Is there a penalty for Medicare Part A or B for a 65-year-old green card holder who hasn’t met the five-year U.S. residency requirement and has no other insurance?

Answered by 15 licensed agents

Yes, a 65 year old green card holder without a 5 year residency or 10 year work history might face penalties for delaying Medicare Part A (if they have to pay for it) and definitely for Part B if they don't enroll when eligible.

Answered by Mark Maliwauki on December 10, 2025

Broker Licensed in ID, AZ, CA & 13 other states

Answered by Mark Maliwauki Medicare Insurance Agent
No, there is no penalty for not having Medicare at age 65 if you do not yet meet the residency requirement.Medicare penalties only begin to accrue once you are eligible to enroll and choose not to. Since a green card holder is generally not eligible for Medicare until they have lived in the U.S. continuously for at least five years, the "penalty clock" does not start until that five-year mark is reached.The Rules for Your SituationEligibility Gap: As a green card holder, you must be 65 or older and have 5 years of continuous U.S. residency to qualify for Medicare.No "Pre-Eligibility" Penalty: You cannot be penalized for not having a service you aren't legally allowed to buy yet.When the Penalty Starts: Once you hit your 5th anniversary of residency, your Initial Enrollment Period begins. If you do not sign up at that time (and don't have other "creditable" coverage like a job-based plan), you will then face lifetime late-enrollment penalties for Part B and Part D.Important ExceptionsThere is one major way you might be eligible before the five-year mark:Spousal Credits: If you have been married for at least one year to a U.S. citizen or green card holder who is at least 62 and has worked in the U.S. for 10 years (40 quarters), you may be able to qualify for Medicare based on their work record. In this specific case, the five-year residency rule is waived.What should you do in the meantime?Since you are currently ineligible for Medicare, you may want to look into:The Health Insurance Marketplace: Lawfully present immigrants can purchase plans through the ACA Marketplace (Healthcare.gov) even if they haven't been here for five years. You may even qualify for subsidies depending on your income.Short-Term "New Immigrant" Insurance: Some private companies offer temporary medical insurance specifically for new green card holders waiting for Medicare eligibility.

Answered by Jacqueline Proffit on April 1, 2026

Broker Licensed in FL, AR, CA & 15 other states

Answered by Jacqueline Proffit Medicare Insurance Agent
No—there is no late-enrollment penalty for Medicare Part A or Part B until the person actually becomes eligible to enroll.

A 65-year-old green card holder who has not yet met the five-year U.S. residency requirement is not eligible for Medicare, so the clock for penalties hasn’t started.

Once they reach five years of continuous lawful residency, they can enroll during their Initial Enrollment Period, and as long as they sign up at that time, there is no penalty for not having had other insurance before then.

Answered by Cody Biggs on December 11, 2025

Broker Licensed in LA, AL, AZ & 24 other states

Answered by Cody Biggs Medicare Insurance Agent
Has the 65 year-old green card holder worked in the United States and paid taxes for 10 years? My apologies this is going to be a multi step response.

Answered by Ellen Diehl on February 23, 2026

Broker Licensed in GA

Answered by Ellen Diehl Medicare Insurance Agent
A 65-year-old green card holder who hasn’t met the five-year U.S. residency requirement cannot enroll in Medicare Part A or Part B yet, so no late-enrollment penalties apply. The penalty only starts once someone is eligible for Medicare and chooses not to enroll while lacking other creditable coverage. Until they meet the five-year residency rule, they are simply not eligible, so no penalties can accrue.

Answered by Brady Haffner on December 11, 2025

Broker Licensed in OK

Answered by Brady Haffner Medicare Insurance Agent
If a green card holder hasn’t reached 5 years of U.S. residency, they aren’t eligible for Medicare yet, so there’s no penalty at age 65. The clock doesn’t start until they actually become eligible, and once they hit that five year mark they can enroll without any late fees. Hope this helps.

Answered by Ruben Trejo on December 11, 2025

Broker Licensed in TX, AL, AR & 44 other states

Answered by Ruben Trejo Medicare Insurance Agent
No — a 65‑year‑old green card holder who has not met the five‑year U.S. residency requirement cannot enroll in Medicare Part A or B yet and therefore cannot incur late‑enrollment penalties.

Answered by Marc Rheingold on April 22, 2026

Broker Licensed in FL, MI, NC & SC

Answered by Marc Rheingold Medicare Insurance Agent
Unfortunately, if you do not meet the requirements for Medicare there is no payment of penalty that will allow you to enroll. You have to be present in the United States or its territories for eligibility. There are no previsions for green card holders or other classes of people. Work and pay taxes for 40 quarters, be 65 years old and present in the country for 5 years or married to a spouse that meets the requirements. Most Medicare penalties are for late enrollments.

Answered by Barry Baker on December 11, 2025

Broker Licensed in MO

Answered by Barry Baker Medicare Insurance Agent
I recommend you to contact Medicare -1-800-medicare to see what is required and if you will penalized.

Answered by Carol Thompson on April 21, 2026

Broker Licensed in FL, LA, MI & NC, SC, VA & WI

Answered by Carol Thompson Medicare Insurance Agent
There is no penalty because you would be ineligible to participate in Medicare. You have to be eligible for Medicare to be penalized.

Is there a penalty for Medicare Part A or B for a 65-year-old green card holder who hasn’t met the five-year U.S. residency requirement and has no other insurance?

Answered by Dean Chiapetto on June 10, 2026

Broker Licensed in VA, MD, NC, TN & WV

Answered by Dean Chiapetto Medicare Insurance Agent
Since they have not met the 5-year U.S. residency requirement they would not be subject to any penalties. However, as soon as they reach the 5-year requirement the clock starts on their initial enrollment period. If they do not enroll during the initial enrollment period window of time which is a total of 7 months, they will be subject to penalties.

Answered by Ashley King on December 11, 2025

Broker Licensed in MD, AL, AR & 9 other states

Answered by Ashley King Medicare Insurance Agent
A 65-year-old green card holder who hasn't met the five-year U.S. residency requirement and has no other insurance may face penalties for late enrollment in Medicare Part A and/or Part B. These penalties can increase their premiums by a certain percentage for each year they were eligible but did not enroll.

Answered by Christine Brewer on December 10, 2025

Broker Licensed in FL

Answered by Christine Brewer Medicare Insurance Agent
Their isn’t any penalty because you cannot enroll in Medicare A or B being a green card holder and not meeting the 5 year residency

Answered by Greg Poole on April 27, 2026

Agent Licensed in FL

Answered by Greg Poole Medicare Insurance Agent
No. there is no penalty for someone who is not yet eligible for Medicare.

A 65-year-old green card holder who hasn’t met the five-year U.S. residency requirement cannot enroll yet, and therefore cannot be penalized for not having Part A or Part B.

Answered by Jason Colletti on December 11, 2025

Broker Licensed in il

Answered by Jason Colletti Medicare Insurance Agent
No penalty during the 5 year residency requirement.

Once the five years is up AND you become eligible, there will be a penalty if not enrolled at the time of eligibility

Answered by Peter Scholl on May 26, 2026

Agent Licensed in AL

Answered by Peter Scholl Medicare Insurance Agent

Tags: Medicare Part A Medicare Part B The Medicare System

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