How Old Do I Have To Be To Get Medicare? 
Medicare Part A and Part B is provided by the federal government for Americans who are 65 and older who have worked and paid Social Security taxes into the system . Medicare is also available to people under the age of 65 that have certain disabilities and people with End-Stage Renal Disease -LRB- ESRD -RRB- . If you continue to work and get your health insurance through your employer you may not need to enroll in Medicare when you turn 65 . 