Medicare and LGBTQ+ Older Adults: Resources for Advocates

LGBTQ+ older adults face challenges in accessing and using their Medicare benefits. Same sex couples who are married or are considering marriage, for example, need to understand how marriage can affect their rights to benefits and their access to programs that make Medicare affordable. Transgender older adults seeking gender affirming care also need to understand Medicare rules that are specific to those services.

Justice in Aging has published two fact sheets that provide basic information and tips for LGBTQ+ individuals with Medicare and their advocates:

  • Marriage, Medicare, and Medicaid: What Same Sex Couples Need to Know, available in English and Spanish, discusses rules about Medicare coverage for spouses and treatment of spousal income for programs that affect Medicare costs such as the Part D Low Income Subsidy, Medicare Savings Programs, and surcharges for high income filers.
  • Medicare & Transgender Older Adults: What Transgender People Need to Know, also available in English and Spanish, discusses issues including gender identification, surgeries, transition related drugs, and sex-specific procedures.

The fact sheets were produced in collaboration with SAGE, the State Health Insurance Assistance Program (SHIP) and the Senior Medicare Patrol (SMP).

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