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

Asked by: Ima Wisozk  |  Last update: January 24, 2026
Score: 4.9/5 (44 votes)

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

No if you have employer insurance you can avoid taking on part B as long as you like to age 75 if still working however in 99.5 % of the cases you are better paying the $144.50 part B premium and opting out of your group coverage continue to work ...

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.

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

Is Medicare cheaper than employer insurance?

This is unique for every plan, but generally speaking, Medicare tends to provide more benefits than employer coverage at a lower cost. If you have a high-premium or high-deductible plan through your employer (or your spouse's employer), switching to Medicare may be more cost-effective.

2025 Medicare Cost Comparison | Advantage vs Supplement

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Does everyone pay $170 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. You pay the standard premium amount if you: Enroll in Part B for the first time 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.

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).

Can you avoid paying 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.

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.

Do I need part B if I have 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.

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

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.

Does Medicare Part B cost the same for everyone?

If we determine you're a higher-income beneficiary, you'll pay a larger percentage of the total cost of Part B based on the income you normally report to the Internal Revenue Service (IRS). You'll pay monthly Part B premiums equal to 35%, 50%, 65%, 80%, or 85% of the total cost, depending on what you report to the IRS.

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.

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

To qualify to get $144 added back to your Social Security check, you can enroll in a Medicare Advantage plan that offers a Part B premium reduction or giveback benefit.

How much will Medicare Part B cost in 2025 for seniors?

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. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.

What are the top 5 medicare supplement plans?

💬 From our Nerds: What are the top five Medicare supplement plans? "Based on NerdWallet's Medigap rubric, I picked five best Medicare Supplement Insurance companies for 2025: AARP/UnitedHealthcare, Mutual of Omaha, State Farm, Anthem and Blue Cross Blue Shield.

What are the changes to social security in 2025?

Social Security benefits increased by 2.5% in 2025. Why retirees may feel it's not enough. Millions of Social Security beneficiaries have received their first benefit checks for 2025. That includes a more modest 2.5% cost-of-living adjustment, the lowest increase since 2021.

How do they figure how much you pay for Medicare Part B?

As previously stated, your income level will determine your Medicare Part B monthly premium amount. If your MAGI exceeds an income bracket, you move up to the next tier and pay a premium increase. Additionally, the annual deductible for all Medicare Part B beneficiaries is $257 in 2025.

What is the alternative to Medicare Part B?

Part C (Medicare Advantage)

Part C is known as Medicare Advantage. It's an alternative to Parts A and B that bundles several coverage types, including Parts A, B, and usually D. It may also include: Vision.

Do I need private insurance if I have Medicare?

Why would I need more health insurance if I have Medicare? It's important to understand that Original Medicare, Part A and Part B, doesn't include most prescription drug coverage. If you'd like Medicare prescription drug coverage, you can get it from a private health insurance company that contracts with Medicare.

Does Medicare cover dental?

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