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Speak with a licensed insurance agent

+1-201-362-7752 | Mon - Fri, 9am - 5pm

Speak with a licensed insurance agent

+1-201-362-7752

Medicare Eligibility

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Medicare Eligibility – Who Qualifies for Medicare?

- Age-Based Eligibility

- Disability and Health Conditions

- Residency Requirements

Determining your Medicare eligibility is the first step toward securing coverage that fits your healthcare needs. While age is a major factor, you may also qualify because of certain disabilities or health conditions. Below is a quick guide to help you understand when and how you might become eligible.

Age-Based Eligibility

Most people become eligible for Medicare when they turn 65. If you’re already receiving Social Security benefits, you’ll typically be enrolled automatically in Parts A and B. If you haven’t filed for Social Security yet, you may need to sign up manually during your Initial Enrollment Period, which starts three months before your 65th birthday month and ends three months after

Disability and Health Conditions

You can also qualify for Medicare at any age if you’ve received Social Security Disability Insurance (SSDI) benefits for 24 consecutive months. Individuals with End-Stage Renal Disease (ESRD) or amyotrophic lateral sclerosis (ALS) often qualify for expedited Medicare benefits, sometimes without waiting the full 24 months.

Residency Requirements

To enroll in Medicare, you typically need to be a U.S. citizen or a permanent legal resident who has lived in the country for at least five continuous years. If you’re still working at 65 and covered by an employer’s plan, you might delay Part B without penalty under certain conditions.

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We’ll help you complete enrollment quickly and easily in the plan you choose.

we’re here to all your questions

Over the years, we’ve helped countless seniors navigate their coverage choices and find the plan that works best for them.

Medicare Advantage (Part C) typically bundles hospital, medical, and sometimes prescription drug coverage into a single plan. Many also include extra perks, such as dental or vision coverage. This can help lower your overall costs and streamline your benefits.

Yes! Certain Medicare Advantage plans go beyond basic coverage to include perks like gym memberships, transportation to medical appointments, or allowances for over-the-counter items. These extras can make a significant difference in both convenience and savings.

While sites like Medicare.gov are informative, the volume of information can be overwhelming. We make it easier by focusing on your specific health needs, location, and budget—so you won’t waste time sifting through every possible plan.

If you didn’t sign up for Medicare during your initial window, you may still qualify for a Special Enrollment Period (SEP) if you’ve had certain life changes (such as moving or losing other coverage). Otherwise, there are set times each year to enroll or switch plans—making it essential to know your options and deadlines.

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