Can you opt out of Medicare if you get Social Security?

Asked by: Charlene O'Keefe  |  Last update: August 2, 2025
Score: 4.6/5 (32 votes)

In fact, if you are already receiving Social Security retirement benefits, you'll have to pay back all the benefits you've received so far in order to opt out of Medicare Part A coverage. That's not usually an option as most people rely on those monthly payments to cover their bills.

Can I collect Social Security and not be on Medicare?

Your Social Security is a separate program from Medicare. You do not have to enroll in Medicare at all. But you cannot get Part A and D without B.

Can I remove Medicare from my Social Security?

You can voluntarily terminate your Medicare Part B (Medical Insurance). However, you may need to have a personal interview with us to review the risks of dropping coverage and for assistance with your request.

What happens if I opt out of Medicare?

Note that if you opt out, not only will Medicare and Medicare Advantage plans not pay you, they also will not pay any entity to whom you might reassign your right to receive payment for services, unless the services are for emergency care or urgent care.

Are doctors opting out of Medicare at an alarming rate?

In 2024, 8.1% of psychiatrists have opted out of Medicare, followed by 4.5% of physicians specializing in plastic and reconstructive surgery and 3.2% of physicians specializing in neurology (Figure 2).

Q&A: How Opting Out of Social Security Affects Medicare

40 related questions found

Why would someone Disenroll from Medicare?

The 2 most frequently chosen reasons for voluntarily disenrolling were reported problems with coverage of doctors and hospitals and financial reasons.

Is it mandatory to have Medicare deducted from Social Security?

A person does not have to pay their Medicare premiums directly from their Social Security. Medicare offers four additional ways to pay, including directly through the Medicare website, via Medicare Easy Pay, by mail, and through direct debiting of a bank account.

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.

Is Medicare mandatory for seniors?

You're not required to enroll in Medicare when you turn 65. However, if you don't enroll when you're first eligible you might be subject to Part A, Part B, and Part D late enrollment penalties.

Can I stop my Medicare?

Individuals with Medicare Part B can choose to cancel (drop) their coverage at any time. However, before they do so, they should consider risks, such as medical costs, late enrollment penalties, and coverage gaps.

Can you opt out of Medicare and Social Security tax?

Can you Opt Out of Medicare Tax? While regular taxpayers may not opt out, there are certain religious groups which may qualify and be exempt from paying Social Security taxes. The qualifications for this are: Waive rights to all Social Security benefits including hospital care.

Can you opt out of Medicare Part B with Social Security?

Individuals already receiving Social Security or RRB benefits at least 4 months before being eligible for Medicare and residing in the United States (except residents of Puerto Rico) are automatically enrolled in both premium-free Part A and Part B. People who are automatically enrolled have the choice of whether they ...

How do I get the $16728 Social Security bonus?

Specifically, a rumored $16,728 bonus that had people wondering if it was true or not in 2024? Sadly, there's no real “bonus” that retirees who receive Social Security can collect.

At what age is Social Security no longer taxed?

Social Security income can be taxable no matter how old you are. It all depends on whether your total combined income exceeds a certain level set for your filing status. You may have heard that Social Security income is not taxed after age 70; this is false.

Can I avoid paying Medicare?

People who have to pay a premium for Part A may consider delaying enrollment to avoid the expense. Part A charges a penalty for late enrollment, though. An alternative in this case is to get a Marketplace plan instead of Medicare.

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.

Is Medicare Part B free if you're over 65?

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. The answer varies with each person and the kind of other health insurance you have.

Do you have to go on Medicare if you take Social Security?

If a person is collecting Social Security when they turn 65, they are automatically enrolled in Medicare. Likewise, if an individual collects Social Security Disability Insurance (SSDI) for more than 24 months, they become eligible for and are automatically enrolled in Medicare.

Can I stop Medicare deduction from Social Security?

You do not have to pay for Medicare Part B to keep Medi-Cal. Stopping Medicare Part B coverage is generally not recommended. If you want to talk to someone about stopping Medicare Part B, call the SSA at 1-800-772-1213. NOTE: A few things could happen if you do not pay your Medicare Part B premium.

What are the changes coming to Social Security in 2025?

Social Security's earnings test limits also rose in 2025. This year, seniors who work and collect benefits will be able to earn more money without risking having a portion of their Social Security withheld.

Is it good to opt out of Medicare?

Yes, you can choose to opt out of Medicare coverage, but it's important to consider potential drawbacks. Medicare offers essential healthcare benefits, and opting out might leave you without coverage for certain medical expenses.

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.

What would happen if Medicare was eliminated?

But older folks would lose big; after all, their work and savings decisions had long assumed they could rely on Medicare as they aged. They would have to sell their assets and spend their savings to finance their health care, and their consumption levels would drop.