Can I get Medicare before age 65?

Eligibility
Last updated: 
April 10, 2026
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Smiling elderly man with pre existing conditions is grateful for medicare insurance and woman enjoying tea together indoors with plants in the background.
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The short answer

Yes, in certain situations. People under 65 can qualify for Medicare if they have received Social Security Disability Insurance for 24 months, have ALS, or have been diagnosed with End-Stage Renal Disease.

The full explanation

Medicare isn't just for people turning 65. There are three situations where you can qualify earlier than that. The most common is disability. If you've been receiving Social Security Disability Insurance, commonly called SSDI, for 24 consecutive months, Medicare coverage kicks in automatically at the start of your 25th month. That two-year waiting period is one of the harder parts of the disability system, since it leaves a gap that many people fill with Medicaid or marketplace insurance in the meantime. The second situation is ALS, also known as Lou Gehrig's disease. If you're diagnosed with ALS, Medicare coverage begins the same month your SSDI payments start. There's no two-year wait. The third situation is End-Stage Renal Disease, meaning permanent kidney failure that requires dialysis or a transplant. In that case, you can apply for Medicare directly, and coverage typically begins after a short waiting period that depends on whether you're on dialysis or have had a transplant. Outside of these three situations, there's no general early enrollment option. If you're under 65 and don't fit one of these categories, Medicare isn't available to you yet. It's worth checking with a local Medicare counselor if you're unsure which path applies to your situation.

Related Medicare Resources

Smiling elderly couple on social security benefits misunderstand medicare advantage are outdoors with man presenting a bouquet of yellow flowers to the woman.Smiling elderly couple disappointed at their doctor for not accepting medicare sitting on a bench outdoors holding a colorful bouquet of flowers.A group of six older adults enjoy discussion with primary care physician covered by medicare sitting together indoors, smiling and enjoying conversation with drinks.
Two elderly men in a nursing home paid for by medicare sitting at a wooden table outdoors, one showing the other something on a tablet, with drinks on the table.

In 

 specifically

Utah's SHIP program, run through the Aging and Disability Resource Centers (ADRC), offers free one-on-one counseling and can help you understand your options if you qualify for Medicare before 65.

What this means for you

For you, this means if you or a family member is under 65 and dealing with a long-term disability, kidney failure, or ALS, Medicare may already be available, and it's worth looking into sooner rather than later.

Related Questions

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