A good article explaining that "yes," you can receive Medicare benefits on a spouse's record.  Notably, to acquire Medicare coverage under a spouse's record, a person need only be 65 years of age or be deemed medically disabled.  Typically, to qualify for Medicare you need to have paid into the Social Security system.  Fortunately, for spouses, just like with Social Security benefits, a spouse can qualify for Medicare benefits under a spouse's record.