United States
Benefit
Medicare
Federal health insurance program for people 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
At a Glance
- Must be 65+, received SSDI for 24 months, have ALS,or have End-Stage Renal Disease.
- Must be a U.S. citizen or lawful permanent residentfor at least 5 continuous years.
- For premium-free Part A, you or your spouse must haveworked and paid Medicare taxes for at least ...
Eligibility Requirements
Eligibility Basis
RequiredMust be 65+, received SSDI for 24 months, have ALS,or have End-Stage Renal Disease.
medicare_eligibility_basis
in
[age_65_plus, ssdi_recipient_24_months, als, esrd]
Exempt if any:
-
OR
age≥ 65 -
OR
ssdi_months_received≥ 24 -
OR
has_als= true -
OR
has_esrd= true
Citizenship/Residency
RequiredMust be a U.S. citizen or lawful permanent residentfor at least 5 continuous years.
citizenship_status
in
[us_citizen, lawful_permanent_resident_5_years]
Ruleset effective: 2024-01-01
View as JSON
{"service_id":"medicare","effective_date":"2024-01-01","rules":[{"id":"age-or-disability","key":"medicare_eligibility_basis","operator":"in","values":["age_65_plus","ssdi_recipient_24_months","als","esrd"],"requirement":"required","label":"Eligibility Basis","description":"Must be 65+, received SSDI for 24 months, have ALS,\nor have End-Stage Renal Disease.\n","any_of":[{"id":"age-65","key":"age","operator":"greater_than_or_equal","value":65,"description":"Age 65 or older"},{"id":"ssdi-24-months","key":"ssdi_months_received","operator":"greater_than_or_equal","value":24,"description":"Received SSDI for 24+ months"},{"id":"has-als","key":"has_als","operator":"equals","value":true,"description":"Diagnosed with ALS (Lou Gehrig's disease)"},{"id":"has-esrd","key":"has_esrd","operator":"equals","value":true,"description":"Has End-Stage Renal Disease"}]},{"id":"citizenship","key":"citizenship_status","operator":"in","values":["us_citizen","lawful_permanent_resident_5_years"],"requirement":"required","label":"Citizenship/Residency","description":"Must be a U.S. citizen or lawful permanent resident\nfor at least 5 continuous years.\n"},{"id":"work-history","key":"medicare_work_credits","operator":"greater_than_or_equal","value":40,"requirement":"required","label":"Work History (Premium-Free Part A)","description":"For premium-free Part A, you or your spouse must have\nworked and paid Medicare taxes for at least 10 years.\n","source_url":"https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/who-can-get-medicare"}]}
Quick Info
- Agency
- CMS
- Category
- Healthcare
- Last Verified
- 2026-01-13