Those that are new immigrants to the United States are not eligible for Medicare. Only residents of the United States (citizens, permanent residents) are eligible for Medicare. If an immigrant is a permanent resident for five years and has continuously resided in the United States for that entire time, they can purchase coverage once they turn 65. In most cases, you will have to pay a premium for Medicare Part B. If you or your spouse worked and paid Medicare taxes for at least ten years (40 quarters), you will not have to pay a premium for Medicare Part A. These rules also apply to Medicare Advantage plans as well as Part D prescription drug plans and Medicare Supplement plans.

If an immigrant is eligible for Medicare coverage, they should also consider the other coverage options available, including Part D prescription Drug plans, Medicare Supplement Plans, or Medicare Advantage plans. These plans supplement their Original Medicare benefits and may be required to avoid paying any late enrollment penalties. You can find many of the materials available from Medicare and other insurance companies in languages other than English. However, not all materials are always available in all languages, but translation services are available if you call 1-800-Medicare or any insurance companies customer service phone number.