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==Eligibility== U.S. citizens or permanent residents who have lived in the U.S. for at least five continuous years are eligible. Those who are 65 and older who choose to enroll in Part A Medicare must pay a monthly premium to remain enrolled in Medicare Part A if they or their spouse have not paid the qualifying Medicare payroll taxes.<ref>[http://questions.medicare.gov/app/answers/detail/a_id/10]{{dead link|date=May 2017|bot=InternetArchiveBot|fix-attempted=yes}}</ref> There are some instances where U.S. citizens might be able to enroll in Medicare earlier than age 65. For example, people with long term disabilities that prevent them from working (such as end-stage renal disease or amyotrophic lateral sclerosis) may be eligible at an earlier age.<ref>{{Cite web |date=December 8, 2022 |title=Who is eligible for Medicare? |url=https://www.hhs.gov/answers/medicare-and-medicaid/who-is-eligible-for-medicare/index.html?utm_source=chatgpt.com |website=U.S. Department of Health and Human Services}}</ref> Individuals receiving Social Security Disability Insurance (SSDI) benefits for 24 months are automatically enrolled in Medicare Parts A and B in the 25th month. Individuals with permanent kidney failure requiring dialysis or a transplant may qualify for Medicare, regardless of age. Individuals diagnosed with ALS are automatically enrolled in Medicare Parts A and B the month their disability benefits begin.<ref>{{Cite web |title=Original Medicare (Part A and B) Eligibility and Enrollment {{!}} CMS |url=https://www.cms.gov/medicare/enrollment-renewal/original-part-a-b?utm_source=chatgpt.com |access-date=2024-11-26 |website=www.cms.gov}}</ref>
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