Does everyone automatically get Medicare Part B?

Asked by: Vincent Corwin  |  Last update: December 20, 2025
Score: 4.7/5 (46 votes)

You get Part A automatically. If you want Part B, you need to sign up for it. If you don't sign up for Part B within 3 months of turning 65, you might have to wait to sign up and pay a monthly late enrollment penalty.

Do you automatically get Medicare Part B?

If you are approaching age 65 and you already receive Social Security or Railroad Retirement benefits through early retirement, you will be automatically enrolled in Medicare Parts A (hospital insurance) and B (medical insurance) when you turn 65.

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.

Is Medicare Part B free for everyone?

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.

Does Medicare automatically take out part B?

Does Social Security deduct Medicare Part B premiums from your benefit check? The answer is yes. If you receive benefits from Social Security, Railroad Retirement Board (RRB), or Office of Personnel Management (OPM), then your Part B premium will be deducted from your benefit payment.

Do you really need Medicare Part B

25 related questions found

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.

How do I know if I'm paying for Medicare Part B?

Each year, Social Security sends a letter to people collecting Social Security benefits (and those who pay higher premiums because of their income) stating each person's exact Part B premium. You can get details at Medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048).

How do I avoid paying Medicare Part B?

You may refuse Part B without penalty if you have creditable coverage, but you have to do it before your coverage start date. Follow the directions on the back of your Medicare card if you want to refuse Part B.

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.

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.

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).

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.

Does Social Security automatically enroll you in Medicare Part B?

If you're already getting benefits from Social Security or the RRB, you'll automatically be enrolled in both Part A and Part B starting the 1st day of the month you turn 65. If your birthday is on the 1st day of the month, Part A and Part B will start the 1st day of the prior month.

Can you have Medicare Part B and employer insurance at the same time?

Can I combine employer health insurance with Medicare? If you or your spouse are working and covered through an employer, you can also decide to keep this coverage and enroll in Original Medicare, Part A and/or Part B to get additional health coverage.

What does everyone pay for Medicare Part B?

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.

Is Part B Medicare ever free?

Medicare Part A (pays for hospital stays) is usually free, but almost everyone has to pay $185 per month for Medicare Part B (pays for medical care). If you have a Part D, Medicare Advantage or Medicare Supplement plan, you'll have an extra monthly cost on top of paying for Part B.

How much money is taken out of Social Security for Medicare Part B?

Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024.

Who qualifies for an extra $144 added to their Social Security?

To qualify for a Medicare giveback benefit, you must be enrolled in Medicare Part A and B. You must be responsible for paying the Part B Premiums; you should not rely on state government or other local assistance for your Part B premiums.

Is Medicare Part B free at age 65?

Unlike Part A, Medicare Part B has a monthly premium, which can cost $185.00 to $628.90 depending on income. It has a late enrollment penalty for anybody who enrolls without qualifying for a Special Enrollment Period.

What happens if I don't enroll in Medicare Part B?

Part B late enrollment penalty

You'll pay an extra 10% for each year you could have signed up for Part B, but didn't. You may also pay a higher premium depending on your income.

Why is Medicare B so expensive?

Medicare costs, including Part B premiums, deductibles and copays, are adjusted based on the Social Security Act. And in recent years Part B costs have risen. Why? According to CMS.gov, “The increase in the Part B premiums and deductible is largely due to rising spending on physician-administered drugs.

Can I refuse to pay for Medicare Part B?

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.

Does Medicare automatically cover Part B?

Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you're not getting disability benefits and Medicare when you turn 65, you'll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.

How do you qualify for Medicare Part B reimbursement?

How do I know if I am eligible for Part B reimbursement? You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in both Medicare Parts A and B.