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What to Know About Medicare As a Green Card Holder

By Casey November 4, 2021 (Updated November 4, 2021) 2 min. read
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If you’re approaching retirement and have a green card, you might be wondering if you qualify for Medicare. Medicare is available to permanent legal residents in the United States but has some restrictions based on work and residency history.

Medicare Requirements

There are a few key differences in requirements for Medicare for green card holders. Like all American citizens, you’ll need to be at least 65 years old to qualify. There are also some residency and work requirements to consider.

Residency Requirements

To qualify for Medicare you’ll need to be a permanent resident of the United States. While there are some alternative health insurance options for new residents, you’ll have to live in the United States for 5 years in a row to benefit from Medicare.

Work Requirements

You’ll also need to have worked in the United States for at least 10 years (or 40 quarters) to qualify for this government benefit. These years don’t need to be consecutive, unlike the residency requirements.

If you’ve worked 40 quarters throughout your life and meet all other requirements, you’re eligible for Medicare Part A without premiums.

Are There Any Exceptions?

In some cases, if your spouse qualifies for Medicare, you can also apply even if you don’t meet these outlined requirements. 

If your spouse has been an American citizen for at least a year or is a fully-insured green card holder, then you’re more likely to be eligible for Medicare when you don’t meet working or residency requirements.

Costs For Medicare Depending on Your Work History

If you have a full 10 years or 40 quarters of working in the United States, then you can enroll in Medicare Part A. For each quarter, you’ll need to have earned more than $1470 for it to count towards your 40 working quarters.

You can still purchase Medicare Part A insurance if you don’t fulfill the working requirements. 

Is the Enrollment Process Different?

If you’re a green card holder applying for Medicare, the process is no different than for anyone else. Your initial enrollment period begins three months before your 65th birthday and ends three months after. 

It’s very important to apply within this time period so that you avoid penalties for delaying coverage. If you’ve received Social Security benefits for more than four months before turning 65, then you might be automatically enrolled in Medicare Part A and B. 

Visit the Social Security Administration website to check if you’re already enrolled and choose what Medicare plans you’d like to enroll in.

What to Do If You’re Not Eligible for Medicare

There are many private insurance plans available to you if you need healthcare coverage before you fulfill residency or working requirements. Many choose to use visitors or travelers’ insurance while they work towards meeting these requirements.

While Medicare enrollment requirements are a little different for green card holders, the overall enrollment process is the same for all eligible American residents.

Look through the visual below for more information on Medicare for green card holders and to take our Medicare eligibility quiz if you’re still unsure about your options.

Sarah Quernasian Avatar

Sarah Quernasian

Lawyers here are so kind and sweet and provide so much information in an easy to understand way, especially about visa and obtaining work once in the country. My lawyer was very good and I’m looking forward to having her knowledge in the future for any other immigration needs.

Charles Scalise Avatar

Charles Scalise

The thought of immigrating was very stressful for me and my family, I felt lost. However, working with VisaPlace was very positive and I recommend them to those who need help with immigration. Their team worked with me very closely and presented to me multiple potential options and explained what the process would look like as well as the timeline. I’m so grateful to their guidance.

Pherry AshMalt Avatar

Pherry AshMalt

I won’t go into detail for privacy, but I was in a very bad situation where almost no lawyer would work with me or even provide me with legal counsel on my case. I was terrified of being removed from the country, but with the help of the professionals at VisaPlace, they were able to help me and I was allowed to stay. The relief I feel is immense. Thank you to the amazing team.

Walter J. Avatar

Walter J.

I was frustrated after talking to several different immigration firms. Many just didn’t seem honest or upfront. However, a friend recommended VisaPlace to me, and I am glad they did. I worked with a lady and she was very knowledgeable and explained the process to me. She was so essential for the immigration process. I would definitely go back to her if i needed any further support.

Marco Tame Avatar

Marco Tame

I’d like to be clear that I’m somewhat of a skeptic, especially when it comes to investing time and money into a new venture. I’m originally from the UK but I made the decision to migrate to Canada after meeting my girlfriend online six months ago. I know the process is going to take time, but I wanted legal counsel to make sure I approach the process in the most efficient way possible – I HATE wasting time. My consultation over the phone was informative and eased some of my initial concerns about potential hiccups. The lawyer I worked with was good about getting back to me, although occasionally she couldn’t be reached due to being in court – that was fine, she typically followed up relatively quickly. I’m now well within the process of immigrating and I have appreciated having the legal support.

Michael Her Avatar

Michael Her

It was pretty easy to make an appointment with visaplace. I have seen some people complain about the pricing, which is odd because in comparison to other firms, their rates are relatively fair. They were also honest and upfront with the complexities of my case and gave me the option to decide whether or not I wanted to move forward. I did end up moving forward and things have been going according to what we discussed. I am relieved to know there are honest professionals out there who won’t over-promise you things they can’t deliver.

Michael Her Avatar

Michael Her

It was pretty easy to make an appointment with visaplace. I have seen some people complain about the pricing, which is odd because in comparison to other firms, their rates are relatively fair. They were also honest and upfront with the complexities of my case and gave me the option to decide whether or not I wanted to move forward. I did end up moving forward and things have been going according to what we discussed. I am relieved to know there are honest professionals out there who won’t over-promise you things they can’t deliver.