Can you work full time and have Medicare Part B?

Asked by: Pablo Medhurst  |  Last update: April 16, 2025
Score: 4.4/5 (6 votes)

You may be required to get Medicare Part B even when you're still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you're covered by a spouse's employer, and the employer requires covered dependents to enroll in Medicare when they turn 65.

Can I get Medicare Part B if I am still working full time?

You can use an SEP to enroll in Medicare Part B while you're still in a group health plan based on current employment. Also, if your employment ends or employer- provided medical coverage ends, you have eight months from that month (whichever comes first) to sign up for Medicare Part B.

Can I have Medicare Part B and employer coverage at the same time?

If Medicare is the primary payer and your employer is the secondary payer, you may need to join Medicare Part B (Medical Insurance) before your employer insurance will pay for Part B services. Medicaid never pays before Medicare.

Is there an income limit for Medicare Part B?

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.

How much is Medicare Part B if you are still working?

Most people pay the standard Part B monthly premium amount ($185 in 2025). Social Security will tell you the exact amount you'll pay for Part B in 2025.

Do you REALLY need Medicare Part B? | Medicare If You're Still Working

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Does everyone pay $170 for Medicare Part B?

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.

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.

Does Medicare pay 100% on Part B?

Medicare Part B coinsurance

Coinsurance is a cost-sharing term that means insurance pays a percentage and you pay a percentage. With Medicare Part B, you pay 20 percent of the cost for the services you use. So if your doctor charges $100 for a visit, then you are responsible for paying $20 and Part B pays $80.

How much money does Medicare allow you to have in the bank?

This means individuals can have any amount of assets and still qualify for a Medicare Savings Program. Assets are things that you own, such as bank accounts, cash, second homes and vehicles.

Should I get Medicare Part B if I have private insurance?

You can enroll in Medicare Part B if you have other insurance, but you don't have to. However, depending on your other insurance, it may benefit you to have both. This depends on the cost of your other insurance and how it works with Medicare.

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.

What happens to my younger wife when I go on Medicare?

Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan.

Why would you decline Medicare Part B?

Some people do not take Part B during their Initial Enrollment Period (IEP) because they have primary insurance from their current employer or their spouse's current employer. The IEP is the first time you can sign up for Medicare.

What is the 8 month rule for Medicare?

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).

Can you work part time while on Medicare?

Yes, you can work while on Medicare, both part-time and full-time. Eligibility starts at 65, but you're not required to retire to get coverage. You can also have both employer health coverage and Medicare, with one acting as primary and the other secondary. Maximize Your 2024 Savings!

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

What is the 80 20 rule for Medicare?

The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs. The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR.

Do I have to pay for Medicare Part B if I am still working?

You may be required to get Medicare Part B even when you're still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you're covered by a spouse's employer, and the employer requires covered dependents to enroll in Medicare when they turn 65.

What is not counted as income?

Inheritances, gifts, cash rebates, alimony payments (for divorce decrees finalized after 2018), child support payments, most healthcare benefits, welfare payments, and money that is reimbursed from qualifying adoptions are deemed nontaxable by the IRS.

How do I avoid paying Medicare Part B?

Contact your local Social Security office. If you're dropping Part B and keeping Part A, we'll send you a new Medicare card showing you have only Part A coverage. Write down your Medicare Number in case you need to go to the hospital or get Part A-covered services until your new card arrives.

Do all seniors pay for Medicare Part B?

Part B is a voluntary program that requires the payment of a monthly premium for all parts of coverage. Eligibility rules for Part B depend on whether a person is eligible for premium-free Part A or whether the individual has to pay a premium for Part A coverage.

Can you lose Medicare Part B?

If you're enrolled in a Medicare Advantage or Medicare Supplement plan, your coverage is typically contingent on being enrolled in Part A and Part B. If you lose Part A or Part B coverage because you didn't pay the premiums, you may be disenrolled from your other plan. You move outside your plan's coverage area.

Who is exempt from paying Medicare Part B premiums?

Enrollees who have Medicaid, employer-sponsored health coverage, or retiree health benefits from an employer generally don't have to pay the full Medicare Part B deductible, as the other coverage picks up some or all of the cost (this varies depending on the plan).