Do I need Medicare Parts A and B?

Asked by: Colby Bosco  |  Last update: November 26, 2023
Score: 4.3/5 (49 votes)

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.

Is Medicare Part A and B mandatory?

Medicare Part B helps cover medical services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary.

Can you get Medicare Advantage without Part A and B?

You can only join a Medicare Advantage Plan (Part C) or Medicare drug plan (Part D) during certain times. You must have Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) to join a Medicare Advantage Plan. You must have Medicare Part A and/or Part B to join a separate Medicare drug plan.

Can I have Medicare Part B and not 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+

Do you need all parts of Medicare?

Also, keep in mind that parts A and B don't cover most dental care, eye exams, hearing aids or exams to fit them, cosmetic surgery, acupuncture, or routine foot care. Parts A and B also don't cover most prescription drugs. You need to enroll in a Part D or Medicare Advantage plan for that.

Medicare Basics: Parts A, B, C & D

25 related questions found

Why would someone not have Part A of Medicare?

Why might a person not be eligible for Medicare Part A? A person must be 65 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. Some people may be 65 but ineligible for premium-free Medicare Part A.

Why would I have to buy Medicare Part A?

Part A helps cover your inpatient care in hospitals. Part A also includes coverage in critical access hospitals and skilled nursing facilities (not custodial or long-term care). It also covers hospice care and home health 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.

Is there an alternative to Part B Medicare?

Medicare Advantage plans are an alternative way to receive your Original Medicare Part A and Part B benefits through private, Medicare-approved insurance companies. You're still enrolled in Medicare, but the Medicare Advantage plan administers your benefits.

What does Medicare Part B does not cover?

Generally, most vision, dental and hearing services are not covered by Medicare Parts A and B. Other services not covered by Medicare Parts A and B include: Routine foot care. Cosmetic surgery.

How do you qualify to get $144 back from Medicare?

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

What is the advantage of having Medicare Part C?

Medicare Part C provides more coverage for everyday healthcare including prescription drug coverage with some plans when combined with Part D. A Medicare Advantage prescription drug (MAPD) plan is when a Part C and Part D plan are combined. Medicare Part D only covers prescription drugs.

Do I automatically get Medicare when I turn 65?

You automatically get Medicare when you turn 65

Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

Why would someone lose Medicare Part B?

Failure to Pay for Premiums

Falling behind on payments is an easy way to lose Medicare coverage. Everyone on Original Medicare must pay a monthly premium for Part B. If you haven't paid Medicare taxes for 40 quarters or more, you will also pay premiums for Part A.

Why is Medicare Part B not free?

Medicare Part B is only free if you have a low income and are enrolled in one of the Medicare Savings Programs for financial assistance. Eligibility for these programs varies by state, and some states make it easier to qualify because of higher income limits or by eliminating the asset requirement.

What is cost for Medicare Part B?

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 ($164.90 in 2023). Social Security will tell you the exact amount you'll pay for Part B in 2023.

Does anyone pay less for Medicare Part B?

The standard Part B premium for 2023 is $164.90 to $560.50 per month depending on your income. However, some people may pay less than this amount because of the “hold harmless” rule.

Does Medicare Part B cover all costs?

After you've paid your Medicare Part B deductible for the year, Part B generally pays for 80% of covered medically necessary services. You're responsible for a 20% Part B coinsurance for most covered services.

Why are you forced to take Medicare?

Some employers don't continue to offer retiree health coverage for former employees once they turn 65, opting instead for retirees to transition to being covered solely by Medicare. Without coverage from your company, you'll need Medicare to ensure that you are covered for potential health issues that arise as you age.

Do I need to notify Social Security when I turn 65?

Do I need to notify Social Security when I turn 65? You don't need to notify Social Security that you're turning 65. Instead, you apply for Social Security when you want your benefits to start, which could be as early as age 62 or as late as age 70.

Can I delay Medicare Part B without a penalty?

You may delay Part B and postpone paying the premium if you have other creditable coverage. You'll be able to sign up for Part B later without penalty, as long as you do it within eight months after your other coverage ends. You'll need to inform Medicare of your decision before your Part B coverage starts.

Is Part A Medicare always free?

Most people get Part A for free, but some have to pay a premium for this coverage. To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child.

Can a person who never worked get Medicare?

Key Takeaways. If you are a U.S. citizen age 65 or older, you can get Medicare regardless of your work history — but your costs could vary. If you've paid Medicare taxes for at least 10 years, you can enroll in Medicare Part A and won't pay a monthly premium .

What disqualifies you from getting Medicare?

Did not work in employment covered by Social Security/Medicare. Do not have 40 quarters in Social Security/Medicare-covered employment. Do not qualify through the work history of a current, former, or deceased spouse.