1. Short title This Act may be cited as the Medicare You Can Opt Into Act of 2017 . 2. Universal Medicare buy-in option (a) In general Part A of title XVIII of the Social Security Act ( 42 U.S.C. 1395c et seq.) is amended— (1) in section 1818(a) ( 42 U.S.C. 1395i–2(a) ), by striking or 1818A and inserting , 1818A, or 1818B ; and (2) by inserting after section 1818A ( 42 U.S.C. 1395i–2a ) the following new section: 1818B. Universal buy-in (a) In general (a) Every individual who— (1) is a resident of the United States; (2) is either (A) a citizen or national of the United States, or (B) an alien lawfully admitted for permanent residence; and (3) is not otherwise entitled to benefits under this part or eligible to enroll under this part, shall be eligible to enroll in the insurance program established by this part. An individual may enroll under this section only in such manner and form as may be prescribed in regulations, and only during an enrollment period prescribed in or under this section. (b) Enrollment; coverage The Secretary shall establish enrollment periods and coverage under this section consistent with the principles for establishment of enrollment periods and coverage for individuals under section 1818, except that no entitlement to benefits under this part shall be effective before the first day of the first calendar year beginning after the date of the enactment of this Act. (c) Premiums (1) In general The provisions of subsections (d)(1), (d)(2), and (d)(3) of section 1818 insofar as they apply to premiums (including collection of premiums) shall apply to premiums and collection of premiums under this section, except that— (A) paragraphs (4) and (5) of section 1818(d) shall not be applicable; (B) the estimate of the monthly actuarial rate under section 1818(d) shall be computed and applied under this paragraph based upon costs incurred for individuals within each age cohort specified in paragraph (2) rather than for all individuals age 65 and older