How do I avoid Medicare Part D?

Asked by: Jairo Lesch  |  Last update: December 21, 2025
Score: 4.3/5 (7 votes)

The best way to avoid the Part D penalty is to sign up for Medicare drug coverage during your IEP. For information on signing up, check out how to enroll in a Medicare Part D prescription drug plan .

Can I go without Medicare Part D?

A person may owe a late enrollment penalty if, after their Initial Enrollment Period (when they first get Medicare Part A and/or Part B), they go without Part D or other creditable prescription drug coverage for any period of 63 or more days in a row.

Can you opt out of Medicare Part D?

If you voluntarily enrolled with Part D and you are not considered dual eligible, you may dis-enroll from Medicare Part D. However, you may pay a higher premium, later if you decide to re-enroll with Medicare Part D. b. If you are a dual eligible (Medi-Medi) client, you cannot dis-enroll with Medicare Part D.

Is it mandatory to have Part D Medicare?

Enrolling in Medicare Part D (prescription drug coverage) is optional, but having this coverage is important for most people. If you have drug coverage through an employer, it is possible to delay enrollment in Part D without incurring penalties.

Why are hospitals refusing Medicare Advantage plans?

Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. In 2023, Becker's began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts.

Understanding Medicare Part D Plans

20 related questions found

Is GoodRx better than Medicare Part D?

Consider using a GoodRx coupon instead of Medicare in the following situations: Your medication isn't covered by your Medicare plan. The medication costs less with a GoodRx coupon than with your Medicare copay. You don't expect to reach your annual deductible.

Is Medicare Part D deducted from Social Security?

You can pay premiums directly to the company, set up a bank draft, or have the monthly premium deducted from your Social Security check.

Do I need Medicare Part D if I have Federal Blue Cross?

Medicare Part D - Federal retirees and employees will likely not benefit from enrolling in Part D as they already have comprehensive drug coverage through their FEHB plan. However, retirees with limited resources may want to consider enrolling in Part D if they qualify for extra financial help under the Part D program.

Can Medicare Part D be free?

No, Medicare Part D isn't free. But in 2025, at least one $0-premium plan is available in 43 states, Washington, D.C., and Puerto Rico. Most plans do have a monthly premium. And all plans have other costs beyond premiums, such as copays, coinsurance and deductibles.

Why was I automatically enrolled in Medicare Part D?

Enrollment in Medicare Part D plans is voluntary, except for beneficiaries who are eligible for both Medicare and Medicaid and certain other low-income beneficiaries who are automatically enrolled in a PDP if they do not choose a plan on their own.

How do I get around Medicare Part D penalty?

The bottom line. The best way to avoid the Part D penalty is to sign up for Medicare drug coverage during your IEP. For information on signing up, check out how to enroll in a Medicare Part D prescription drug plan .

Are there Medicare Advantage Plans without Part D?

Most Medicare Advantage Plans include Medicare drug coverage (Part D). In certain types of plans that don't include Medicare drug coverage (like Medical Savings Account Plans and some Private Fee-for-Service Plans), you can join a separate Medicare drug plan.

Is Medicare Part D worth it?

No, Medicare Part D isn't a requirement. However, many people find that enrolling in a Part D plan is worth the investment. Your health can be unpredictable, so while you may not need many (or any) prescription drugs now, you may need them in the future.

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

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 be turned down for Medicare Part D?

If any of the prescription drugs you requested are still denied, you can request an independent review of your case by a reviewer outside of your Medicare Drug Plan. If you disagree with that decision, you will have the right to further appeal. You will be notified of your appeal rights if this happens.

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.

How to opt out of Medicare Part D?

To disenroll from a Medicare drug plan during Open Enrollment, you can do one of these: Call us at 1-800-MEDICARE. Mail or fax a signed written notice to the plan telling them you want to disenroll.

How do I get $800 back from Medicare Part B?

Medicare Part A and Part B know they can get up to $800 back

All the member has to do is provide proof that they pay Medicare Part B premiums. Each eligible active or retired member on a contract with Medicare Part A and Part B, including covered spouses, can get their own $800 reimbursement.

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.

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.

Can I avoid the donut hole?

While it is not possible to completely avoid the Donut Hole in Medicare Part D prescription drug coverage, beneficiaries can take steps to reduce the amount of time they spend in this coverage gap.

What is the average cost of Medicare Part D for seniors?

The average estimated monthly Part D plan premium in 2025 is $46.50. Other factors can affect the cost of Part D including monthly premium, yearly deductible and copayments. High-income earners may pay a surcharge known as the “income-related monthly adjustment amount” (IRMAA).

Why can't you use GoodRx with Medicare?

However, GoodRx cannot be combined with your insurance or any federal or state-funded program such as Medicare or Medicaid. GoodRx is not insurance. If you choose to use a GoodRx coupon or your GoodRx Gold membership, it's important to ask the pharmacist not to run your prescription through your insurance or Medicare.

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