 [ Symptoms ] how can a person who married an american on medicare but never paid into it herself benefit from the afa   also there are people who lived outside of the us for many years return eventually turn 65 but do not qualify for medicare how can they get coverage under the affordable care act this particular person is caring for her very ill aging husband but cannot afford medical coverage [ Disease ] if she does not qualify for medicare but is in the country legally she may be eligible to buy insurance through the marketplaces but act fast   after march 31st you will not be able to buy a plan until 2015 go to healthcare gov