Can I lose my Medicare eligibility?

Asked by: Jett Johnson  |  Last update: December 3, 2025
Score: 4.1/5 (23 votes)

When you turn 65, you qualify for Medicare and it's yours for life. However, there is only one circumstance in which you would lose Medicare coverage, and that's if you don't pay your Part B premium. If you qualify for Medicare due to a disability, there are some circumstances in which you could lose coverage.

Why would my Medicare be terminated?

Non-payment of premiums: If a person does not pay their Medicare premiums, their coverage can be discontinued..

What affects Medicare eligibility?

Factors like your age, if you're still working, and when you get retirement or disability benefits from Social Security, all impact when and how you sign up for Medicare.

Why did I lose my Medicare Part B?

Medicare may remove an individual from Part B due to nonpayment of premiums. A person may choose to disenroll themselves voluntarily if, for example, they found alternative health coverage. It is possible for the individual to reenroll in Medicare Part B. However, they will generally need to pay late penalties.

How do you lose eligibility for Medicare?

6 Reasons Why You Could Lose Your Medicare Coverage
  1. You Don't Pay Your Plan Premiums. ...
  2. You Recover from a Qualifying Disability. ...
  3. You Relocate. ...
  4. Your Plan Gets Suspended. ...
  5. You're Dishonest on Your Plan Application. ...
  6. You Take Part in “Disruptive Behavior or Medicare Fraud.

What Are The Medicare Eligibility Requirements?

20 related questions found

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What are the 3 important eligibility criteria for Medicare?

Medicare Part B (Medical Insurance)
  • Be age 65 or older;
  • Be a U.S. resident; AND.
  • Be either a U.S. citizen, OR.
  • Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.

Can I drop my employer health insurance and go on Medicare Part B?

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

How much money can you have in the bank if you're on Medicare?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

What income is too high for Medicare?

If you file your taxes as "married, filing jointly" and your MAGI is greater than $212,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $106,000, you'll pay higher premiums.

Can Medicare see your bank account?

Does Medicare check your bank account? Medicare examines your bank accounts and other assets when you seek financial help with Medicare costs. However, eligibility criteria and verification procedures differ by state of residence. In certain states, there are no asset limits for Medicare savings programs.

Can you be kicked off Medicare?

If the person with Medicare still doesn't pay the amount that's past due, the plan can disenroll them as of the first day of the month following the end of the grace period. When this happens, the plan will send a final notice to the member about the disenrollment.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

Why would you be denied Medicare?

It is beneficial for an individual to understand why they have received a Medicare denial letter. Medicare's reasons for denial can include: Medicare does not deem the service medically necessary. A person has a Medicare Advantage plan, and they use a doctor who is outside of the plan network.

Can I stop and restart Medicare?

If you do drop Medicare and choose to re-enroll later, you can only re-enroll during the Medicare general enrollment period (from January 1 to March 31), and your coverage would not begin until the first day of the month after enrollment.

What is the 8 month rule for Medicare?

If you lose your job-based health coverage before you or your spouse stop working, you have 8 months to sign up. If you want Medicare coverage to start when your job-based health insurance ends, you need to sign up for Part B the month before you or your spouse plan to retire.

Is it a good idea to get Medicare if you're still working at 65?

If your or your spouse's employer has 20 or more employees and a group health plan, you don't have to sign up for Medicare at 65. But if you get Medicare Part A for free, typically you should sign up. (After all, it's free.) In some cases, Medicare Part A may cover what your employer plan doesn't.

How do I check my Medicare eligibility?

To find out if you qualify for Medicare, contact the Social Security Administration online or by phone at 1-800-772-1213.

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

What income is used to determine Medicare premiums?

The amount you pay depends on your modified adjusted gross income from your most recent federal tax return. To determine your 2025 income-related premium, Social Security will use information from your tax return filed in 2023 for tax year 2022.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

Can you have too much money for Medicare?

If you're on Medicare or Medicare Advantage and your income rises above a certain threshold, the IRMAA surcharge is added on top of your standard Medicare monthly premiums for Part B insurance, which generally covers outpatient care, and Part D insurance, which covers prescription drugs.