Can you get Medicare Advantage without Part A?

Asked by: Nick Mueller  |  Last update: July 22, 2025
Score: 4.4/5 (24 votes)

You can only join, switch, or drop a Medicare Advantage Plan (Part C) or Medicare drug plan (Part D) during certain times, called enrollment periods. You need both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) to join a Medicare Advantage Plan.

Is it possible to not have Medicare Part A?

While it is always advisable to have Part A, you can buy Medicare Part B (medical insurance) without having to buy Medicare Part A (hospital insurance) as long as you are: Age 65+ And, a U.S. citizen or a legal resident who has lived in the U.S. for at least five years.

What is the biggest disadvantage of the Medicare Advantage plan?

Medicare Advantage Plan Pros And Cons

One disadvantage is that some Medicare Advantage plans may offer fewer options when it comes to doctors and hospitals, as they may have smaller plan networks than Original Medicare.

Can you get a medicare supplement without part A?

Generally, you must have Original Medicare — Part A and Part B — to buy a Medigap policy.

Is Medicare Part A mandatory?

Enrollment in Medicare Part A is mandatory for people who receive Social Security benefits. Enrollment in Part B is voluntary.

Unhappy with Medicare Advantage? How to Leave Your Advantage Plan for Original Medicare

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Is there a penalty for not having Medicare Part A?

Yes, there is a penalty for not signing up for Medicare Part A at age 65. However, you won't have to pay a monthly penalty if you qualify for premium-free Part A.

Who is exempt from paying Medicare Part A?

To be eligible for premium-free Part A on the basis of age: A person must be age 65 or older; and. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.

Can you have Medicare Advantage without Part A?

To join a Medicare Advantage Plan, you must: • Have Part A and Part B. Live in the plan's service area. Be a U.S. citizen or lawfully present in the U.S.

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 do people say not to get a Medicare Advantage Plan?

Disadvantages of Medicare Advantage plans can include difficulty switching out of the plans later, restrictions on care access, limited provider networks, and limitations on extra benefits.

What is the best medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

Why is original medicare better than Medicare Advantage?

Medicare Advantage plans typically require that you use care providers within a geographic service area, and once you get outside that area, you'll be covered for emergency care only. Original Medicare offers access to a national network of providers — no matter where you are in the U.S. Like to minimize risk.

Can I drop my Medicare Advantage plan and go back to original medicare?

If you joined a Medicare Advantage Plan during your Initial Enrollment Period, you can change to another Medicare Advantage Plan (with or without drug coverage) or go back to Original Medicare (with or without a drug plan) within the first 3 months you have Medicare Part A & Part B.

Why wouldn't someone have Medicare Part A?

Why might a person not be eligible for Medicare Part A? A person must be age 65 years or older to qualify for Medicare Part A. Unless they meet other requirements, such as a qualifying disability, they cannot get Medicare Part A benefits before this age.

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.

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).

Why are seniors losing Medicare Advantage plans?

Medicare vs Privatized Medicare Advantage

Beneficiaries are tossed aside because they live in an unprofitable market for their insurer or because they are actually using the insurance they signed up for to access services.

Why are doctors dropping Medicare Advantage?

Health systems have cited delayed reimbursements, cumbersome prior authorization requirements and high rates of patient claim denials for their decisions to drop Medicare Advantage plans.

Why is a medicare supplement better than an advantage plan?

Consider Original Medicare with a Medigap plan if you:

Original Medicare with a Medigap plan gives you access to any doctor or hospital that accepts Medicare. Intend to travel. Medicare Advantage plans come with limited service areas; if you travel outside, you may have to pay out of pocket for medical care.

What happens if you don't enroll in Medicare Part A at 65?

Part A late enrollment penalty

If you have to buy Part A, and you don't buy it when you're first eligible for Medicare, your monthly premium may go up 10%. You'll have to pay the penalty for twice the number of years you didn't sign up.

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.

Who gets Medicare Part A for free?

Part A (Hospital Insurance) costs. $0 for most people (because they or a spouse paid Medicare taxes long enough while working - generally at least 10 years). If you get Medicare earlier than age 65, you won't pay a Part A premium. This is sometimes called “premium-free Part A.”

How do I refuse Medicare Part A?

To drop Part B (or Part A if you have to pay a premium for it), you usually need to send your request in writing and include your signature. Contact Social Security.

Do I have to accept Medicare Part A?

No. If you aren't eligible for free Part A, you don't have to enroll. However, if you want to buy Medicare coverage and you want Part A, you also have to buy Part B.