Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Medicare for People with Disabilities

  • Yuanyuan DengEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-69892-2_370-1


Medicare is a federal health insurance program financed by payroll taxes. It provides health insurance coverage for all individuals aged 65 or older, individuals under age 65 with disability, or people under age 65 with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS) (see “Medicare: Coverage, Evolution, and Challenges”).


Established in 1965, Medicare was originally designed as the health insurance for persons aged 65 and over. Since 1967, Medicare benefits for the disabled individuals were proposed. The legislation was enacted in 1972 to provide Medicare coverage for disabled beneficiaries under age 65, including disabled workers, disabled widows and widowers aged between 50 and 64 years, disabled young adults aged 18 and over of deceased, disabled, or retired workers (e.g., Mues et al. 2017). Adults of ages 55–64 account for an increasing large share of the total disabled Medicare beneficiaries aged 64 years or younger from 1999 to 2010 (Fig. 1)....
This is a preview of subscription content, log in to check access.


  1. Armour P, O’Hanlon C (2019) How does supplemental Medicare coverage affect the disabled under-65 population? An exploratory analysis of the health effects of states’ Medigap policies for SSDI beneficiaries. NBER working paper no 25564. National Bureau of Economic Research, Cambridge, MAGoogle Scholar
  2. Atherly A, Dowd BE (2005) Effect of Medicare advantage payments on dually eligible Medicare beneficiaries. Health Care Finance Rev 26(3):93–104Google Scholar
  3. Centers for Medicare & Medicaid Services. Medicare and Medicaid statistical supplement, various years. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Archives/MMSS/index.html. Accessed 1 Sept 2019
  4. Cubanski J, Neuman P (2010) Medicare doesn’t work as well for younger, disabled beneficiaries as it does for older enrollees. Health Aff 29(9):1725–1733.  https://doi.org/10.1377/hlthaff.2009.0962CrossRefGoogle Scholar
  5. Foote SM, Hogan C (2001) Disability profile and health care costs of Medicare beneficiaries under age sixty-five. Health Aff 20(6):242–253.  https://doi.org/10.1377/hlthaff.20.6.242CrossRefGoogle Scholar
  6. Jacobson G, Damico A, Neuman T (2018) A dozen facts about Medicare advantage. The Henry J. Kaiser Family Foundation. https://www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage/
  7. Kennedy J, Tuleu IB (2007) Working age Medicare beneficiaries with disabilities: population characteristics and policy considerations. J Health Hum Serv Adm 30(3):268–291Google Scholar
  8. Mues KE, Liede A, Liu J, Wetmore JB, Zaha R, Bradbury BD, Collins AJ, Gilbertson DT (2017) Use of the Medicare database in epidemiologic and health services research: a valuable source of real-world evidence on the older and disabled populations in the US. Clin Epidemiol 9:267–277.  https://doi.org/10.2147/CLEP.S105613CrossRefGoogle Scholar
  9. O’Leary JE, Sloss EM, Melnick G (2007) Disabled Medicare beneficiaries by dual eligible status: California, 1996–2001. Health Care Finance Rev 28(4):57–67Google Scholar
  10. Rosenbach ML (1995) Access and satisfaction within the disabled Medicare population. Health Care Finance Rev 17(2):147–167Google Scholar
  11. Social Security Administration. Annual statistical supplement, various yearsGoogle Scholar
  12. Weathers RR, Silanskis C, Stegman M, Jones J, Kalasunas S (2010) Expanding access to health care for Social Security Disability Insurance beneficiaries: early findings from the accelerated benefits demonstration. Soc Secur Bull 70(4):25–47Google Scholar
  13. Yin N (2015) Sicker and poorer: the consequences of being uninsured for people with disability during the Medicare waiting period. Health Serv Res Manag Epidemiol 2.  https://doi.org/10.1177/2333392815571583

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.ARC Centre of Excellence in Population Ageing Research, UNSW Business SchoolThe University of New South WalesSydneyAustralia

Section editors and affiliations

  • Na Yin
    • 1
  1. 1.Marxe School of Public and International AffairsBaruch College, City University of New York, CUNY Institute for Demographic ResearchNew YorkUSA