Do I have to use Medicare when I turn 65?

Asked by: Clint Lang  |  Last update: November 30, 2025
Score: 5/5 (40 votes)

Is Medicare Mandatory At Age 65? Enrolling in Original Medicare is not mandatory, but you might have gaps in coverage or will have to pay late enrollment penalties if you don't enroll when your first eligible.

Can you refuse Medicare when you turn 65?

Because if you're already receiving Social Security or railroad benefits, you'll be automatically enrolled in Medicare Parts A and B when you turn 65. You can choose to opt out of Part B, but you'll likely be penalized and have to pay a higher premium if you decide to enroll later.

Do people over 65 have to use Medicare?

NOTE: Medicare Part B is voluntary, and you must pay a premium if you decide you want the coverage, unless you get help from your state. If you're approaching age 65 and not receiving benefits, you should contact us about 3 months before your 65th birthday to sign up for Medicare.

Do you have to get Medicare at 65 if you are still working?

The short answer is no; you don't have to sign up for Medicare if you're still working, and you can continue to receive healthcare coverage through your employer. However, some things to consider include the size of your employer and whether or not they offer healthcare coverage.

Is Medicare Part B mandatory?

Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem.

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What happens if I don't want Medicare Part B?

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.

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 there a penalty for not enrolling in Medicare Part A at age 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.

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

Once you retire or lose your employer coverage, you can enroll in Medicare Part B during a Special Enrollment Period (SEP) without facing late enrollment penalties. This SEP typically lasts for eight months after your employment or coverage ends.

How much does Medicare cost at age 65?

If you don't get premium-free Part A, you pay up to $518 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($185 in 2025).

Do I have to go on Medicare if I have other insurance?

Do I need to sign up for Medicare Part B if I am working and have health insurance through an employer? You may have health insurance coverage under a group health plan based on your or your spouse's current employment. In this case, you may not need to apply for Medicare Part B at age 65.

Can you collect Social Security without Medicare?

The short answer? Yes. You can access Social Security benefits without enrolling in Medicare.

Does Medicare cover dental?

In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures.

Why am I forced to go on Medicare?

Enrolling in Medicare Part A is mandatory for people ages 65 and over who receive Social Security benefits. Enrollment in Part B is voluntary. Most people choose to have either Part B coverage or a private health insurance policy that covers medical expenses.

Can you be over 65 and not have Medicare?

Yes, in general, people age 65 or older who are not entitled to premium-free Medicare can purchase health insurance coverage in the Marketplace (except undocumented immigrants).

Is Medicare Part D mandatory?

Enrollment in Part D is generally voluntary, however, some people are required to be enrolled, and others should not enroll.

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 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).

When I turn 65 is Medicare mandatory?

Some people get Medicare automatically, others have to actively sign up -- it depends if you start getting retirement or disability benefits from Social Security before you turn 65.

Can I get Medicare if I never worked but my husband did?

If you do not have at least 40 calendar quarters of work during which you paid Social Security taxes in the U.S., but your spouse does, you may be eligible for premium-free Medicare Part A based on your spouse's work history when you turn 65.

Is medicare part C free?

Key Takeaways. Medicare Advantage (Part C) plans come with out-of-pocket costs, such as premiums and copayments. These out-of-pocket costs vary among plans, but there is always a yearly maximum that caps what you will spend.

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.

How much will Medicare cost in 2024?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $185.00 in 2025, an increase of $10.30 from $174.70 in 2024.