Everything about Medicare Part A Eligibility

medicare part a elgibility

Medicare Part A eligibility is straight forward to understand and implement. You only need to know a few things about enrollee’s work life or family and medical history.

Medicare has a variety of health care plans that cater to different aspects of necessary medical facilities. Part A of Medicare’s plan is for inpatient cases, people who need to have minimum essentials covered after their retirements.

Medicare Part A Eligibility

In this plan, hospital insurance is available to people who have certain kinds of medical conditions and are above or at the requisite age for eligibility. It is provided for:

  • people of age 65 or older
  • Disabled
  • End stage Renal Disease (ESRD)

An individual is acceptable for Medicare plan part A eligibility if they have their own earnings from their work life or someone from their family like spouse, parent or child. Most of such enrollees get part A for free. Others, however, have to buy premium for it. This plan satisfies the law that requires people to have health coverage.

For people of 65 years age or above, if they are already enrolled in plan B they are considered eligible for plan A also. In case you wait longer than 6 months after turning 65, your plan will retroactive for up to 6 months.

Eligibility According to Age

To be eligible for this plan an individual must have a specific number of Quarter of Coverage (QCs), application for Social Security or Railroad Retirement Board benefits must be filed. Most workers get their FICA deducted automatically so they qualify for Social Security benefits and premium free part A. Others who want to enter the Medicare plan part A eligibility are people who get their Social Security and Railroad Retirement Board benefits for at least 4 months before Medicare, they also get premium free part A if they are living in the USA without any hassle.

For those people who have to buy premium have to first file an application through Social Security Administration, which then enrolls them in

If any disabled person is already a part of Social Security or RRB, he qualifies automatically for Medicare plan part A eligibility criteria, especially if he has received disability benefits for 24 months. There is also a special rule for people with Amyotrophic Lateral Sclerosis (ALS) that they have no waiting period for entitlement.

Medicare for End Stage Renal Disease

For these patients, eligibility is simple. If they have received regular dialysis or kidney transplant, and their applications are filed for Medicare they only need one of these conditions to be met:

  • Served the requisite period in either Social Security, Railroad Retirement Board or as a government employee
  • Already eligible or receiving Social Security or Railroad Retirement Board benefits.
  • Are child or spouse of the person who has worked as a government employee or is getting benefits from Social Security or RRB.

Wrap Up

Because Medicare part A has a continuous outlook for the enrollees, it comes with a few strings attached. Once you have cleared all the criteria within Medicare Part A Eligibility and the system recognizes your needs as genuine, you are in for a long time of benefits and relief in terms of health care.

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