Medicare Eligibility in New York | Who is Eligible? | Empire Blue Skip To Main Content
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Information for New York

Knowing when you qualify for the different parts of Medicare is important since it lets you know when you can enroll. Let’s start with Original Medicare (Part A and Part B).

Who is Eligible for Original Medicare (Parts A and B)?

Generally, you’re eligible for Original Medicare (Parts A and B) if you’re a U.S. citizen or you’ve been a legal permanent resident for at least 5 continuous years, and one of the following applies to you:

  • You’re 65 or older and eligible for Social Security
  • You’re under 65, permanently disabled and you’re receiving disability benefits from Social Security or the Railroad Retirement Board
  • You have end-stage renal disease (ESRD)
  • You have ALS (Amyotrophic Lateral Sclerosis), also known as Lou Gehrig’s Disease
 

What Do You Need to Know about Medicare Eligibility and Turning 65?

Most people qualify for Original Medicare (Parts A and B) when they turn 65. But the rules about Medicare eligibility and when you can enroll for Parts A and B are quite complex. They’re based on your age, whether you’re retired or still working, and whether or not you’re receiving Social Security benefits. To make it easier for you, you can use our Medicare Eligibility/Enrollment Calculator to find out exactly when you should enroll.

Are you eligible for Medicare benefits if you’re under 65 and receiving Social Security Disability Insurance?

If you’re permanently disabled and you’ve been receiving Social Security Disability Insurance (SSDI) benefits for 2 years, you’re eligible for Medicare and you’ll be automatically enrolled in Medicare Parts A and B.

If you have End-Stage Renal Disease (ESRD), you’ll qualify for Original Medicare (Parts A and B), no matter how old you are. You’ll need to sign up for Medicare when you first become eligible, as enrollment is not automatic. Contact Social Security or visit your local Social Security office for more information on signing up for Medicare if you have ESRD.

If you have ALS (Amyotrophic Lateral Sclerosis), also known as Lou Gehrig’s disease, you’ll be automatically enrolled in Medicare Parts A and B the month your disability benefits begin –whatever your age is.

How do you become eligible for Medicare Part C, Part D and Medicare Supplement plans?

You’re eligible for Medicare Advantage (Part C), Prescription Drug (Part D) or Medicare Supplement plans after you’ve signed up for Original Medicare Part A and Part B. Make sure that the plan you wish to sign up for is available in your area.

If you’re ready to start shopping, we can help you find a plan in your area that’s based on doctors you’d like to see and other preferences.


Y0114_17_32856_U CMS ACCEPTED 09/29/2017
68783MUSENMUB

A CONSUMER’S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER.

Empire BlueCross BlueShield is an HMO plan with a Medicare contract. Enrollment in Empire BlueCross BlueShield depends on contract renewal. Services provided by Empire HealthChoice HMO, Inc. licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

Services provided by Empire HealthChoice Assurance, Inc., licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). 注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。