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Continue to ChatMedicare Open Enrollment Ends Soon. Do You Have to Join if You're 65? You must be 65 or older to get Medicare, but only some Americans are required to join. https://orbitbrain.com/blog/medicare-open-enrollment-ends-soon-do-you-have-to-join-if-youre-65-you-must-be-65-or-older-to-get-medicare-but-only-some-americans-are-required-to-join/