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Original Medicare (Part A and B) Eligibility and Enrollment

Medicare Part A Eligibility

To be eligible for premium-free Part A, an individual must first be "insured" based on their own earnings or those of a spouse, parent, or child.  To be insured, the worker must have a specified number of quarters of coverage (QCs).  The exact number required is dependent on whether the person is filing for Part A on the basis of age, disability, or ESRD. QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person's working years.  Most individuals pay the full FICA tax so the QCs they earn are usable to insure them for both monthly social security benefits and Part A.  However, certain Federal, State, and local government employees pay only the Part A portion of the FICA tax.  The QCs they earn can be used only to insure them for Part A; they may not be used to insure them for monthly social security benefits.

 

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Page Last Modified: 05/08/2008 5:55:06 PM
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