Can you get Part A Medicare without working?

Asked by: Esperanza Swaniawski IV  |  Last update: September 12, 2025
Score: 4.7/5 (53 votes)

Key Takeaways. If you are a U.S. citizen age 65 or older, you can get Medicare regardless of your work history — but your costs could vary. If you've paid Medicare taxes for at least 10 years, you can enroll in Medicare Part A.

Who is not eligible for Medicare Part A?

Why might a person not be eligible for Medicare Part A? A person must be age 65 years or older to qualify for Medicare Part A. Unless they meet other requirements, such as a qualifying disability, they cannot get Medicare Part A benefits before this age.

Does a stay at home mom qualify for Medicare?

Anyone who meets Medicare eligibility requirements can get Medicare, including spouses.

Who qualifies for free Medicare Part A?

People age 65 or older, who are citizens or permanent residents of the United States, are eligible for Medicare Part A. You're eligible for Part A at no cost at age 65 if 1 of the following applies: You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).

Does anyone have to pay for Medicare Part A?

Most people don't pay a Part A premium because they paid Medicare taxes while working. If you don't get premium-free Part A, you pay up to $518 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty.

Can You Get Medicare Without Social Security Benefits?

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What happens if you don't enroll in Medicare Part A at 65?

Part A late enrollment penalty

If you have to buy Part A, and you don't buy it when you're first eligible for Medicare, your monthly premium may go up 10%. You'll have to pay the penalty for twice the number of years you didn't sign up.

Does my wife get Medicare if she never worked?

Medicare does not specifically cover spouses. However, some people qualify based on their spouse's or a former spouse's work record. Some people may qualify for Medicare by reaching age 65 years and having their own eligible work and tax records. Others, however, may not have worked for the required number of quarters.

Does Medicare pay for in home caregivers?

In certain circumstances, certain Medicare plans will cover caregiver expenses. A person must meet specific eligibility rules to get home care services, and sometimes, extra costs may apply that Medicare does not cover.

How much is Medicare Part A?

If you don't qualify for premium-free Part A: You might be able to buy it. You'll pay either $285 or $518 each month for Part A, depending on how long you or your spouse worked and paid Medicare taxes. Remember: You also have to sign up for Part B to buy Part A. Learn more about how Medicare works.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What are the rules for Medicare Part A?

Premium-Free Medicare Part A Based on Age

An 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. In this case, the individual will get Part A automatically at age 65.

How do I know if I'm eligible for Medicare Part A?

You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

Can you get social security if you've never worked?

Although many of the programs base benefit amounts and eligibility to work history, there are some instances where a person who has never worked can collect benefits. One program that provides benefits to people, not based on their work history, is Supplemental Security Income (SSI).

How long do you have to work to get Medicare Part A?

Worked for at least 10 years (40 quarters) in Social Security/Medicare-covered employment; Are eligible through the work history of a current, former, or deceased spouse; and/or.

How do you pay for Medicare if you are not collecting social security?

If you don't get benefits from Social Security (or the Railroad Retirement Board), you'll get a premium bill from Medicare. Get a sample of the Medicare bill. Why is my first bill higher than I expected? An extra amount you pay in addition to your Part D plan premium, if your income is above a certain amount.

Can I pay my daughter to care for me?

If the person needing assistance is mentally sound and has sufficient financial resources, that person can choose to compensate a family member for the same services a professional home health care worker would provide.

Does Medicare pay for nursing home care for the elderly?

The bottom line

Medicare will pay for nursing home costs on a very limited basis. Benefits only apply to short-term stays of 100 days or less following a qualifying hospitalization. Even then, patients often are responsible for out-of-pocket costs that quickly can add up to a significant unexpected expense.

Does social security pay for caregivers?

Social Security won't pay a caregiver directly, but seniors can use their benefits to pay for home care and home health services. Supplemental Security Income or SSI benefits were created for individuals with low-income, seniors, and individuals living with a disability.

Can a non-working spouse collect Social Security?

Bottom Line. Social Security for non-working spouses allows them to claim up to half of their partner's full retirement benefit. They can start receiving benefits at 62, but waiting until full retirement age increases the amount.

Can I collect my deceased husband's Medicare?

If the husband dies before her, she would be entitled to Medicare on his record as his widow. She would also be entitled to some level of Social Security payments as his wife or as his widow.

Is Medicare Part A free?

Medicare Part A is free if you: Have at least 40 calendar quarters of work in any job where you paid Social Security taxes in the U.S. Are eligible for Railroad Retirement benefits. Or, have a spouse that qualifies for premium-free Part A.

How do I get my Part D penalty waived?

You should complete the appeal form you received from your plan, attach any evidence you have, and mail everything to:
  1. C2C Innovative Solutions Toll free fax: (833) 946-1912.
  2. Part D LEP Reconsiderations Customer Service: 833-919-0198.
  3. PO Box 44165.

Can I enroll in Medicare Part A anytime?

You can sign up for Part A any time after you turn 65. Your Part A coverage starts 6 months back from when you sign up or when you apply for benefits from Social Security (or the Railroad Retirement Board). Coverage can't start earlier than the month you turned 65.