Social Security disability (SSDI) and Medicare eligibility - does it really start after 24 months?
Hey everyone, I'm confused about Medicare eligibility for my husband who just got approved for SSDI last month. He's only 54 and has severe rheumatoid arthritis that qualified him for disability. Someone at his doctor's office mentioned he'll automatically get Medicare after being on SSDI for 15 months, but when I looked online it seemed to say 24 months? Does the waiting period start from when he was approved or from his disability onset date (which was established as about 8 months ago)? Has this timeline changed recently? I'm trying to plan for his healthcare coverage and really need to understand when Medicare will kick in. Thanks for any help!
17 comments
Giovanni Gallo
The correct waiting period is 24 months after you become entitled to receive SSDI, not 15 months. This is a common misunderstanding. The 24-month waiting period begins with the month you're entitled to your first SSDI payment, not the onset date. There are only a few exceptions to this rule - ALS patients get Medicare immediately, and people with End Stage Renal Disease have different rules. If your husband doesn't have either of those conditions, he'll need to wait the full 24 months after his entitlement date before Medicare begins.
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Amara Adeyemi
•Thank you for clearing that up! So frustrating the doctor's office gave incorrect information. Do you know if there's a way to see his exact Medicare eligibility date somewhere on his mySocialSecurity account? I can't seem to find it.
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Fatima Al-Mazrouei
my sister got it after 24 months not 15. they told her wrong too at first
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Amara Adeyemi
•Thanks for sharing! Did she have to apply for Medicare separately or did it just start automatically?
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Dylan Wright
The 24 month waiting period is RIDICULOUS!! My husband got SSDI last year and we're stuck paying COBRA for another year which is $1,100 A MONTH!!! How do they expect disabled people to afford this?? The system is completely broken and nobody at SSA cares. We've called them 5 times about possibly getting it sooner and they just say "those are the rules" with zero compassion!!
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NebulaKnight
•I feel your pain! Same situation here except I couldn't even afford COBRA so I went without insurance for 8 months until Marketplace coverage kicked in. It's insane that they acknowledge someone is too disabled to work but then make them wait 2 years for health coverage!
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Sofia Ramirez
The waiting period is definitely 24 months from your SSDI entitlement date, not 15. Here's how to calculate it: 1. Find the date your husband was entitled to his first SSDI payment (this appears on his award letter) 2. Add 24 months to that date 3. Medicare coverage will begin on the 1st day of that month For example, if his entitlement date was March 2025, Medicare would begin March 2027. Regarding his disability onset date - that's used to determine back payments, but the Medicare clock starts with his first SSDI entitlement month, which is typically 5 months after the established onset date (due to the 5-month SSDI waiting period). One important note: He will be automatically enrolled in Medicare Parts A and B when eligible, but he'll receive the Medicare card and information about 3 months before coverage starts. He can decline Part B if he has other coverage, but most people on SSDI keep it.
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Amara Adeyemi
•This is extremely helpful, thank you! His entitlement date is January 2025, so based on your explanation, his Medicare should start January 2027. That's a really long wait, but at least now I know for sure. I appreciate the detailed explanation.
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Dmitry Popov
I think your waiting period could be shorter if your husband has backdated SSDI payments. When I got approved, they established my onset date as 18 months earlier, so I only had to wait another 6 months for Medicare to kick in after approval. If his onset date was 8 months ago like you said, some of that time might count toward the 24 months. Call SSA to get the exact date he'll be eligible!
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Ava Rodriguez
•This isn't quite right. The 24-month waiting period starts from when you're entitled to receive SSDI payments, not the onset date. Since SSDI itself has a 5-month waiting period after onset, the entitlement date is at least 5 months after onset. But yes, definitely call SSA to get the exact Medicare eligibility date!
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NebulaKnight
Good luck getting through to SSA on the phone! I tried for WEEKS to ask about my Medicare start date when I was on SSDI. Always busy signals or 3+ hour wait times, and then I'd get disconnected! So frustrating.
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Dmitry Popov
•I had the same problem until I found a service called Claimyr that got me through to a real SSA agent in under 5 minutes. Changed everything! You can see how it works at https://youtu.be/Z-BRbJw3puU or check out claimyr.com. Seriously saved me hours of frustration when I needed to sort out my Medicare enrollment issues.
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NebulaKnight
•Thanks for the tip! I'll check it out. Anything is better than listening to that hold music for hours only to get disconnected!
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Giovanni Gallo
To clarify some confusion in this thread: The 24-month Medicare waiting period begins with your first month of SSDI entitlement (which comes after the 5-month SSDI waiting period). For example: - Established onset date: June 1, 2024 - 5-month SSDI waiting period: June-October 2024 - First SSDI entitlement month: November 2024 - 24-month Medicare waiting period: November 2024-October 2026 - Medicare begins: November 1, 2026 Also important: During the waiting period, your husband may qualify for Medicaid depending on your household income and state, or for subsidized Marketplace coverage. The SSDI income might make him eligible for better options than COBRA.
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Amara Adeyemi
•Thank you! This timeline example really helps me understand it better. We'll definitely look into Marketplace coverage as an alternative to COBRA - I didn't realize his SSDI might help with subsidies there.
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Fatima Al-Mazrouei
wait i thought medicare was only for people over 65???
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Sofia Ramirez
•Medicare is primarily for those 65+, but it's also available to people who've received SSDI for 24 months, regardless of age. This is sometimes called "Medicare for the disabled." It provides the same coverage as Medicare for seniors.
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