Medicare Rights for Same-Sex Married Couples in the United States
This article explains how Medicare applies to same-sex married couples, emphasizing their rights following the 2015 Supreme Court ruling. It covers eligibility based on work credits, delaying enrollment, premium considerations, and assistance programs available for low-income couples. Understanding these aspects helps same-sex couples navigate Medicare benefits effectively, ensuring they receive the coverage and support they deserve regardless of state laws.

Since the landmark Supreme Court decision on June 26, 2015, same-sex married couples have gained equal access to government benefits, including Medicare, Medicaid, and Social Security, regardless of their state of residence. This ruling guarantees that insurance providers cannot discriminate based on sexual orientation or marital status when the marriage is legally recognized. However, Medicare coverage is individual, so both spouses must meet eligibility criteria separately. Eligibility can also depend on a spouse’s work history, with options to qualify through their spouse’s employment credits or general residency requirements. Additionally, couples may qualify for assistance programs like Extra Help, Medicaid, or Medicare Savings to offset costs. It’s essential to understand your specific circumstances to maximize your benefits.