Medicare Resources for Immigrant Populations

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There are a number of resources and supports available locally and online to help answer questions about Medicare eligibility, coverage, and how to apply. Medicare offers written resources in nearly two dozen different languages which you can link to in the table of resources above this paragraph. Resources cover a variety of topics ranging from overviews of the parts of Medicare to COVID-19 vaccine coverage to who to contact for answers to your Medicare questions.

You can always request translation assistance when you have questions about or need to access health care. Click here for Medicare resources in other languages.

According to the Department of Health and Human Services (HHS), programs that receive federal financial assistance, including Medicaid and Medicare Parts A, C, and D, need to provide language assistance services, such as interpreters and translated documents. The Centers for Medicare and Medicaid Services (CMS) understands that Medicare beneficiaries have communication and language needs that must be met for them to receive quality care.

Can My Immigrant Parents or Immigrant Spouse Get Medicare?

Medicare is the federal health insurance program for United States citizens or permanent legal residents who are age 65 or older, younger with certain disabilities, or who have end-stage renal disease (ESRD).

Immigrants can get Medicare if they meet eligibility requirements. Medicare is an individual health insurance program, so if you have Medicare, you cannot also get it for your spouse or parents.

You may be able to help your parents or spouse begin the process of establishing permanent residency in the U.S. so they can meet Medicare residency eligibility requirements. To establish permanent legal residency, immigrants need a green card and may be able to apply for it through their family according to U.S. Citizenship and Immigration Services (USCIS). If you are a U.S. citizen or permanent legal resident, your parents or spouse may apply for a green card by virtue of their relationship to you.

If all other eligibility requirements are met, individuals may be able to get premium-free Medicare Part A based on their own earnings or those of a spouse, parent, or child. More about costs for Medicare is detailed below.

What Are the Medicare Eligibility Requirements for Immigrants?

Once immigrants meet residency requirements, eligibility and enrollment works the same as it does for other Medicare recipients. Immigrants must establish permanent legal residency by living in the U.S. for five continuous years prior to the month of filing an application for Medicare.

A green card allows immigrants to work and live in the U.S. According to U.S. Immigration laws, immigrants may be able to apply for a green card a variety of ways, including:

Immigrants must complete Form I-485, the application to register for permanent legal residence or adjust residency status. A sponsor or petitioner may complete the form on an immigrant’s behalf.

In addition to the permanent legal residency requirement, Medicare eligibility requirements include:

If you are eligible for Medicare due to disability, you must be receiving disability benefits through the Social Security Administration (SSA), the Railroad Retirement Board (RRB), or as a government employee.

When does the clock start to establish permanent legal residency?

The clock to establish the five-year permanent legal residency requirement for Medicare starts on the date you are granted permanent residence status. The USCIS website outlines Green Card processes and procedures to help you apply. The site offers information in several languages through its Multilingual Resource Center.

What disabilities qualify an immigrant for Medicare?

Immigrants who have established permanent residency and are under age 65 with disabilities may also qualify for Medicare. You first must meet the same eligibility requirements for Social Security Disability Income (SSDI) benefits that apply to citizens, which are based on work history, paying Social Security taxes on income, and having enough years of Social Security taxes accumulated to equal between 20 and 40 work credits (five to 10 years).

If you are under the age of 65, you may qualify for Medicare if you’ve been receiving monthly RRB disability benefits for a total disability for at least 24 months. The RRB uses Social Security guidelines to determine disability. .

There are a number of possible impairments that may qualify you for disability. Social Security considers you disabled if you can’t do the work you used to do because of your medical condition, you can’t perform other work due to your medical condition, and your disability is expected to last for at least 12 months or result in your death. See Social Security’s listing here. In addition to other disabilities, you may be eligible for Medicare coverage if

How Much Does Medicare for Immigrants Cost?

Medicare for immigrants costs vary depending on several factors detailed here: