Why do you have to wait 2 years for Medicare?

Asked by: Onie Bartell MD  |  Last update: February 6, 2026
Score: 5/5 (24 votes)

The original purposes of the 24month waiting period were to limit costs to the Medicare trust funds at a time when many workers might have other health insurance coverage and to ensure that Medicare protection is extended only to persons whose disabilities are severe and long lasting.

Why does it take two years to get Medicare?

When instituted in 1972 the waiting period was intended to limit Medicare costs. However, providing health insurance to those in the waiting period may reduce Medicare spending on these individuals over the long term.

How long does it take for Medicare to be approved?

Key Points. When applying during your Initial Enrollment Period, it may take about six weeks to get approval for your application. During a Special Enrollment Period, it can take at least 8 weeks or more to receive approval.

Does Medicare have a waiting period?

Everyone eligible for Social Security Disability Insurance (SSDI) benefits is also eligible for Medicare after a 24-month qualifying period. The first 24 months of disability benefit entitlement is the waiting period for Medicare coverage.

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.

Medicare Disability - 2 Year Waiting Period!

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Is Medicare free at age 65 for seniors?

Medicare Part A (hospital insurance)

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 Medicare cover 100% of hospital bills?

Whether you're new to Original Medicare or have been enrolled for some time, understanding the limitations of your coverage is important as you navigate decisions about your healthcare. One of the main reasons why Original Medicare doesn't cover 100% of your medical bills is because it operates on a cost-sharing model.

Who qualifies for an extra $144 added to their Social Security?

To qualify to get $144 added back to your Social Security check, you can enroll in a Medicare Advantage plan that offers a Part B premium reduction or giveback benefit.

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

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.

What are the three requirements for Medicare?

Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) are available to the individuals below:
  • Age 65 or older.
  • Disabled.
  • End-Stage Renal Disease (ESRD)

Can I use Medicare immediately?

Coverage begins: The month after you sign up, or, you may decide for coverage to begin after the end of your Initial Enrollment Period. Get more information about how TRICARE works with Medicare.

Why is my first Medicare bill for 3 months?

If you are paying for Part B only, you will be billed every three months, which may come as a surprise for people who are not prepared for it (Medicare.gov). That means your first bill will be three months' worth of premiums.

Can I drop my employer health insurance and go on Medicare Part B?

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

How far will Medicare backdate?

Bottom Line: Medicare Part A is backdated up to 6 months from the month you SUBMIT the enrollment for Medicare and/or Social Security benefits, but Part A won't start any earlier than your 65th birthday month (or one month sooner if you have a 1st of the month birthday).

Why are you forced to get Medicare at 65?

But if your employer has less than 20 employees, you need to take Medicare Parts A and B, because that will be your primary insurance. If you don't enroll, your employer plan may pay less – or nothing at all – for your care when it finds out.

Can I have Medicare and employer insurance at the same time?

Yes, when you turn 65, you can sign up for Medicare even if you're still working and have health insurance through your employer.

Is Medicare Part D mandatory?

Enrollment in Medicare Part D plans is voluntary, except for beneficiaries who are eligible for both Medicare and Medicaid and certain other low-income beneficiaries who are automatically enrolled in a PDP if they do not choose a plan on their own.

How do I get my $16728 Social Security bonus?

Have you heard about the Social Security $16,728 yearly bonus? There's really no “bonus” that retirees can collect. The Social Security Administration (SSA) uses a specific formula based on your lifetime earnings to determine your benefit amount.

How to get $800 back from Medicare Part B?

Medicare Part A and Part B know they can get up to $800 back

All the member has to do is provide proof that they pay Medicare Part B premiums. Each eligible active or retired member on a contract with Medicare Part A and Part B, including covered spouses, can get their own $800 reimbursement.

How to get $3000 a month in Social Security?

Exactly how much in earnings do you need to get a $3,000 benefit? Well, you just need to have averaged about 70% of the taxable maximum. In our example case, that means that your earnings in 1983 were about $22,000 and increased every year to where they ended at about $100,000 at age 62.

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

How much money does Medicare allow you to have in the bank?

This means individuals can have any amount of assets and still qualify for a Medicare Savings Program. Assets are things that you own, such as bank accounts, cash, second homes and vehicles.

Does Medicare pay for an ambulance?

Things to know. If using other transportation could endanger your health, Medicare will only cover ambulance services to the nearest appropriate medical facility that's able to give you the care you need.