| Thu, Aug 18, 2016 @ 09:00 AM

Medicare for Same Sex Couples

Posted by Medicare Made Clear

social security disabilityIf you’re at least 65+ years old or have certain disabilities and made contributions to Medicare for at least 10 years or 40 quarters while you were working, you qualify for premium-free Medicare Part A based on your own work history.

As of June 26, 20131, if you don’t meet the minimum work history requirements but your same-sex spouse does, you may qualify for premium-free Part A based on your current or former spouse’s employment if:

  • your spouse worked at least 10 years in Medicare-covered employment; and
  • you are 65 years old or older; or
  • you have received Social Security disability benefits for at least 24 months.

Opposite-sex couples can also qualify for Medicare based on their spouse’s employment if they meet the same requirements.

Read more about additional marriage requirements for the purpose of receiving premium-free Part A and Social Security benefits based on age and disability.

You may qualify for premium-free Part A, minus the 24-month wait period, based on your current or former spouse’s employment and your End Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS), if you meet the ESRD and ALS Medicare eligibility requirements and the following conditions.

  • You and your spouse (living or deceased) were married in a state that permits same-sex marriage.
  • You live in a state that recognizes same-sex marriage at the time you apply, or while the claim is pending final determination.
  • If you’re divorced, you must have been married for at least 10 years (alive or deceased).


In addition to qualifying for premium-free Medicare Part A (Hospital insurance), you may also qualify for Medicare Part B (Medical insurance). Most people with Part B in 2015 paid a monthly premium of $104.90. Learn more about Part B premium costs and what it covers.

Related Content

Medicare Coverage for Married Same-Sex Couples

Disability vs Age: Is Medicare the Same for Each Group?



1 Important information for individuals in same-sex marriages, Medicare.gov, September 21, 2015


For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

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