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Qualifying for premium-free Part A based on your spouse’s work history

You may qualify for premium-free Part A based on your spouse’s work history if you meet certain criteria.

Last Updated: March 31, 2025

If you do not have at least 40 calendar quarters A calendar quarter is a three-month period of time ending with March 31, June 30, September 30, or December 31. Social Security counts each calendar quarter that you work and pay into Social Security and Medicare taxes toward your eligibility for premium-free Part A. Calendar quarters can also refer to the time periods when people with Extra Help have a Special Enrollment Period (SEP) to change their Part D or Medicare Advantage drug coverage, which is once per quarter in the first three calendar quarters of the year. of work during which you paid Social Security taxes in the U.S., but your spouse does, you may be eligible for premium-free Medicare Part A based on your spouse’s work history when you turn 65.

Note, however, that if you develop a disability before you turn 65, and do not have enough work history, you cannot qualify for Social Security Disability (SSDI) based on your spouse’s work history.

When you turn 65, you may be eligible for premium-free Part A based on your spouse’s work history if:

  • You are currently married and your spouse is eligible for Social Security benefits (either retirement or disability). You must have been married for at least one year before applying.
  • You are divorced and your former spouse is eligible for Social Security benefits (either retirement or disability). You must have been married for at least 10 years, and you must now be single.
  • You are widowed and married for at least nine months before your spouse died. You must be single.

Be aware that there are some exceptions to the eligibility rules listed above. To confirm your eligibility for premium-free Part A, call the Social Security Administration at 800-772-1213. If you are a railroad worker, contact your local Railroad Retirement Board field office.

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