To keep premium Part A, the person must continue to pay all monthly premiums and stay enrolled in Part B. Enroll during a valid enrollment period and.File an application to enroll by contacting the Social Security Administration.People who must pay a premium for Part A do not automatically get Medicare when they turn 65. Medicare Part A Based on Age for People Who Must Pay a Premium For example, if an individual's birthday is on December 1, Part A begins on November 1. NOTE: For an individual whose 65th birthday is on the first day of the month, Part A coverage begins on the first day of the month preceding their birth month. If the application is filed more than 6 months after turning age 65, Part A coverage will be retroactive for 6 months. Part A coverage begins the month the individual turns age 65, provided he or she files an application for Part A (or for Social Security or RRB benefits) within 6 months of the month in which he or she becomes age 65. In this case, the individual will get Part A automatically at age 65.Īn individual who is not receiving monthly Social Security or RRB benefits must file an application for Medicare by contacting the Social Security Administration. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.Īn individual who is receiving monthly Social Security or RRB benefits, at least 4 months prior to turning age 65, does not need to file a separate application to become entitled to premium-free Part A.To be eligible for premium-free Part A on the basis of age: Premium-Free Medicare Part A Based on Age The QCs they earn can be used only to meet the requirements for premium-free Part A they may not be used to meet the requirements for monthly Social Security benefits. NOTE: Certain Federal, State, and local government employees pay only the Part A portion of the FICA tax. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A. QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person's working years. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD).
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To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. Most people get Part A for free, but some have to pay a premium for this coverage. Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) are available to the individuals below: For more information about Medicare for people who are still working, go to our Employer page or I’m 65 and Still Working page. This page contains information on Medicare Part A and Medicare Part B eligibility and enrollment.