Who Can Get Medicare Part A? 
People who are US citizens , or who have been legal residents of the US for at least 5 years , can get Medicare Part A . If they have paid Medicare taxes through their employment for at least 40 quarters -LRB- 10 years -RRB- , or if their spouse has done so , they can get Medicare part A for free . If their work history does not qualify them for free Part A , they can pay a premium to purchase it . 