I will turn 65 in June 2026 and currently receive SSI and Medicaid. Will I automatically get Medicare, can I keep both Medicare and Medicaid, do I qualify for QMB due to low income, and why am I receiving so many application notices?
Answered by 17 licensed agents
Answered by Lt Col Tim Brown on April 13, 2026
Broker Licensed in TN, AL, CO & 10 other states
Answered by Ann Sanfelippo on March 2, 2026
Broker Licensed in FL, AL, AZ & 14 other states
Because you receive Supplemental Security Income (SSI), your enrollment in Medicare is generally automatic when you turn 65.
When it starts: Your Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) will begin on the first day of the month you turn 65 (June 1, 2026).
What to expect: The Social Security Administration (SSA) will automatically enroll you, and you should receive your red, white, and blue Medicare card in the mail about 3 months before your 65th birthday.
2. Keeping Both Medicare and Medicaid (Dual Eligibility)
Yes, you can absolutely keep both. Individuals who qualify for both programs are known as "dual eligibles." * How they work together: Medicare will become your primary insurance (paying first for your medical care), and Medicaid will act as your secondary insurance, covering costs that Medicare leaves behind, such as deductibles, copays, and coinsurance.
Prescription Drugs: Once you have Medicare, your prescription drug coverage will shift from Medicaid to a Medicare Part D plan. Because you have SSI and Medicaid, you will automatically qualify for Extra Help, a federal program that helps pay for your Part D premiums, deductibles, and lowers your medication copays.
3. Qualifying for the Qualified Medicare Beneficiary (QMB) Program
Since you are already receiving SSI and Medicaid, it is highly likely that you will automatically qualify for a Medicare Savings Program (MSP), specifically the Qualified Medicare Beneficiary (QMB) program.
What QMB does: The QMB program is a state Medicaid program that pays for your Medicare Part B monthly premiums. It also legally prohibits doctors and providers who accept Medicare from billing you for Medicare-covered deductibles, copayments, and coinsurance.
The Process: In many states, if you already have full Medicaid and SSI, you are automatically transitioned into the QMB category when Medicare starts.
Answered by Jacqueline Proffit on June 15, 2026
Broker Licensed in FL, AR, CA & 15 other states
Answered by Marsha Reiniers on March 2, 2026
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
Answered by Steve Adlman on June 1, 2026
Broker Licensed in AL
When you turn 65, MassHealth in MA (Medicaid) requires you to reapply for Medicaid using a Senior Form. In Massachusetts, you must do this in order to re-qualify for Medicaid assistance. Be sure to check with Medicaid in your State for specific state requirements. Don't automatically assume it will rollover.
Answered by Rose Cahill on March 17, 2026
Broker Licensed in MA
Answered by Charles Calvin on February 27, 2026
Broker Licensed in MO, FL, IA, IL, KY & SC
Answered by Jaime Valadez on May 19, 2026
Broker Licensed in IL & IN
Answered by Angela Erickson on May 26, 2026
Broker Licensed in PA & MD
Answered by Alan "AL" Minthorn on March 2, 2026
Broker Licensed in ME, FL, NC & NH
Answered by Duane Boebel on May 4, 2026
Broker Licensed in AL, FL, GA & 9 other states
When you turn 65, you do become eligible to enroll in Medicare (Parts A & B) — even if you’ve been on SSI and Medicaid. SSI on its own does not automatically give you Medicare before age 65, because SSI is a needs-based benefit and Medicare is an age-based or work-credit benefit.
Medicare Part A (hospital insurance): eligible when you turn 65.
Medicare Part B (medical insurance): optional but most people enroll to get coverage.
Automatic enrollment typically happens if you already receive Social Security retirement benefits before age 65; otherwise you need to enroll during your initial enrollment period (starting 3 months before your 65th birthday and lasting 7 months).
If you are already receiving Social Security retirement benefits, Medicare enrollment will usually be automatic.
If not, you’ll need to enroll (or decline Part B if you have other coverage) during your enrollment window.
2. Can You Keep Both Medicare and Medicaid?
Yes you can keep both Medicare and Medicaid.
This situation is known as being “dual eligible.”
When you have Medicaid and Medicare together, Medicare pays first for covered services and Medicaid helps with what Medicare does not pay — like long-term care, extra services, premiums, co-pays, and coinsurance.
Answered by Sabrina Mitter on March 2, 2026
Agent Licensed in OH
Answered by Mark Boone on March 2, 2026
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
Answered by Suzanne Lamperti on June 15, 2026
Broker Licensed in MD
Yes — you can absolutely have both Medicare and Medicaid. When you have both, it’s called being “dual eligible.” Medicaid can help pay your Medicare premiums and other out-of-pocket costs.
Because you mentioned low income and Medicaid, you likely qualify for the QMB (Qualified Medicare Beneficiary) program, which can pay your Part B premium and usually protects you from most Medicare cost-sharing.
As for all the application notices — once someone is nearing 65 and in the system, Medicare plan companies start sending a lot of mail. It doesn’t mean you have to respond to them. It’s just marketing because you’re becoming Medicare-eligible.
Answered by Antonio Rodriguez on March 2, 2026
Broker Licensed in OR
Medicaid eligibility determinants will change after you turn 65. If you remain eligible, having both Medicare and Medicaid is the sweet spot for medical coverage.
You are receiving so many notices because there is a financial incentive for any Medicare plan to have you as a member. It's 90% advertising and they have access to public records including your age.
Consulting an independent Broker should get you info about all of your options!
Answered by Jacquie Wolf on March 1, 2026
Broker Licensed in NY
The Social Security administration should’ve sent you out a welcome packet with a card because you will automatically be enrolled in Medicare and you will become dual eligible. Your state Medicaid, which you will be able to keep will make it so that you become dual eligible, which means that your part B deductibles will become paid for by the state Medicaid.
You will automatically be enrolled in part D as well, and you will qualify for the extra health program, which keeps your prescription cost low . You will also become QMB qualified as you already have SSI.
Your finally question to as why you are receiving so many applications is simply because you’re turning 65 and that makes you a viable person for insurance companies to market their products.
Hope this helps
Answered by Bobbi Lincoln on May 18, 2026
Broker Licensed in NY, AR, MI & OH
Tags: Advice for Seniors The Medicare System
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