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Which of these is you?

Four situations cover most people we hear from. Each guide gives you the rule, the numbers and the next step.

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Before Medicare

“I’m on Social Security but don’t have Medicare yet”

You retired early, or you’re on SSDI and waiting for Medicare to start. How Medicaid can bridge the gap, and what the new work rules mean for you.

Read the guide →
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Turning 65

“I’m turning 65”

Your Medicaid rules change at 65, and in most states that includes a limit on savings. What to do in the months before your birthday.

Read the guide →
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Medicare costs

“I have Medicare and money is tight”

Programs that pay your Medicare premium, and sometimes your copays, plus help with drug costs. Many people qualify and never apply.

Read the guide →
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Long-term care

“I’m planning for long-term care”

For yourself or a parent. What Medicare won’t pay, how Medicaid’s nursing home rules work, and how a spouse at home is protected.

Read the guide →

What’s changing

Medicaid’s new work rules

Starting in most states by January 1, 2027, some adults under 65 must show 80 hours a month of work or other activities. Many people are exempt, including everyone with Medicare.

Who it covers

Adults 19 to 64 who get Medicaid through their state’s expansion group. Not people 65 and older.

Who’s exempt →

What counts

Work, volunteering, a work program or school, 80 hours a month combined, or income of at least $580 a month.

Check in 2 minutes →

How to stay covered

About half of the people expected to lose Medicaid under the rule would lose it to paperwork, not to failing the rule (Congressional Budget Office). Open every letter.

Keep your coverage →
Kwame KuadeyKwame KuadeyAdjunct Professor of Finance, Johns Hopkins
“No panic. No politics. Just clarity.”
Every rule on these pages is checked against Medicaid.gov, CMS, Social Security and your state’s own agency, with the date we last checked it.