re single and don’t meet them yourself, you can choose to pay out-of-pocket for Medicare Part A coverage. To apply,2 you must be age 65 or older, a US citizen (or qualifying non-citizen who has lived in the US for at least five years), and able to pay the full cost of the premium yourself. It is important to note that if you buy Medicare Part A, you must also purchase Part B and pay those premiums. 

As always, if you have any questions, do not hesitate to reach out to us at Global View Capital Advisors. We are always happy to help!

DISCLAIMER: The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of Global View Capital Advisors. LTD (GVCA) or any of its affiliates. The content is developed from sources believed to be providing accurate information. The information in this material is not intended as tax or legal advice. Please consult legal or tax professionals for specific information regarding your individual situation. This material was developed and produced by FMG Suite to provide information on a topic that may be of interest. FMG Suite, LLC, is not affiliated with the named representative, broker-dealer, state- or SEC-registered investment advisory firm. The opinions expressed and material provided are for general information and should not be considered a solicitation for the purchase or sale of any security.

*1.Laurence, Bethany K. 2023. Medicare Premiums, Deductibles, and Copays Change for 2023. NOLO. https://www.nolo.com/legal-updates/medicare-premiums-deductibles-and-copays-change-for-2023.html

**2. Amin, Shilpa. 2021, November 30. Can I Get Medicare if I've Never Worked. Healthline. https://www.healthline.com/health/medicare/can-you-get-medicare-if-you-have-never-worked